Reaction:

Pneumonia especially Pediatric Community Acquired Pneumonia also known as PCAP is one of the very common illness in the hospital. But what I found in the journal that Ive red was uncommon. Usually, pneumonia is diagnosed through chest x-ray, sputum exam, etc... But nowadays, there are ways to assess the risk for complications and care needs of a patient with pneumonia due to its high mortality rate. This practice guidelines and risk scales help the health care provider ascertain the nature of treatment. These are the CURB-65 severity risk index which is used to determine the type of medical treatment needed and the best location for the treatment, (The acronym CURB-65 stands for: Confusion Uremia (blood urea nitrogen level greater than or equal to 20 mg/dL) Respirations greater than or equal to 30 breaths/minute low BP, requiring fluids age over 65.) and the PSI (Pneumonia Severity Index), which is a more comprehensive instrument, uses a predication model algorithm to help the healthcare provider determine the best site of care. Data used to determine the patients risk status include demographic variables, presence or absence of co morbid diseases, physical exam, and lab values. After the data are compiled and evaluated, the patient is classified along a scale from I (low risk) to V (high risk). Patients who are classified in risk categories I to III are considered safe to receive outpatient treatment. Those in categories IV or V are hospitalized. These standardized risk assessment guidelines, in combination with good clinical judgment and effective treatment modalities can help improve the outcomes of patients with CAP. So as a student nurse and a medical practitioner, we are responsible to update ourselves to new modalities and trends on the medical field. The knowledge that we get is not just for ourselves but also for the benefit of our patient.

University of Perpetual Help System

DR. JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio, City of Bian, Laguna

COLLEGE OF NURSING

NCM 107B

Journal Reading and Reaction

Submitted by: Irene Ann L. Perocho N4A- Group 7

Submitted to: Mrs. Sally A. Peralta, RN,MAN