logic trees

8/3/2019 Logic Trees

1/19

LOGIC TREESLOGIC TREESFORFOR

SAFESAFEMOTHERHOOD,MOTHERHOOD,

WELL-BABY CARE &WELL-BABY CARE &

COMMON ADULTCOMMON ADULT

HEALTH PROBLEMHEALTH PROBLEM


2/19

LOGIC TREESLOGIC TREES

Objectives:Objectives:

Improve the access toImprove the access to

quality health service andquality health service andEnhance the nursesEnhance the nurses

competence andcompetence andconfidence forconfidence for

independent practice andindependent practice and

case managementcase management


3/19

USE OF LOGIC TREESUSE OF LOGIC TREES

Assessment ProtocolAssessment Protocol

Health DataHealth Data (HxD)(HxD)

History, P.E. History, P.E.

findingsfindings

Classified:Classified: GreenGreen,,YellowYellow andand RedRed


4/19


Management ProtocolManagement Protocol

Interventions to handle the caseInterventions to handle the case

or situationor situationClassified:Classified: Plan A, Plan B,Plan A,

Plan B,

Plan C or DPlan C or D depending ondepending on

specific combination ofspecific combination ofGreenGreen,,YellowYellow andand RedRed healthhealth

assessment data.assessment data.


5/19


Protocol includes:Protocol includes:

Branching LogicBranching Logic

Assessment dataAssessment data obtainedobtainedfrom a given patient or casefrom a given patient or case

and the appropriateand the appropriate

managementmanagement areareindividualizedindividualized according to according to

the patients sx/s orthe patients sx/s or

experiences.experiences.


6/19

For Initial Pre-Natal Check-For Initial Pre-Natal Check-

upup (# 28)(# 28)Pregnancy

At least oneRED

s/s or HxD

At least oneYELLOW

s/s or HxD

At least oneGREEN

s/s or HxD

Proceed withPlan C

Proceed withPlan B

Proceed withPlan A

With

No

No

Yes

Yes


7/19

Logic Tree Flow ChartLogic Tree Flow Chart

For Follow-up Pre-Natal Check-upFor Follow-up Pre-Natal Check-up

(# 29)(# 29)Pregnancy

At least oneRED

s/s or HxD

At least oneYELLOW

s/s or HxD

At least oneGREEN

s/s or HxD

Proceed withPlan C

Proceed withPlan B

Proceed withPlan A

With

No

No

Yes

Yes


8/19


For Home Delivery (# 30)For Home Delivery (# 30)Labor Pains

At least oneRED

s/s or HxD

At least oneYELLOWs/s or HxD

At least one

GREENs/s or HxD

Proceed withPlan B

There is stilltime to bring

patient tothe hospital

Proceed withPlan A

With

No

No

Yes

Yes

Yes

No

1. At least 1 s/s developed during orimmediately after delivery

2. More than 1 baby was born

3. Baby is premature (AOG < 36 wks)

1. Give the mother nourishment then let hersleep

2. Attend to the baby3. Give after care instructions

4. Register the babys birth or instruct thefamily to do it.

No

Yes


9/19

Logic Tree Flow Chart For Care ofLogic Tree Flow Chart For Care of

the Newborn Immediately Afterthe Newborn Immediately After

Birth (# 31)Birth (# 31)At least one RED s/s

or HxD noted oninitial examination

Proceed withPlan C

Proceed withPlan B

No

Yes

Yes

At least one YELLOW

s/s or HxD noted oninitial examination

At least one GREEN

s/s or HxD noted oninitial examination

No

Proceed withPlan A

At least one RED s/sor HxD noted on

detailed examination

Proceed withPlan C

Yes

At least one YELLOW

s/s or HxD noted ondetailed examination

No

Give aftercare

instructions to

The famil

Yes

No


10/19


For Postpartum Check-up (# 32)For Postpartum Check-up (# 32)

