...Case Study Pulmonary Tuberculosis Nursing Management 1 PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion S, J, S. Our Lady of Fatima University, Quezon City Nursing Management 2 Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was transported via ambulance and was seen in Emergency Room and chest x-ray was...
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...Nursing Management 1 PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Bumolo, Olimpia T. Torres, Pauline Bianca G. Our Lady of Fatima University, Quezon City Nursing Management 2 Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was transported...
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...A Research on the Unusual Forms of Tuberculosis TABLE OF CONTENTS I. Introduction II. Background A. An overview of Tuberculosis B. Definitions of terms III. The common indications of tuberculosis A. Signs and Symptoms B. Causes C. Effects 1. Tuberculosis of the Kidney 2. Tuberculosis of the Bones 3. Tuberculosis of the Stomach 4. Tuberculosis of the Spine IV. Case studies of Tuberculosis A. Philippines B. Other Countries V. Further Study of tuberculosis A. Explaining Tuberculosis B. Treatments VI. Conclusion VII. End Notes VIII. Bibliography I. Introduction Tuberculosis is just one disease out of a million other diseases in the world but it doesn’t only affect the person being infected but also the people around that particular people around it. Thus, it is not just a personal or family problem but a societal problem. After reaching considerable amounts of tuberculosis-related articles, the researcher has deemed tuberculosis as a “highly prevalent” and a “highly infectious” disease that is, once it becomes active. One-third of the world’s population has tuberculosis. To add, there are still other who may just be walking around not knowing whether they have been infected or not. Tuberculosis may be dormant for years and once active, it could lead to pulmonary failure. The agent of contamination is spread through air and since air is invisible to the naked age, the persons involved...
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...Tuberculosis Tuberculosis or TB as the disease is abbreviated is caused by the bacterium Mycobacterium tuberculosis (M.TB). Mycobacterium tuberculosis is a large, has no motility and is rod shape in appearance. The rods are between 2 to 4 microns in length and between 0.2 to 0.5 microns in width. M.TB. is classified as weakly gram positive bacterium as it has a cell wall but no phospholipid outer membrane. However when a Gram stain is performed M.TB does not retain the dyes and does not stain completely due to the high lipid and chemical content of its cell wall (Todar, 2008). Tuberculosis is a disease of the lungs. This type is called pulmonary tuberculosis. It can affect other parts of the body via the circulatory system and infect all organs of the body; this is known as extrapulmonary tuberculosis. In children tuberculosis meningitis is sometimes diagnosed. This form of the disease is a life threatening and fatal condition. M.TB is transmitted via droplet transmission. The bacteria are inhaled in droplet form when an infected person coughs sneezes or speaks as the small droplets are expelled into the air. The bacteria can remain airborne for hours however UV light such as sunlight can destroy them. Once an uninfected person inhales the droplets the bacteria travel to the lungs and within a time period of six weeks the bacteria could have affected a small part of the lungs without any obvious symptoms being shown. This is known as the primary infection. After the primary...
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...Tuberculosis Shequita Kelly HCS/245 10/20/2014 Michelle Clemmons Introduction Tuberculosis, commonly known as TB, is a bacterial infection that can spread through the lymph nodes and bloodstream to any organ in your body. It is most often found in the lungs. Most people who are exposed to TB never develop symptoms because the bacteria can live in an inactive form in the body. With that said, tuberculosis, a disease caused by the bacteria Mycobacterium tuberculosis, has been around for thousands of years. In fact, one of the earliest cases of tuberculosis, known as TB, or often referred to as the White Plague, because of the pale skin of the Caucasians who wasted away from it, was found in a young man from Germany about 7,000 years ago. Scientists believe tuberculosis was probably an extremely common disease in Ancient Egypt, and throughout the centuries was spread through Europe, Asia, and Africa. European explorers including Columbus were blamed for bringing TB to the New World, though evidence proves Native Americans suffered from the disease long before then. TB did and still does attack many parts of the body. Many people think only of pulmonary tuberculosis, the kind of TB that attacks the lungs because this is the most common form today. In this form, TB bacteria can grow very slowly in a spot on the lung, which has the appearance of a cheesy boil and takes the shape of a tuber, like a potato. If the bacteria attack the blood vessels of the lungs, the affected...
