Meet your Patients Your Neighbor, Tanya You are nearing completion of your funda
ID: 249043 • Letter: M
Question
Meet your Patients Your Neighbor, Tanya You are nearing completion of your fundamentals course. ne night the telephone rings. It is your neighbor lanya. Her 5-year-old son, Jacob, came home from kindergarten with a letter from the school nurse stating that a classmate was ill with HINI influenza and that all the students in the class had been exposed to the disease. Tanya is concerned about the risks to Jacob and the rest of the family. She is 8 months pregnant, and the family has no health insurance. She says, "You are a nursing student; do you know what I should do or where I might go for assistance?" Although you are flattered that Tanya has consulted you. you need to consider whether you have the expertise to answer her questions. This situation requires knowledge of many aspects of nursing (e.g, immunizations, pregnancy microbiology, pathophysiology).Though you may not have all of the information you need to answer her questions you should be able to help your neighbor resolve her con- cerns.You will need to consider the following questions: What is going on in the situation that may influence the outcome? Who should be involved to improve the outcome? What theoretical knowledge do I need to answer Tanya's questions?Where would I find this information? a What additional data do I need to collect from Tanya? " What suggestions and/or referrals should I offer to Tanya?Explanation / Answer
1. Tanya has no health insurance to cover up for the hospital bills.This could definitelly influence the outcome.
2 Those with flu like symptoms should remain at home and away from others until after 24hrs when they are free from fever.She should seek the help of childhood providers.Children 2 to 5 years of age are more likely to require hospitalization or medical evaluation for the same.The families of sick children should also seek early treatment.
3 the nursing student should have knowledge regarding modes of transmission of H1N1 influenza virus .You should explain to Tanya that the virus is transmitted from person to person through close contact.All respiratory secretions and bodily fluids icluding diarrhoel stools of patients with H1N1 virus are considered to be infectious.You can refer this information from CDC .
4 Enquire whether the child has a relevant medicalhistory and ask her whether their family has taken yearly seasonal flu vaccine.
5 Suggest her to use the service of a local child care resource or referral agency and find out if there are childhood health consultants available.