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 to another person especially at the how the
 M. J. and J. have
b. Lack 4. Enumerate the lung apex tubercle bacilli
not strictly complied with
of/inadequate ways of diagnosing e. May be/develop can be
the treatment regimen for
knowledge as to a person with PTB drug resistant/ce transmitted to
their illness. They missed
alternative courses 5. Recognize the 2. Enumerate the another
some days of treatment.
of action open to importance of signs and symptoms person
them  The house compliance with the of PTB 4. Enumer
2. Inability to measures 4 x 6 m, is treatment Rationale: To detect ate the 4
provide adequate poorly lit by the sun, and 6. Discuss the the presence of the ways of
nursing care to the has fairly well ventilation. ways of preventing disease as early as diagnosing a
sick member of the  The three sleep disease possible person with
family due to lack in the same room transmission a. Cough with or PTB and give
of/inadequate distanced only a few feet 7. Demonstrate without sputum 1 advantage
knowledge about the apart. proper handwashing or hemoptysis and 1
disease/health  The residences technique for more than 3 disadvantage
condition are not congested but weeks for each
are adjacent to each b. Low-grade fever 5. Explain
other providing less c. Poor appetite the 2 reasons
space for light and air to d. Weight loss why it is
enter the house. e. Chest and/or important to
 M. J.’s physical upper back pain comply with
examination revealed f. Night sweats the treatment
inspiration-expiration g. Chills 6. Discuss
ratio of 1:1 and h. Tendency to at least 5
diminished breath fatigue easily ways of
sounds and dullness i. Pallor preventing
over the right lung field. 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