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...S. and that 26 percent of these were co-infected with HIV. The progression of tuberculosis varies greatly among people (1:887). It progresses more rapidly in blacks and Native Americans than in whites. The rate of progression depends mainly on the strength of the person's immune system. Active tuberculosis usually begins in the lungs (pulmonary tuberculosis). Tuberculosis that affects other parts of the body (extrapulmonary tuberculosis) usually comes from pulmonary tuberculosis that has spread throughout the bloodstream. Clinical Presentation: The first symptoms of tuberculosis are usually a cough and a feeling of not being well (1:887). The cough may produce a small amount of green or yellow sputum in the morning, which usually increases as the disease progresses. Eventually the sputum may be streaked with blood. One of the most common symptoms is awakening in the night drenched with a cold sweat caused by the subsiding of a low-grade fever. Shortness of breath may signal the presence of air (pneumothorax) or fluid (pleural effusion) in the pleural space. About 95 percent of pleural effusions in young adults are caused by a recent infection with Mycobacterium tuberculosis and need to be recognized as such so that they do not progress to full-blown tuberculosis (1:888). In a new infection, the bacteria travel from the lesion in the lung to the draining lymph nodes. The infection may spread to a joint, causing tuberculous arthritis. The most commonly affected joints...
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...Tuberculosis _ Epidemiology and Nursing Research. November14, 2013 Tuberculosis _Epidemiology and Nursing Research. Communicable diseases occurs in every country regardless of urban, rural, or with socio economical diversities. In order to help in prevention and control of communicable diseases, locally, nationally and globally, nurses who are working with the public health system , must have basic understanding of epidemiology, microbiology, treatments, and knowledge about public health system and the legal system. Although, the United states attained a significant success in attaining the control over the communicable diseases, compared to the other parts of the world since 1940s, communicable diseases are still leading cause of death in the United States.(Maurer &Smith, 2012). Tuberculosis(TB) is a air bourn infectious disease which is caused by Mycobacterium Tuberculosis. People who are living in poor socioeconomic background and who are living in medically underserved communities are more prone to this deadly , but preventable and curable disease. This disease continue to be as an indicator of poverty and low socio-economic background. Most of the time people affected with this deadly disease are undiagnosed early and affected with malnutrition or immunologically compromised. Tuberculosis can affect several organs...
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...TB and Women Background: Tuberculosis(TB) is an infectious bacterial disease caused by Mycobacterium tuberculosis, which most commonly affects the lungs. It is transmitted from person to person via droplets from the throat and lungs of people with the active respiratory TB disease. In healthy people, infection with Mycobacterium tuberculosis often causes no symptoms, since the person’s immune system acts to “wall off” the infection. These people have latent TB infection, where they do not feel sick and cannot spread the bacteria to others. However, in some cases, the bacteria continue to multiply in the body making a person sick with active TB disease. The symptoms of active TB of the lung are coughing, sometimes with sputum or blood, chest pains, weakness, weight loss, fever and night sweats. It is a disease of poverty affecting mostly young adults in their most productive years. The vast majority of TB deaths are in the developing world. Left untreated, each person with active TB disease will infect on average between 10 and 15 people every year and this continues the TB transmission. Overall, one-third of the world’s population is currently infected with the TB bacillus. 5-10% of people who are infected with TB bacilli (but who are not infected with HIV) become sick or infectious at some time during their life. People with HIV and TB infection are much more likely to develop TB. The risk for developing TB disease is also higher in persons with diabetes, other chronic...
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...Strategies for Tuberculosis Control from Experiences in Manila: The Role of Public-Private Collaboration and of Intermittent Therapy INAUGURALDISSERTATION zur Erlangung der Würde eines Doktors der Philosophie vorgelegt der Philosophisch-Naturwissenschaftlichen Fakultät der Universität Basel von Christian Auer aus Bottmingen (BL) Basel, Mai 2003 Genehmigt von der Philosophisch-Naturwissenschaftlichen Fakultät der Universität Basel auf Antrag von Herrn Prof. Dr. Marcel Tanner und Herrn Professor Dr. Klaus M. Leisinger Basel, den 6. Mai 2003 Prof. Dr. Marcel Tanner Dekan DEDICATION In memory of Aling Tess and Mang Tony, former neighbours of mine, victims of tuberculosis, the unrestrained killer that terminates daily the lives of 5000 people. With the sincere hope and plea that some findings and thoughts of this dissertation will contribute to reducing tuberculosis and poverty. “The appalling global burden of tuberculosis at the turn of the millennium, despite the availability of effective control measures, is a blot on the conscience of humankind. For developing countries, the situation has become desperate and the "cursed duet" of tuberculosis and AIDS is having a devastating impact on large sections of the global community. The vital question is, can despair be turned to hope early in the next millennium?” John Grange and Almuddin Zumla, 1999 TABLE OF CONTENTS Acknowledgements Summary Zusammenfassung Abbreviations i iii vii...
