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Select a disease and focuses on the knowledge needed to understand the important role nutrition and...

Select a disease and focuses on the knowledge needed to understand the important role nutrition and diet play when there is an alteration in health.A disease is selected as a foundation of the project. Its etiology and progression is explored to best understand the overall regimen used to treat the disease. Focus is on assessment and interventions that lead to appropriate and effective nutrition and the approach and reasons for a recommended diet. Also included is a brief outline of what to include in client education about the recommended diet and the strategies needed to ensure adherence to it.

the numbers of page must be 6-8. Must include an introductory paragraph that describes the entire project.

The project must have all of the following: identification of the alteration in health (disease), the role nutrition plays in the prevention of this disease, its etiology, progression, treatment, recommended diet, type of nursing assessment and nursing interventions needed with regard to nutrition, outline of what should be included in client education and two strategies to help ensure adherence (overcome barriers) to the recommended diet.

Must have a word title word page and an A P A Editorial formatted Reference with at least three scholarly peer reviewed references. There must also be appropriate A P A Editorial formatted in-text citations.

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Answer #1

Introduction:

Here we are going to discuss about Tuberculosis, it's definition, causes, signs and symptoms, mode of transmission and treatment.

Also the impact of diet on tuberculosis.

Definition : an infectious bacterial disease characterized by the growth of nodules (tubercles) in the tissues, especially the lungs.

What Causes TB

Tuberculosis is an infection caused by bacteria. It's spread through the air—when an infected person coughs, sneezes, laughs, etc. However, it is not easy to become infected with tuberculosis. Usually, a person has to be close to someone with TB disease for a long period of time. TB is usually spread between family members, close friends, and people who work or live together. TB is spread most easily in closed spaces. Over a long period of time.

What Are the Symptoms of TB?

A person with TB infection will have no symptoms. A person with active TB disease may have any or all of the following symptoms:

  • A persistent cough
  • Constant fatigue
  • Weight loss
  • Loss of appetite
  • Fever
  • Coughing up blood
  • Night sweats

Mode of transmission of tuberculosis:

M. tuberculosis is carried in airborne particles, called droplet nuclei, of 1– 5 microns in diameter. Infectious droplet nuclei are generated when persons who have pulmonary or laryngeal TBdisease cough, sneeze, shout, or sing. TB is spread from person to person through the air.

Treatment

WHO treatment advice

The World Health Organisation (WHO) changed their advice for the treatment of previously treated patients in 2017.3 Their advice now is that patients who require retreatment should never be given streptomycin unless it is part of a regimen for drug resistant TB when no other drug is suitable.

Patients who require retreatment should always be referred for a rapid molecular test or drug susceptibility testing to determine if they have drug resistance. If the drug susceptibility testing shows that they have no drug resistance, then the six month first line treatment regimen (2HRZE/4HR) can be repeated. If drug resistance is present, then an MDR-TB regimen should be prescribed according to WHO's drug resistant TB guidelines. There are some difficulties when testing for second line drugs is not available, so this should be made available urgently.

The relation of proper nutrition with tuberculosis:

Malnutrition and tuberculosis are both problems of considerable magnitude in most of the underdeveloped regions of the world. These two problems tend to interact with each other.

Tuberculosis mortality rates in different economic groups in a community tend to vary inversely with their economic levels. Similarly, nutritional status is significantly lower in patients with active tuberculosis compared with healthy controls. Malnutrition can lead to secondary immunodeficiency that increases the host's susceptibility to infection. In patients with tuberculosis, it leads to reduction in appetite, nutrient malabsorption, micronutrient malabsorption, and altered metabolism leading to wasting. Both, protein-energy malnutrition and micronutrients deficiencies increase the risk of tuberculosis.

It has been found that malnourished tuberculosis patients have delayed recovery and higher mortality rates than well-nourished patients. Nutritional status of patients improves during tuberculosis chemotherapy. High prevalence of human immunodeficiency (HIV) infection in the underdeveloped countries further aggravates the problem of malnutrition and tuberculosis.

Effect of malnutrition on childhood tuberculosis and tuberculin skin test are other important considerations. Nutritional supplementation may represent a novel approach for fast recovery in tuberculosis patients. In addition, raising nutritional status of population may prove to be an effective measure to control tuberculosis in underdeveloped areas of world.

Malnutrition and tuberculosis are both problems of considerable magnitude in most of the underdeveloped regions of the world. It is important to consider, how these two problems tend to interact with each other. The term consumption has been virtually synonymous with tuberculosis throughout the history.

The link between tuberculosis and malnutrition has long been recognized; malnutrition may predispose people to the development of clinical disease and tuberculosis can contribute to malnutrition.

Before the advent of antituberculosis chemotherapy, a diet rich in calories, proteins, fats, minerals, and vitamins was generally considered to be an important, if not essential factor in treatment of tuberculosis. The introduction of specific antituberculosis drugs, however, has so radically altered the management of the disease that the role of diet should be considered in the light of the advances in treatment.

The direct evidence of effect of nutrition on tuberculosis is difficult because of whole complex of coincident environmental factors. Despite these limitations, the weight of evidence still favors the view that malnutrition may be an important factor in the high mortality and morbidity from tuberculosis in population subjected to food shortage.

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