Nursing care of Pulmonary Tuberculosis : Case study 2 cases

Abstract

     This study aimed to study the nursing care of pulmonary tuberculosis patients. The case study was 2 purposively selected patients at the tuberculosis clinic, Non-Sila Hospital, during January - August 2667. Data were collected from patient medical records, patient and relative interviews, and home visits using Gordon's 11 health patterns. The data were collected and summarized, which led to nursing diagnosis, nursing action planning, and nursing outcome assessment.
     The results of the study found that the first case study patient, a 62-year-old Thai male patient, came to the hospital with symptoms of cough with sputum and weight loss. He had comorbidities of diabetes and hypertension. He met the criteria of 7 risk groups that required tuberculosis screening. The doctor sent him for a chest X-ray and sputum AFB x III days sputum test, which showed that it was Not found. The Sputum Gene Expert test showed MTB detected, so he was diagnosed with Pulmonary Tuberculosis. He received 2 HRZE/4HR tuberculosis medication. He screened his household contacts and supervised the administration of pulmonary tuberculosis medication (DOT). He monitored for adverse drug reactions. After a follow-up home visit, treatment results in 6 months, sputum AFB test results, and no pulmonary tuberculosis bacteria, the doctor considered discharge from the tuberculosis clinic. In case study 2, a 65-year-old Thai male patient came to the hospital with symptoms of coughing with sputum, fever at night, and co-morbidities of hypertension. The doctor sent for sputum AFB x III days test results, found Not found. The sputum gene Expert test results found MTB detected, so the disease was diagnosed as Pulmonary Tuberculosis. Received 2 HRZE/4HR tuberculosis formula, screened household contacts, supervised the intake of pulmonary tuberculosis drugs (DOT), and monitored for adverse drug reactions. After a follow-up home visit, treatment results in 6 months, sputum AFB test results, and no pulmonary tuberculosis bacteria, the doctor considered discharge from the tuberculosis clinic.