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...Oral and Maxillofacial Pathology April 28, 2016 Chronic Inflammation and Wound Repair Mark A. Lerman, D.M.D. Associate Professor and Division Director of Oral Pathology Tufts University School of Dental Medicine Inflammation • Introduction • Acute inflammation – Vascular changes – Cellular events – Hereditary defects • Chronic inflammation – Cellular mediators – Granulomatous inflammation • Tissue Repair Inflammation • Chronic inflammation – Cellular mediators – Granulomatous inflammation • Tissue repair – Cell and tissue regeneration – Scar formation – Factors influencing repair Chronic Inflammation • Inflammation of prolonged duration (weeks-years) – Continuing inflammation – Tissue injury – Healing Chronic Inflammation • Characterized by – Lymphocytes, plasma cells, and macrophages – Tissue destruction – Repair Chronic Inflammation • Arises in setting of – Persistent infections • Treponema pallidum • Mycobacterium, viruses, and fungi – Immune-mediated disease • Hypersensitivity reactions • Autoimmune diseases – Prolonged exposure to toxins • Silica • Crystal Macrophages Dominant cells of chronic inflammation Tissue cells derived from blood monocytes Fusion of activated macrophages forms multinucleated giant cells Mononuclear phagocyte system (reticuloendothelial system) includes cells scattered in connective tissue, liver (Kupffer cells), spleen and lymph nodes (sinus histiocytes)...
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...Status of nosocomial tuberculosis transmission prevention in hospitals in Thailand Akeau Unahalekhaka, RN, PhD, , , Suchada Lueang-a-papong, RN, MS, Jittaporn Chitreecheur, RN, MS http://dx.doi.org/10.1016/j.ajic.2013.09.019Get rights and content A national survey was conducted during July to September 2009 to determine tuberculosis (TB) prevention activities, problems, and support needed of Thai hospitals. Ninety-seven percent of hospitals established TB isolation policy, 96.3% provided guidelines for caring of TB patients, 95% and 91.8% provided prevention of TB transmission and environmental management guideline, and 92.6% established screening system for TB in the outpatient department (OPD). A half of hospitals had problems with isolation rooms and difficulties in screening TB cases in the OPD. Support needed included consultation on structure and ventilation systems, personnel training, national TB prevention, and TB screening guideline. Strengthening TB prevention activities, providing expert consultation, and national guidelines may help hospitals improve their TB prevention activities. Key Words Prevention; Tuberculosis transmission Tuberculosis (TB) is a re-emerging infectious disease that is becoming a serious health problem globally. The number of TB patients is increasing continuously because of the increase in number of TB patients with multidrug-resistant (MDR) as well as the extensively drug-resistant (XDR) Mycobacterium tuberculosis. There were an estimated...
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...Chapter 2 Review of Related Literature According to the study of the DOH trough the help of the WHO that tuberculosis is an infectious disease cause by Mycobacterium tuberculosis or tubercle bacilli. The disease primarily affects the lungs and this condition is known as pulmonary tuberculosis. Other parts of the body may also be affected by tuberculosis; this is known as extra-pulmonary tuberculosis. It may affect the bones, meninges, joints, genito-urinary tract, intestines, liver, kidneys, and the heart. A person gets infected with Tuberculosis i h or she inhales the bacteria release from air droplets when a person with Tuberculosis coughs and sneezes. Generally, the Bacteria will be killed in five minutes after direct exposure to sunlight. But these bacteria can survive for up to one year in the dark, moist, and poorly ventilated area. A pulmonary Tuberculosis patient whos sputum is positive to Tuberculosis bacilli may spread the disease to about 10-20 persons in a year for two years. Once the patient start on taking anti-TB drugs, sputum will become negative within two weeks in most patients. But he or she needs to take the drugs completely for six months to eliminate all the Tuberculosis Bacilli in the lungs and be cured. In addition Cough for two weeks or more is most common symptom of tubetculosis. Other signs and symptoms are fever, chest or back pain not referable to other diseases, loss of weight, and blood-streaked sputum or hemoptysis. Direct...
