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Books > Medicine > Clinical & internal medicine > Paediatric medicine
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Management of Severe Malnutrition - A Manual for Physicians and Other Senior Health Workers (Paperback)
Loot Price: R548
Discovery Miles 5 480
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Management of Severe Malnutrition - A Manual for Physicians and Other Senior Health Workers (Paperback)
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Loot Price R548
Discovery Miles 5 480
Expected to ship within 10 - 15 working days
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This manual provides expert practical guidelines for the management
of severely malnourished children. Addressed to doctors and other
senior health workers, the manual explains exactly what must be
done to save lives, achieve successful management and
rehabilitation, prevent relapse, and thus give these children the
greatest chance of full recovery. Throughout, the importance of
treating severe malnutrition as both a medical and a social
disorder is repeatedly emphasized. As successful management does
not require sophisticated facilities and equipment or highly
qualified personnel, the manual also performs a persuasive
function, encouraging health professionals to do all they can to
save these children and meet their great need for care and
affection. Recommended procedures draw on extensive practical
experience as well as several recent therapeutic advances. These
include improved solutions of oral rehydration salts for the
treatment of dehydration, better understanding of the role of
micronutrients in dietary management, and growing evidence that
physical and psychological stimulation can help prevent long-term
consequences of impaired growth and psychological development.
Noting that the physiology of malnourished children is seriously
abnormal, the manual gives particular attention to aspects of
management - whether involving the interpretation of symptoms or
the use of specific interventions - that differ considerably from
standard procedures for well-nourished children. Details range from
the reasons why IV infusion easily causes overhydration and heart
failure, through a list of treatments that have no value and should
never be used, to the simple reminder that underarm temperature is
not a reliable guide to body temperature in a malnourished child
during rewarming. Further practical guidance is provided in eight
appendices, which use numerous tables, charts, sample recording
forms, instructions for preparing feeds, and examples of easily
constructed toys to help ensure that management is thorough, safe,
and in line with the latest knowledge.
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