7/28/2019 Case Study TB.doc
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MARIA LIZETTE L. RABAJANTE
RN HEALS - BATCH 2
SANTA CRUZ, LAGUNA
Problem:Poor health seeking behavior of the TB symptomatic and
non compliance of TB patients with the treatment regimen
Cues/Clues CommunityDiagnosis
Goals/Objectivesof Care
CommunityHealth NursingInterventions
Rationale Resources Evaluatio
Manpower Materials Money
Request forinformation
Expressedmisconceptions abouthealthstatus
Expressingor
exhibitingfeelings ofbeingoverwhelmed
Knowledge,deficit regardingPulmonarytuberculosis andits
treatmentrelated to lack ofinformationdissemination asevidenced
bymisconceptionsabout health
status.
To enhance thehealth seekingbehavior on TBby
communitiesspecially the TBsymptomatic
Patient will:
Verbalize
understanding of
disease process and
prevention.
Initiate
behaviors/lifestyle
changes to improve
general well-being
and reduce risk of
reactivation of TB.
Identify symptoms
requiring
evaluation/intervent
ion.
Describe a plan for
receiving adequatefollow-up care.
Verbalize
understanding of
therapeutic regimen
and rationale for
actions.
Assesspatientsability tolearn, such aslevel of
fear,concern,participationlevel; bestenvironmentin whichpatient
canlearn; bestmedia andlanguage;who shouldbe included.
Providelectures andEncouragepatient toverbalizefears andconcerns
andanswer their
questionsfactually.
Review
pathology of
disease its
Learning dependson emotional andphysical readinessand is
achieved atan individual pace.
Providesopportunity tocorrectmisconceptions andanxiety.
Inadequatefinances may affectwith managing thetasks necessary
toregain and maintainhealth.
Helps patient
realize/accept necessity
of adhering to
medication regimen to
prevent
reactivation/complication
. Understanding of how
Health careworkers:
Doctors
Nurse
Midwives
BarangayHealthWorkers
Information,educationalandcommunication (IEC)materials
TB FlipChart
VideoregardingTB
Handouts
Hand book
Posters
Leaflets
TBprogramfunds fromthe LGUand DOHfor theproductionof
IECmaterials
And for
the supplyofmedicines
Improved healseeking behavthe TB symptoand compliancTB patients
witreatment regi
After theimplementatiothe planned acthe patients w
able to:Patient will:
Verbalize
understanding
disease proce
prevention.
Initiate
behaviors/life
changes to im
general well-b
and reduce ris
reactivation o
Identify symprequiring
evaluation/int
on.
Describe a pla
receiving ade
follow-up car
TB
symptomat
ic master
list form
TB sputumexam
request
forms
TB referral
