Question

In: Nursing

You are a medical assistant at a local hospital. You have been asked to give a...

You are a medical assistant at a local hospital. You have been asked to give a presentation on the diagnosis and treatment of latent tuberculosis infection. The presentation will be open to the public so instead of presenting a real patient case, you decide to create a fictional sample case. Create a single case and list the characteristics of the person you will be testing and treating. Describe basic information about the patient including age, sex, lifestyle, and pertinent medical history. Take the audience through the typical diagnosis and treatment of TB. (See page 4 of the Latent Tuberculosis Infection guide below for two sample scenarios leading to latent TB.) Describe the person and their experience including their feelings and concerns at this time. Hospital personnel should leave the presentation understanding the physical and psychological consequences for the patient. Considering the research data available, answer these questions about your fictional patient with latent TB: Without treatment, what is your patient’s lifetime risk for TB reactivation? Your case patient has reported or has been diagnosed with another risk factor of developing active TB infection (e.g. – diabetes, HIV, organ transplant). How much does this factor increase their risk? Does it change the recommended treatment for this patient?

Advances in Diagnosis and Treatment of Latent Tuberculosis Infection
http://www.jabfm.org/content/27/5/704.full.pdf

Solutions

Expert Solution

Sample case presentation of Latent Tuberculosis infection:

Case Name: Mr. D.J

Age: 62 years

Sex: Male

Occupation: Worked in the coal mine. Retired 4 years back.

Past History: Known diabetes since 10 years.

Past Medical History: Affected with Mycobacterium Tuberculosis 8 years back and completed the full course of treatment.

Lifestyle: Sedentary active life before 4 years, But now limited to daily routine activities.

DIet: Normal American Diet.

Mr. D.J is a white male who is a known case of latent tuberculosis infection and is on treatment from last 2 months. His previous history of M. tuberculosis increases the risk of getting Latent TB infection. Initially, he was suffered from fever, recurrent cough with sputum. the primary physician advised for Mantoux Tuberculin Test. The results show false- Negative. Later, when his condition is worsened with weight loss, severe diarrhea and vomiting, he underwent the test of IGRA (Interferon -Gamma Release Assays) which shows the Positive result. Then he diagnosed with LTBI. The physician prescribed on Isoniazid for 9 months and is adherent to the treatment.

He is mentally worried about the perception of his condition. He is annoyed at being isolated and fear of death. Further his financial background increases his mental stress. The family members also feel depressed and anxious. Educated Mr. D.J about his condition and make him realize that his condition is controllable through proper drug regimens and adequate nutrition. Family Members are involved to support him physically, emotionally, and financially.  

If Mr.D.J is not on treatment, his immune system weakens much more and leads to life-threatening. Further, the risk factor of diabetes weakens the immune responses and increases the chances of reactivation of TB. TB also affects his glycemic control which increases the risk of peripheral neuropathy. So the drug pyridoxine should be added along with isoniazid for Mr. D.J.

The family members are screened for TB and all show negative results. The patient is evaluated monthly for adherence of drug, an adverse reaction to treatment therapy, and for the continuity of treatment.


Related Solutions

As a medical social worker in a local hospital, you are asked to evaluate the success...
As a medical social worker in a local hospital, you are asked to evaluate the success of a group instruction diabetic control program. You randomly assign twelve diabetic patients to the group program and twelve to the more traditional personal instruction program. Over a twelve-month period you collect data on the number of hospital admissions and emergency room visits for uncontrolled blood sugar for individuals in each group. These data are presented below. You are to analyze these data using...
The medical assistant has been asked to mail a 14-ounce document from the medical office to...
The medical assistant has been asked to mail a 14-ounce document from the medical office to the Internal Revenue Service, to be delivered within 3 days, and with proof that the letter was mailed before a specific date. What is the best classification of mail for this document, and what special services should the medical assistant purchase? Why are these the best choices?
Bookkeeping Errors As a medical administrative assistant, you have been employed with a group of occupational...
Bookkeeping Errors As a medical administrative assistant, you have been employed with a group of occupational medicine facilities for over 3 years. You have been asked to go to another occupational medicine facility to fill in for a few hours because they are short-staffed. When you arrive you are asked to perform various bookkeeping services such as single entry accounting, charges, payments, and adjustments that require posting on patient accounts. While there you are also responsible for collecting copayments. Shortly...
As assistant coordinator of special events for salk pharmaceuticals Inc, you have been asked by the...
As assistant coordinator of special events for salk pharmaceuticals Inc, you have been asked by the coordinator of special events, Tom Byington, to investigate three different models of General Models Radio Service two way radios with which to equip the five team leaders during your annual three day team building wilderness retreat. The radios must be able work within a range of 8 to 13 kilometers, the distance of many treks and canoe trips. Because teams may be outdoors and...
You are a physician’s assistant at a local medical practice. You noticed that some of your...
You are a physician’s assistant at a local medical practice. You noticed that some of your patients could benefit from additional educational materials, especially to be given after their appointment or made available on your practice’s website. Your colleagues could benefit from reading this information and may also find it helpful to have on hand in case a patient poses similar questions to them in the future. Choose a single pathogen or health topic related to infection and research medical...
imagine you are an administrator at a large clinic or hospital. You have been asked by...
imagine you are an administrator at a large clinic or hospital. You have been asked by the CEO of the facility to provide a presentation to an MHA class on the nursing staff at the clinic or hospital. Discuss the various categories of nursing staffs, what they do, and the legal risks and ethical considerations for the health care provider in the different categories.
You are the risk manager of a hospital and have been asked to make a speech...
You are the risk manager of a hospital and have been asked to make a speech to doctors and nurses about how to prevent malpractice claims. draft a short speech outlining the most important guidelines and best practices for healthcare providers to limit medical mistakes and reduce potential liability. Provide specific steps they can take to protect themselves and the organization from malpractice and other kinds of claims against providers.
As the representative of the local accounting club, you have been asked by the dean to...
As the representative of the local accounting club, you have been asked by the dean to help her understand the costs of the different degrees offered at the school. You decide to use an activity-based cost system. Write a report outlining the first two steps of developing an ABC system for this purpose: (1) Identify the activities, and (2) identify the activities associated with each activity.
You are the newly appointed assistant administrator at a local hospital, and your first project is...
You are the newly appointed assistant administrator at a local hospital, and your first project is to investigate the quality of the patient meals put out by the food-service department. You conducted a 10-day survey by submitting a simple questionnaire to the 400 patients with each meal, asking that they simply check off that the meal was either satisfactory or unsatisfactory. For simplicity in this problem, assume that the response was 1,000 returned questionnaires from the 1,200 meals each day....
You are the CFO for a 400-bed hospital in your community. You have been asked to...
You are the CFO for a 400-bed hospital in your community. You have been asked to present information to the local business organization on financial information and its importance to the stability of any business. You have been presented a list of questions from the group to answer in your presentation: What is the importance of financial information to the hospital? Who are the various users of the hospital financial information and how is the information used in healthcare decision...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT