X hits on this document

490 views

0 shares

0 downloads

0 comments

88 / 193

Public Health Nursing Practice Manual

Tuberculosis (TB) Source Case Finding in a Documented Converter

Standard of Practice

Description

Practice

Population Diagnosis and Priorities (Cont.)

  • 2.

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

  • 3.

    Consider the client’s/household’s/associate’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 based on population diagnoses and priorities.

Outcome Objectives:

  • Prevent the spread of TB within families, communities,

health facilities, or other sites.

  • Client is free of TB disease.

  • Identify source case(s).

  • 1.

    Determine and document specific health needs/goals for client/household/associate situation.

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

Planning

The public health nurse develops a plan that reflects best practice by identifying strategies, action plans, and alternatives to attain expected outcomes.

Minnesota DHS PHN Section’s Public Health Interventions (PH Interventions) are used to determine the plan (See list of interventions in Section/page A10).

  • Consult and collaborate as needed with:

    • o

      Public Health Nurse Supervisor (PHNS)

      • o

        Nurse Manager (as directed by PHNS)

      • o

        Area Medical Director (as directed by PHNS)

      • o

        TB Control (as directed by PHNS)

      • o

        Private/Public Health Laboratory

      • o

        TB Clinician and Clinic Staff

      • o

        Health Care Provider

      • o

        Public Health Investigation (as directed by PHNS)

  • 1.

    PHN Intervention – Disease and Health Event Investigation:

    • Review the index case’s history for:

      • o

        Symptoms

        • o

          Source

        • o

          Mode of transmission

        • o

          Specific treatment

        • o

          Control measures

    • Obtain TB educational and resource materials.

    • Obtain TST supplies, as needed.

    • Elicit epidemiological data.

    • Determine probability of adherence.

    • Determine the impact of the diagnosis on cultural beliefs and psychosocial impact.

© 2007 LAC DPH-Public Health Nursing

C 57

Document info
Document views490
Page views490
Page last viewedFri Dec 09 08:25:34 UTC 2016
Pages193
Paragraphs8231
Words44235

Comments