Question

The senior students are participating in an outreach program to enhance the pulmonary health of the community. They are involved in two aspects of the program, prevention/teaching, and symptom surveillance and diagnostic testing for infectious pulmonary diseases with referral as indicated. In preparation for their work the instructor asks them to study the following entities in pulmonary disease: upper respiratory infection, influenza, pneumonia, and tuberculosis. The common pathological processes in these diseases include inflammation, infection, production of secretions, and compromised oxygenation. Every person visiting the program has the following assessments done: • Health history: assessment of risk factors inclusive of any smoking history • Vital signs and pulse oximetry • Pulmonary assessment: breathing pattern/effort, lung sounds, and presence/absence of cough

Discuss the teaching that is needed for this patient to enhance the mobilization of his secretions that he can do at home......What aspects of smoking cessation can be addressed at this visit and which ones need to be referred?....What simple modality can you teach the parent and children to help prevent the spread of infection? How would you approach the teaching for each of the children based on age? Take into consideration the place and time constraints of the program......Using the NOC outcome of Respiratory Management with the NIC intervention of Promoting Optimal Respiratory Functioning, what key points should the students address with this parent in regard to preventative strategies for influenza?....This test screens for what respiratory infection....Develop three questions to ask patients to determine possible exposure risk to this disease.....The nurse laughingly says to the students, “The best nurse for this job is a blind nurse.” Why is this comment applicable to the reading of the PPDs?

Answer 1

a) For mobilisation of secretions at home - teaching given about,

- Increase fluid intake

- High Protein + calorie diet

- Pursed-lip breathing

- Diaphragmatic breathing exercises.

B) Smoking cessation strategies including,

- behavioural interventions including individual counseling , stop smoking class and telephone quit lines.

- Mass media smoking cessation campaigns.

- Refer chronic smokers who is willing for smoking cessation.

C) Simple modalities to prevent spread of infection are,

- cover your nose and mouth with a tissue when you cough and sneeze.

- wash your hands with soap and water , especially after cough or sneeze.

- avoid touching eye , nose or mouth

- stay home if you sick

- vaccination are recommended

Under 5 children are more prone to get respiratory infections. So, maintain respiratory hygiene and provide proper vaccination for each child.

Prevention strategies for influenza include,

- Administrator influenza vaccine

- implementation of respiratory hygiene and cough etiquette.

- appropriate management of HCP

3 QUESTIONS TO ASK EXPOSURE RISK ASSESSMENT

- Can you have any exposure ( close contact) with influenza patient?

- Can you get the flu vaccine?

- You have any symptoms of disease?

A BLIND NURSE IS A GOOD GUIDANCE COUNSELOR

Thankyou