MANAGEMENT PROTOCOL FOR PROBLEM ON BODY WEAKNESS: ADULT PATIENT (Logic Tree No. 10) PLAN A: J,0 2. 0 3. 0 Determine knowledge of the patient or his companion on the management of problems presented. Based on J. 0, do the following if patient is suspected to be suffering from parasitism. 2. 1 Give/prescribe over-the-counte r medicine or herbal medicine for parasitism specifying accurately the method of preparation {specific. a lly for herbal medicine), the dose and frequency of intake. 2. 2 Advise patient and/or his companion on how to prevent the recurrence of parasitism. 2. 3 Advise patient to have follow-up after one week Based on 1. u, do the fo Uowing if patient has pale lips, nail beds and/or inner aspect of eyelid and anemia is suspected. 3. 1 Give/prescribe over-the-counter medicine for anemia specifying accurately the method of preparatio n the dose and frequency of intake. Advise the patient to take the after eating. 3. 2 Advise him to cat iron-rich food like liver and bitter melon {ampalaya or amagroso) and green leafy vegetables. 3. 3 If anemia is due to par"°5itism, follow instructions above for suspected parasitism case.. 3. 4 Advise patient to have follow-up after one month or earlier if any yellow or red sign or symptom develops. 4. 0 Based on 1. 0, do the following if patient is slightly malnourished or patient just recovered from an illness: 4. 1. Give/presc ribe over-the-counter multivitamin preparations specifying accurately the dose and frequency of intake. 4. 2 Give the patient protein-rich foods like fish and beans. 4. 3 Serve the food in an appetizing manner 4-4 Give/prescribe rtiilk (non or low fat) unless patient cannot tolerate milk. In case patient has milk intolerance, give/prescn1>e soya milk. 4. 5 Advise patient to have follow-up after one month or earlier if any yellow or red sign/symptom develops. 5. 0 If there is no evidence of disease and patient seems to have some serious problem at home, at work or in school, tcy to help him solve the problem, referring to the appropriate person or agency if necessary. 6. o Do home visit if the patient fails to return for a follow-up. 7. 0 Do the following during the follow-up 7. 1 Ask iftl1~re was some improvement in the patient's condition since the last visit. 7. 2 If there were some improvement in the patient's condition, advise the patient or his companion to do the following: 7. 2. 1. Repeat treabnent for parasitism after six months if patient suffered from parasitism. 401 