Opening – Dylan Charles

We have learnt three PRPPD Models:

1. PRPPD Model.
2. UPRPPD (This is to update…) Model.
3. TPRPPD (Thank your for accepting / seeing….) Model.

We are now going to learn the last PRPPD Model. It is called PPRPPD.

• This method is used for Parent and Patient cases.
• Here, the first P stands for Parent’s name and the second P is patient’s name.
• This method is used when you have to advise the parent to provide care for the patient’s.

ഒരു കേസിൽ അമ്മയും കുട്ടിയും വരികയും, അമ്മക്ക് ഉപദേശം കൊടുക്കേണ്ടി വരികയും ചെയ്യുമ്പോൾ ആണ് PPRPPD മോഡൽ ഉപയോഗിക്കേണ്ടത്. 

Look at part of a case notes. 

You are a Maternal and Child Health Nurse working at the Romeoville Community Child Health Service.

Today’s Date: 21/03/2026

Patient History:

• Baby boy: Dylan Charles.
• DOB: 06/02/2026.
• Born: Romeoville Maternity Hospital.
• First baby of Raymond and Sylvia Charles.
• Address: 19 Mayfield St, Romeoville.
• Discharged: 11/02/2026.

Mother

• Silvia worried (not enough breast milk). Dylan difficult to bottle feed.
• Now gives extra formula feed as well as breast feeding.
• Silvia wishes to breast feed properly as she believes it would be the best thing for her son.
• Concerned about baby’s constipation: once every three days, hard stool.
• Breast fed for first three weeks after birth. Baby became unsettled due to weather change / installation of a faulty air-conditioner.
• Silvia sick; had fever for a week. Mild constipation and dehydration.

Plan:

• Increase breast feeding.
• Refer to breast feeding support service.
• Check formula is correctly prepared.
• If continuing formula feeds, advise to supplement with water (boiled and cooled).
• Advise on keeping baby cool in hot weather
• Return for review in 48 hours.

Writing Task: Write a referral letter to the Lactation Consultant at the Breast-Feeding Support Centre, 68 Main Street, Romeoville.

Dylan എന്ന ശിശുവും സിൽവിയ എന്ന അമ്മയും ആണ് ഈ കേസിലെ കുട്ടിയും അമ്മയും.