Nursing homes and plans TUBERCULOSIS

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Nursing homes and plans TUBERCULOSIS

Nursing homes and plans TUBERCULOSIS



INTRODUCTION
Tuberculosis (TB) caused by infection from Mycobacterium tuberculosis. A child who skrening trest skin reactions to TB and chest radiograph to determine the presence of active lesions and their extent. Children are particularly vulnerable during the first year of his life and prior to this age, during this age, and maybe after puberty.
Recently the number of TB cases increased, especially the homeless, in low-income groups, and are infected with human immunodeficiency virus. Patients with TB cases generally receive care outside; in severe cases, hospitalization is required. All cases reported to the local health department. The plan focuses on providing care during hospitalization.
ASSESSMENT
Integumentary

Fever
Shiver


Gastrointestinal

Weight loss


Respiration

Cough
Pleural effusion
Calcification visible on chest radiograph.


Neurology

Meningitis


Musculoskeletal

Bone infection

Nursing Diagnosis
Impaired gas exchange related to the infection process.

Results dihrapkan
Children will experience a decrease in cough and dyspnea.

Intervention

Give humidified oxygen for children with dyspnea.
Elevate the head on the bed.
Give expectorant cough medicine as needed.


Rational

Dyspnea can occur until the granting agency began to address the impact chemoterapetik; humidified oxygen helps penurunkan dyspnea and improving oxygenation.
Elevation of the head allows the diaphragm muscle extends
Expectorants help to remove mucus.

Nursing Diagnosis
Lack of knowledge related to the infection process

Expected results
The family will express their understanding about the disease process and treatment.
Intervention

Teach parents and children (f right) about transmission and treatment of TB.
Teach parents and children (if appropriate) how to provide treatment (eg antibiotics), how long therapy treatment should be lived, and what happens if the child does not receive the full pengobatnnya.


Rational

Understanding how the transmission of TB and penangannnya help reduce anxiety and increase adherence to treatment, isolation procedures, and medications given.
Understanding how to provide treatment and the risks if treatment is stopped will increase compliance.

Nursing Diagnosis
Noncompliance associated with the old treatment

Expected results
Parents and children will follow the treatment guidelines.

Intervention

examine how much the knowledge of parents and children about TB and what ketidakpahamannya owned.
Teach parents and children (if appropriate) about the treatment program and a reason to follow the full treatment, and make sure the teaching is required.
Identification of alternative service providers who can give a child medication if necessary.


Rational

Assessments help determine what the parents and children need to learn to follow the long-term treatment.
Teaching and reinforcement given to parents and children with information on the need to follow the full rpohram treatment and reduce the risk of failure due to lack of knowledge.
This lowers the risk of errors the child during treatment.

Nursing Diagnosis
Risks associated with the isolation of parenting disorders.
Expected results
Children will not experience separation anxiety because of parental contacts associated with a reduction.

Intervention

Teach parents about the isolation technique correctly.
Encourage parents and other family members to visit regularly.


Rational
1. Understanding and following the isolation techniques to help prevent TB transmission that allows parents together as long as possible with anaknnya, will reduce the separation.
2. Frequent family contact will reduce the anxiety due to separation.
Documentation checklist
During his stay in hospital care, notes:
The situation of children and the assessment undertaken during hospitalization.
Changes in the situation of children, especially respiratory status changes
Dealing with the results of laboratory and test diaghnostik
Fluid intake and output
Nutrition
Compliance with treatment program
Response of children to treatment
The reaction of children and parents of sick and stayed in hospital care.
Guidelines for teaching patients and their families
Guidelines for follow-up plan.

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