Question

PN 105 Fundamentals of Nursing I Concept Map: Tuberculosis Mies Alba Calabash. a 43 year old woman has applied for a position at the local high school to work in the cafeteria. She is returning to the work force after having raised 4 children who are currently in college or not living at home. She has been told to have a pre-employment physical which includes a TB test. She returns to her family physician in 48 hours to have the results of the PPD read; it is 13mm diameter meaning it is positive. Her physician places her on medication prophylactically. She questions what about the health of her children and husband; the physician explains there will be follow up testing done for her family. She will also be questioned about the names of people she has had contact with recently. Mrs. Calabash becomes very upset stating she has made her family sick and on top of that her friends will not want to associate with her because she has made them Now please go your concept map

Answer 1

#. Tuberculosis is an infectious disease caused by Mycobacterium Tuberculosis. Spread by droplet infection .

#. Nursing diagnosis :-

1. Promoting airway clearance by :-

- encouraging patient increased fluid intake

- advice patient to change position every two hourly

- instruct about best position to facilitate drainage

- teach patient deep breathing exercise , coughing exercise etc.

Nursing diagnosis :-

Advocating adherence to treatment regimen by :-

- explain that TB is a communicable disease and that taking medications is the most effective way of preventing transmission

- instruct about medications, schedule ,and side effects , monitor for side effects .

- instruct about the risk of drug resistance if the medication regimen is not strictly and continuously followed

- monitor vital signs and observe for spikes in temperature or changes in the patient's clinical status

- teach caregiver of patients who are not hospitalised to monitor the patient's temperature and respiratory status

- report any changes in the respiratory status to the physician

#. Positive outcome :-

- There is adequate airway clearance

- Patient maintains adherence to treatment

#. No negative outcome

#. Evaluation - On evaluation after implementation of care the patient have open airways without secretions and is maintaining compliance to medications .