Cassey Ann B.

Pangilinan
BSN-YA-1-BLK-18
Assignment in NCMA111

1. Best Nursing Action in Line with the Environmental Theory:

When there is no private room available for isolation, nurse Patricia is faced with a
difficult scenario while caring for a patient with pulmonary tuberculosis (PTB) in the emergency
room. As Florence Nightingale once said, "The environment, when in the best condition, will
enable nature to act," this is what I feel to be the ideal nursing intervention based on
Nightingale's Environmental Theory:

a. Ventilation and Air Quality

If at all possible, open the windows to let fresh air into the space. By doing this, you will
aid in stopping the transmission of infectious agents. In order to encourage recovery,
Nightingale highlighted the value of clean air and a well-ventilated setting.

b. Infection Control Measures

Even though a private room is not accessible, take extreme measures to prevent
infection. Put a mask on the PTB patient to lessen the chance that they will sneeze or cough
up germs. Tell staff and other patients to keep their distance, and think about wearing masks.
To keep things clean, disinfect surfaces frequently.

c. Hand hygiene
Encourage everyone to regularly wash their hands, including patients, visitors, and
healthcare personnel. To make it simpler for everyone to practice good hand hygiene,
provide hand sanitizers. This supports Nightingale's assertion that a clean environment is an
essential component of the environment.

d. Patient Education
Inform the PTB patient about correct tissue disposal and respiratory hygiene, such as
covering their mouth and nose when coughing or sneezing. Nursing care must include
educating the patient, which is in line with Nightingale's emphasis on patient education.

e. Comfort and Privacy

Use drapes or screens to create a certain amount of privacy when required, even if it may
not always be possible. Assist the patient in maintaining their comfort and dignity by
ensuring that they have access to necessities like water, call bells, and personal possessions.

2. Promoting Quality of Life in PTB Patient using 14 Basic Needs and 21 Nursing
Problems
Let's keep in mind Maya Angelou's quote, "My mission in life is not merely to survive but
to thrive," to improve the PTB patient's quality of life: "By addressing the 14 Basic Needs and 21
Nursing Problems, we can help the patient thrive."
a. Air
For better breathing, make sure the patient is receiving the proper oxygen therapy and
maintain a well-ventilated environment.

b. Nutrition
Give them a well-balanced meal to fulfill their dietary requirements for healing.

c. Elimination
Assist with bathroom needs and keep an eye out for any bladder or bowel problems.

d. Activity and Rest

Encourage sufficient rest as well as occasional mild exercise to prevent muscular
wasting.

e. Hygiene
Help the patient keep up with their personal hygiene to avoid getting sick.

f. Safety
Take steps to prevent infection to protect both patients and employees.

g. Communication
Offer emotional support and keep lines of communication open to discuss worries and
concerns.

h. Work and Play

Encourage the patient to partake in enjoyable activities to foster mental health through
work and play.

i. Learning
Inform the patient about PTB, treatment, and the value of keeping follow-up
appointments and drug schedules.

j. Self-Concept
Address any issues with self-esteem or body image that may develop as a result of the
illness.

k. Role and Relationship

support the patient in maintaining their relationships with family members and the
broader community.

l. Sexuality
If necessary, offer guidance and help with regard to relationships and sexual well-being.
m. Coping
Dealing with the emotional difficulties of having PTB. This provide the patient with
psychological support and coping techniques.
n. Value and Belief
Respect the patient's cultural and religious beliefs, and where appropriate, include them
into the care.

In keeping with the encouraging words of Maya Angelou, by attending to these

fundamental requirements and nursing issues, we may assist the PTB patient to not only
survive but also thrive despite the difficult circumstances.