Nursing Diagnosis Risk for Infection - Tuberculosis NCP

Nursing Care Plan for Tuberculosis

Nursing Diagnosis : Risk for Infection related to lack of knowledge in order to avoid exposure of pathogens.

Expected outcomes are:

• Lowers the risk of spreading infection

Nursing Interventions Risk for Infection - Tuberculosis NCP:

• Review of pathology of the disease.
• Identification of others at risk.
• Instruct patient to cough / sneeze and remove the tissue and avoid spitting.
• Review of infection control measures.
• Keep an eye on the temperature as indicated.
• Collaboration with the medical team.

Rationalization:

• Help patients recognize / accept the need to comply with treatment programs.
• People who are exposed to drug treatment programs to prevent the spread / infection.
• Can help reduce the patient's sense of isolation.
• Febrile reaction indicators of infection.
• Help identify institutions that could be reached to reduce the spread of infection.

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Knowledge Deficit related to Tuberculosis

Nursing Diagnosis and Interventions - Knowledge Deficit related to Tuberculosis

Nursing Diagnosis for TB Tuberculosis: Knowledge Deficit: about the conditions, actions, and prevention related to inaccurate and incomplete information.

Expected outcomes are:

• Said understanding the disease process / prognosis and treatment needs.

Nursing Interventions Knowledge deficit related to Tuberculosis:

• Assess the patient's ability to learn.
• Identification of symptoms should be reported to the nurse.
• Provide written instructions and information.
• Encourage clients not to smoke.
• Assess how TB is transmitted

Rationalization:

• Learning depends on emotional and physical readiness and improved at the individual stages.
• Can show progress or reactivation of disease or drug effects that require further evaluation.
• Written information for patients given the lower barriers to large amounts of information.
• Although smoking does not stimulate the recurrence of TB but increased respiratory dysfunction.

Ineffective Airway Clearance related to Tuberculosis

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Ineffective Airway Clearance related to Tuberculosis

Ineffective Airway Clearance related to Tuberculosis

Nursing Diagnosis for TB Tuberculosis: Ineffective airway clearance related to thick secretions or blood secretions.

Expected outcomes are:

• Maintain the patient's airway
• Removing secretions without help

Nursing Interventions Ineffective Airway Clearance related to Tuberculosis:

• Assess respiratory function, eg, breath sounds, speed, rhythm, depth and use of accessory muscles.
• Note the ability to remove mucous / coughing effective: note the character, amount of sputum, presence of hemoptysis.
• Give the patient or the semi-Fowler position higher. Help the patient to cough and deep breathing exercises.
• Clean secretions from the mouth and trachea: suction as needed.
• Collaboration with the medical team in the provision of drugs.

Rrationalization:

• Decrease in breath sounds may indicate atelectasis.
• Expenditure is difficult when the secretions are very thick. Bloody sputum or blood thick bright due to lung damage or injury and may require evaluation bronkal.
• Position to help maximize lung expansion and reduce respiratory effort.
• Prevent obstruction / aspiration.

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Nursing Diagnosis for TB Tuberculosis - NANDA

Nursing diagnoses that commonly occurs in clients with pulmonary tuberculosis are as follows:
1. Ineffective airway clearance
relate to:

• thick secretions or blood secretions,
• weakness,
• bad cough effort,
• edema, tracheal / pharyngeal.

2. Impaired gas exchange

• related to:
• reduced effectiveness of the surface of the lung,
• atelectasis,
• alveolar capillary membrane damage,
• secretions are thick,
• bronchial edema.

3. Risk for Infection and spread of infection
related to:

• decreased immune system,
• decreased ciliary function,
• secretions are settled,
• tissue damage caused by the spread of infection,
• malnutrition,
• contaminated by the environment,
• lack of knowledge about infectious germs.

4. Imbalanced Nutrition Less Than Body Requirements
related to:

• fatigue,
• frequent coughing,
• production of sputum,
• dyspnea,
• anorexia,
• decline in financial capability.

5. Knowledge Deficit: about the condition, treatment, prevention
related to:

• nothing is explained,
• interpretation is wrong,
• the information is incomplete / inaccurate,
• limited knowledge / cognitive.

Source : http://nandadiagnosis.blogspot.com

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Pulmonary Tuberculosis Nanda Nursing Diagnosis

Pulmonary tuberculosis (TB) is a highly contagious disease caused by a bacteria known as Mycobacterium tuberculosis. TB generally affects the lungs, but it also can invade other organs of the body, like the brain, kidneys and lymphatic system.

TB is spread through coughing, sneezing, and spitting. Only a small amount of inhaled germs are needed to become infected, however prolonged exposure to someone else who has TB is the easiest way to get the disease. Those who have a weakened immune system are even more at risk.

Many people who are infected with TB have few or no symptoms at all, at least in the beginning. Some people develop symptoms slowly, over time, and pay little attention to them until the disease has reached the advanced stages. When symptoms do appear, they generally include:

• fatigue
• loss of appetite and weight loss
• cough with purulent and/or bloody sputum
• night sweats
• low-grade fever that occurs mostly in the afternoon
• lethargy

Pulmonary Tuberculosis Nursing Diagnosis - NANDA

a. Ineffective airway clearance

related to viscous secretions or blood secretions, weakness, poor cough effort, edema, tracheal / pharyngeal.

b. Impaired Gas Exchange

related to the reduced effectiveness of the surface of the lung, atelectasis, alveolar capillary membrane damage, thick secretions, bronchial edema.

c. Imbalanced Nutrition: Less Than Body Requirements

related to fatigue, frequent coughing, the sputum production, dyspnea, anorexia, decreased financial capabilities.

d. Acute pain

related to lung inflammation, persistent cough.

e. Hyperthermia

related to active inflammatory process.

f. Intolerance Activity

related to the imbalance between supply and oxygen demand.

g. Knowledge Deficit : about conditions, treatments, prevention

associated with no one to explain, the interpretation is wrong, the information obtained is incomplete / inaccurate, lack of knowledge / cognitive

h. Risk for the spread of infection / re-infection activity related to inadequate primary defenses, decreased ciliary function / static secretions, tissue damage caused by the spread of infection, malnutrition, environmental contamination, lack of information about the bacterial infection.

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