Question

Coordination of Care The patient is a 32-year-old Hispanic nurse from your unit who is admitted for surgery to repair a fractured wrist sustained in a fall while she was working at the hospital. She divorced her first husband, who was unfaithful to her, after 5 years. She recently remarried and is hoping to st family in the near future. She tells you she has symptoms of a vaginal yeast infection and complains that this is her sixth yeast infection in 7 months even though she has treated herself each time with an over-the-counter antifungal product. Her preoperative blood work indicates a lower-than-normal total white blood count and a low lymphocyte count. 1. In view of the laboratory results and her yeast infections, what other assessment information should you obtain? 2. Should you inform this patient at this time about her laboratory results? Why or why not? 3. Should you inform the surgeon about these results? Why or why not? es

Answer 1

1, patient should be assess for HIV positive risk..collect patient family history with her husband...do the routine HIV screening for prevention and further treatment.

2, The Physician should convey the information about her blood test in a direct way and the patient should benefit of medical care and treatment, because patient need full evaluation, follow up and management.

3, it must be reported to surgeon to consider blood and body fluids for preventing transmission of disease..surgeon should take precautions previously and the operation theatre should follow high standard universal precautions to avoid transmission..

4, change gloves when you providing care to avoid highrisk..

5, Did you use contraceptive devices??

6, Have a open talk with patient and it's suspectful HIV positive infection..It should be confidential.. listen to their statement and educate them about HIV infection and it's transmission..encourage them for the treatment and how it prevent HIV infection..As she is a nurse she will be emotionally disturbed about her job and coworkers..so provide emotional and psychological support and explain about Antiretroviral therapy treatment regimen..explain the patient about precautions which was taken in the hospital to avoid infection..

1, she fears about her job realistic, because the way she told not to tell her condition to co workers..As she is a nurse, she work with wide variety of environment and care for people with HIV..Human rights it includes rights to life, liberty, and privacy..

2, Disclosure the HIV status to life partner can make it them prevent from infection..Advice patient to discuss with partner as soon as possible about her HIV status in order to avoid risk.

3, Advice patient about HIV prevention..patient have confidential rights .. approch patient with hospital rules how the treatment can be continued..hospital protocol will not disclose any disease condition with any one..but advice her it's good to explain her condition with her future husband as soon as possible to avoid risk and safe life..