Proceed with

Plan C

Proceed withPlan B

Refer to LogicTrees Number1,2,7 and 15

Patient just gave birth

cough, colds, diarrheaor frequent, scanty and

painful urination

At least one YELLOWs/s or HxD

At least one GREEN

s/s or HxD

Proceed withPlan A

At least one

RED s/s or HxD

At least one RED s/sor HxD has developed

since last visit

Proceed withPlan C

Yes

At least one YELLOW s/s

or HxD has developedsince last visit

No

Continue postpartumcheck-up till 7th day after

atient has iven birth

Yes

No

With

No

No

Yes

Yes

NoYes


11/19

Logic Tree Flow Chart For Well-Logic Tree Flow Chart For Well-

Baby Check-up, Neonatal PeriodBaby Check-up, Neonatal Period

(# 33-A)(# 33-A)

Refer to LogicTree # 33-B

Proceed withPlan B

Refer toAppropriateLogic Tree


since last visit

Advise the companion

to bring back the babyafter one month

Yes

No

Yes

Yes

Yes

fever, cough, colds,diarrhea or otherproblems

At least one GREENs/s or HxD

Proceed withPlan A

Patient is more thanone month

At least oneRED s/s or HxD

No

No

No


12/19

Logic Tree Flow Chart For Well-Logic Tree Flow Chart For Well-

Baby Check-up, Patient is MoreBaby Check-up, Patient is More

Than One Month (# 33-B)Than One Month (# 33-B)

Refer to LogicTree # 33-A

Proceed withPlan B

Refer toAppropriateLogic Tree


since last visit

Advise the companion

to bring back the babyafter one month

Yes

No

Yes

Yes

Yes

fever, cough, colds,diarrhea or otherproblems


Proceed withPlan A

Patient is more thanone month


No

No

No


13/19

og c ree ow ar or ro emon Cough, Colds or DOB Noton Cough, Colds or DOB Not

Associated with Fever: AdultAssociated with Fever: Adult

Patient (# 7)Patient (# 7)

Refer to Logic

Tree # 1

Proceed withPlan C

Yes

Yes

Yes

cough, colds,DOB; adult patient


Proceed withPlan A

fever


With

No

No


No

Proceed withPlan B


since last visit

No

Yes


14/19

Logic Tree Flow Chart For ProblemLogic Tree Flow Chart For Problem

on Skin Lesions: Adult Patient (#on Skin Lesions: Adult Patient (#

9)9)

YesAt least one BLUE

s/s or HxD


Proceed withPlan A


No

No

No


No

Proceed withPlan B

Proceed withPlan D

No

Improvement inthe patients

condition Advise the patient

At least one REDs/s or HxD since

last visit

Proceed with

Plan C

At least one BLUEs/s or HxD since last

visit

No

Yes

NoYes

No

Yes

Yes

i l Ch blL i T Fl Ch t F P bl


15/19


on Body Weakness: Adult Patienton Body Weakness: Adult Patient

(# 10)(# 10)

Yes

At least one GREEN

s/s or HxD

Proceed withPlan A


At least one YELLOW

s/s or HxD

No

Proceed with

Plan B

Proceed withPlan C

No


condition

Advise the patient

At least one REDs/s or HxD since

last visit

NoNo

Yes

Yes

Yes

No


16/19


on Abdominal Pain, Epigastric:on Abdominal Pain, Epigastric:

Adult Patient (# 11)Adult Patient (# 11)

Proceed withPlan C

Yes

Yes

Epigastric pain


Proceed with

Plan A


With

No


No

Proceed withPlan B

At least one RED s/sor HxD since last visit

No


condition advice the patient

Yes

No

Yes

No


17/19


For Problem on Insomnia: AdultFor Problem on Insomnia: Adult

Patient (# 16)Patient (# 16)

Yes

Insomnia


Proceed withPlan A

With

At least one YELLOW

s/s or HxD

Proceed withPlan B


condition

advice the patient

No

No

Yes


18/19


on Dizziness: Adult Patient (# 24)on Dizziness: Adult Patient (# 24)

Proceed withPlan C

Yes

Yes

dizziness


Proceed with

Plan A


With

No


No

Proceed withPlan B

At least one RED s/sor HxD since last visit

No


condition advice the patient

Yes

No

Yes

No


19/19

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