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Public Health Nursing Practice Manual

Tuberculosis (TB) Contact Follow-up: Individual

Standard of Practice

Assessment (Cont.)

Description

Practice

    • Living situation/social factors

    • Contact referral source if insufficient/incomplete information given and client is not currently hospitalized

  • 3.

    Assess contact/household per the PHN Assessment criteria.

Population Diagnosis and Priorities

The public health nurse analyzes the assessment data to determine the population diagnoses and priorities.

  • Analyze the collected assessment data to determine if

there is an identified, actual or potential problem.

  • 1.

    Verify the medical diagnosis and determine the priority of action:

    • Review Section/page D7 of the Public Health Nursing Practice Manual and the Contact Investigation Standards in the TB Control Program Manual 2003 (Appendix L) or determine priority in consultation with the PHNS as needed. Document priority selected.

  • 2.

    Consider the contact’s/household’s need for nursing interventions based on the medical diagnosis.

  • 3.

    Consider the contact’s/household’s need for nursing intervention to promote health, facilitate well being, foster healing, alleviate suffering, and improve quality of life.

Outcomes Identification

The public health nurse identifies expected outcomes for a plan that is based on population diagnoses and priorities.

Outcome Objectives:

  • Prevent the spread of TB within families, communities,

health facilities, or other sites.

  • Contacts are free of TB disease and/or infection.

  • 1.

    Determine and document specific health needs/goals for contact’s/household’s situation:

    • Determine appropriate timelines for attainment of the outcomes according to the assessment and diagnoses (TB Control Program Manual 2003 Contact Investigation Standards Appendix L).

© 2007 LAC DPH-Public Health Nursing

C 50

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