Tuberculosis : Nursing implementation

Nursing implementation

  • Health Promotion
    • Ultimate goal in the United States is eradication
    • Selective screening programs in high-risk groups to detect TB
    • Treatment of LTBI
    • Follow-up positive TST results
    • Reportable disease
    • Address social determinants of TB
  • Acute Care
    • Airborne isolation
      • Single-occupancy room with 6-12 airflow exchanges/hour
      • Health care workers wear high-efficiency particulate air (HEPA) masks
    • Immediate medical workup
    • Appropriate drug therapy
    • Teach patient to prevent spread
      • Cover nose and mouth with tissue when coughing, sneezing, or producing sputum
      • Hand washing after handling sputum-soiled tissues
    • Patient wears mask if outside of negative-pressure room
    • Identify and screen close contacts
  • Ambulatory Care
    • Can go home even if cultures positive
    • Monthly sputum cultures
    • Teach patient how to minimize exposure to others
    • Ensure that patient can adhere to treatment
    • Negative cultures are needed to declare the patient not infectious
    • Notify health department
    • Teach symptoms of recurrence
    • Instruct about factors that could reactivate TB
    • Smoking cessation

Evaluation

  • Expected Outcomes
    • Resolution of disease
    • Normal pulmonary function
    • Absence of any complications
    • No further transmission of TB

Patient teaching

  • Emphasize the importance of complying with his medication regimen.
    • Teach him how to minimize exposure to close contacts.
    • They should open windows and ventilate rooms in which he is living.
      • Until their sputum is negative for AFB,
      • Should sleep alone
      • Spend as much time as possible outdoors, and minimize time in close proximity with other people and on public transportation.
    • Emphasize importance of treatment compliance.
  • Strategies to improve adherence to drug therapy include
    • Teaching and counseling
    • Reminder systems
    • Incentives or rewards
    • Contracts and DOT

Share:

More Posts

Epilepsy and Seizures

ON THIS PAGE What are epilepsy and seizures? Who is more likely to have epilepsy and seizures? Types of seizures Types of epilepsy How are

Working Out to Stay Sharp

Can Exercise Keep Your Brain Healthier? En español Send us your comments (link sends e-mail) We’ve all heard that exercise is good for us. Experts

Symptoms of Food Poisoning

KEY POINTS The most common symptoms of food poisoning include diarrhea, stomach pain or cramps, nausea, vomiting, and fever. Signs of severe food poisoning include