FAMILY NURSING CARE PLAN

Risk for Infection Transmission related to Airborne and Contact Transmission Exposure
Possible Cross Infection of Pulmonary Tuberculosis as a Health Threat

Nursing Diagnoses, Plan of Intervention Evaluation Plan

Health Conditions, Goals and Objectives Method of Nurse-Family Outcome
Supporting Data Cues
Family Nursing of Nursing Care Nursing Interventions Contact and Resources Criteria/Indicat Methods/Tools
Problems Needed ors
Risk for Infection  M. J. and J. Goal: After the nursing The nurse will: Method: Home visit The family will be Methods:
Transmission related to have been diagnosed intervention, Mrs. L will 1. Discuss the 1. Discussion able to: 1. Asking
Airborne Transmission with MDR-TB. not acquire the disease nature of pulmonary 2. Demonstration 1. Discuss questions
Exposure  Mrs. L has been tuberculosis at least 3 2. Interview
diagnosed before with Objectives: At the end of Rationale: To have a Resources Needed: important 3. Verbal feedback
Possible Cross Infection minimal PTB. the nursing intervention, background of what 1. Human resources: concepts 4. Discussion
of Pulmonary  Mrs. L takes care the family members will causes the disease Time and effort both of the regarding the 5. Return
Tuberculosis a Health of her diseased children. be able to: and how it develops nurse and the family nature of Demonstra-tion
Threat  Mrs. L verbalized 1. Discuss the a. Caused by 2. Material resources: multidrug
1. Inability to that her children are not nature of multidrug Mycobacterium a. Image of the human resistant Tool: Checklist
make decisions with infectious because resistant tuberculosis respiratory tract with and tuberculosis
respect to taking they’ve already tested tuberculosis b. May be dormant without tuberculosis 2. Enumer
appropriate health negative in their sputum 2. Enumerate the or active b. Handout on proper ate at least 5
action due to: smear and culture. signs and symptoms c. Destroyed by handwashing technique signs and
a. Failure to  Mrs. L verbalized of PTB antibodies or c. Germicidal soap symptoms of
comprehend the that PTB cannot be 3. Explain how engulfed by PTB
nature/magnitude transmitted through the the tubercle bacilli macrophages 3. Explain
of the sharing of utensils can be transmitted d. Form tubercles the 2 ways
problem/condition  M. J. and J. have to another person especially at the how the
b. Lack not strictly complied with 4. Enumerate the lung apex tubercle bacilli
of/inadequate the treatment regimen for ways of diagnosing e. May be/develop can be
knowledge as to their illness. They missed a person with PTB drug resistant/ce transmitted to
alternative courses some days of treatment. 5. Recognize the 2. Enumerate the another
of action open to  The house importance of signs and symptoms person
them measures 4 x 6 m, is compliance with the of PTB 4. Enumer
2. Inability to poorly lit by the sun, and treatment Rationale: To detect ate the 4
provide adequate has fairly well ventilation. 6. Discuss the the presence of the ways of
nursing care to the  The three sleep ways of preventing disease as early as diagnosing a
sick member of the in the same room disease possible person with
family due to lack distanced only a few feet transmission a. Cough with or PTB and give
of/inadequate apart. 7. Demonstrate without sputum 1 advantage
knowledge about the  The residences proper handwashing or hemoptysis and 1
disease/health are not congested but technique for more than 3 disadvantage
condition are adjacent to each weeks for each
other providing less b. Low-grade fever 5. Explain
space for light and air to c. Poor appetite the 2 reasons
enter the house. d. Weight loss why it is
 M. J.’s physical e. Chest and/or important to
examination revealed upper back pain comply with
inspiration-expiration f. Night sweats the treatment
ratio of 1:1 and g. Chills 6. Discuss
diminished breath h. Tendency to at least 5
sounds and dullness fatigue easily ways of
over the right lung field. i. Pallor preventing
3. Explain how the disease
pathogen can be transmission
transmitted to another 7. Demons
person trate proper
Rationale: To serve handwashing
 as foundation for technique
disease prevention correctly
a. Airborne
transmission –
tubercle bacilli
suspended in
dirt in the air
b. Contact
transmission –
droplet
transmission via
coughing,
sneezing,
speaking,
spitting
4. Enumerate the
ways of diagnosing a
person with PTB
Rationale: To be
aware of the various
diagnostic
procedures and their
advantages and
disadvantages
a. Sputum smear
b. X-ray
c. Sputum culture
d. PPD skin test
5. Recognize the
importance of
compliance with the
treatment
Rationale: To reduce
the complications and
cost of treatment
a. Prevent
development of
drug resistance
b. Efficient
treatment
6. Discuss the
ways of preventing
infection transmission
Rationale: To know
the different ways of
preventing the spread
of the infection
a. Isolation
b. Keeping
distance when
talking
c. Covering the
mouth when
sneezing or
coughing
d. Proper hygiene
e. Handwashing
f. Use of alcohol
or hand sanitizer
g. Boost immunity
h. Provide
adequate
 sunlight
i. Provide
adequate
ventilation
7. Demonstrate
proper handwashing
technique
Rationale: To
decrease the risk of
contact transmission
8. Discuss ways
on how to boost the
immunity
Rationale: To
reinforce the body’s
natural capability to
destroy the pathogen
a. Eat foods rich in
vitamin C
(oranges,
ponkan, apples,
dalanghita,
calamansi,
cabbage)
b. Avoid exposure
to smoke and
dust
c. Drink adequate
amount of fluids