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...(Provide reference listing using APA format) Reference List Criteria for Case Study I. Introduction – purpose of paper A. Significance B. Objectives II. Assessment a. Include date of admission; date of care; allergies; history b. Address and list analysis of Gordon’s Functional Patterns (list all 11). Integrate treatments, meds, nursing implications, and related assessments in paper. Includes nutritional analysis. III. Literature Review (at least three resources at least one professional journal) a. Disease Description b. Diagnostic Confirmation c. Signs & Symptoms (textbook vs. patient’s actual symptoms being experienced) d. Treatment and Rationale e. Disease Outcome Expectations f. Rehab needs g. Related to client situation IV. Nursing Plan of Care a. Problems Prioritized (list 3 diagnosis) b. Actual Diagnosis c. Potential Diagnosis d. Outcome e. Goals (short and long term) f. Actions/actual diagnosis g. Actions/potential diagnosis h. Rationales (resources documented) i. Evaluation/Revision V. Discharge Planning a. Resources for coping b. Knowledge/Teaching c. Referrals/Continuing Care VI. Summary VII. Format a. Length of paper should be - between 15-20 pages typed b. APA format c. Cover page, reference page, etc… d. Grammar, punctuation, sentence structure, etc… Faculty Signature_______________________________________________ Date________________________________ Name__________________________ Semester______________________ |Criteria...
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...Benchmark Assignment: Tuberculosis Epidemiology Melinda A. Graham Grand Canyon University: NRS 427 November 15, 2015 Tuberculosis (TB) is a disease that has been present in history for many years. Even with modern medicine and the advances that have been made to treat TB it is still claiming lives. This disease is caused by mycobacterium tuberculosis, which is transferred from person to person ultimately affecting the lungs, but can cause harm to other parts of the body (Center for Disease Control and Prevention [CDC], 2015). Although this disease is not as common as it once was in the United States it is still present in our world and causing mortalities. According to the World Health Organization (WHO), TB “ranks as the second leading cause of death from a single infections disease” (2015, para 1). Therefore, it is necessary and important for healthcare individuals to be familiar with TB and understand the epidemiology behind the disease. Being aware of the role of the community health nurse plays in regards to this disease and being aware of resources that can help the community is fundamental in providing for the wellbeing of all. To become familiar as to how the community health nurse can provide for community members with TB it is important to understand the typical signs and symptoms a patient may display. Some of the symptoms a patient may report in association to TB is generalized weakness, recent weight loss, and reports of a fever, night sweats...
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...MAJOR ARTICLE Implementing a Large-Scale Systematic Tuberculosis Screening Program in Correctional Facilities in South Africa Vincent Zishiri,1 Salome Charalambous,1,2 Maunank R. Shah,2 Violet Chihota,1 Liesl Page-Shipp,1 Gavin J. Churchyard,1,2 and Christopher J. Hoffmann1,3 1 The Aurum Institute, Johannesburg, South Africa; 2School of Public Health, University of Witwatersrand, Johannesburg, South Africa; and 3Johns Hopkins University School of Medicine, Baltimore, Maryland Downloaded from http://ofid.oxfordjournals.org/ by guest on January 9, 2015 Background. Tuberculosis (TB) prevalence is high in correctional facilities in southern Africa. With support from local South African nongovernmental organizations, the South African Department of Correctional Services initiated a program of systematically screening newly admitted and current inmates for symptoms followed by GeneXpert Mycobacterium tuberculosis (MTB)/rifampicin (Rif ) for microbiologic testing of symptomatic inmates. Methods. We conducted a program evaluation during a 5-month window describing program reach, effectiveness, adoption within the facilities, cost, and opportunities for sustainability. This evaluation included 4 facilities (2 large and 2 smaller) with a total daily census of 20 700 inmates. Results. During the 5-month evaluation window from May to September 2013, 7426 inmates were screened at the 4 facilities. This represents screening 87% of all new admits (the remaining new admits...
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