Question

Jill M. is the nurse epidemiologist for the Warren County Health Department. Part of Jill’s role at the health department is to administer tuberculosis (TB) screening to at-risk populations and to track TB cases seen in the county. Nurse Jill has identified the homeless population in Warren County as a high-risk population for TB.

Nurse Jill has already implemented a TB education program at the homeless shelter. Every other month, she goes to the shelter and teaches a class about TB: what it is, who is at risk, and why individuals should undergo TB screening. Furthermore, every person who wishes to stay at the shelter must submit to a TB screening test.

Yesterday, the homeless shelter contacted Nurse Jill and reported that one of the men staying at the shelter tested positive for active TB, but shelter staff now cannot find him. The shelter director suspects that the man has left to work at one of the rural farms that offer temporary work, but he does not know which farm.

Nurse Jill talks to the men at the shelter who spoke with the client. She learns that the client, Jose, is in his thirties and speaks only Spanish. The friends give Jill some leads about farms the client may have gone to. Nurse Jill calls the farms and speaks to the farm managers. Luckily, Jill discovers that one of the farm managers had recently gone to the shelter to recruit workers. Nurse Jill visits the farm and, by interviewing the newly hired men, finds the missing active TB case. Because of his transient lifestyle, Nurse Jill decides to enroll the man in directly observed therapy (DOT) for TB treatment. DOT will provide a hotel room and meals for the man while he receives TB treatment.

Questions

1. Identify each individual/group at risk of contracting TB from this client?

2.What primary, secondary, and tertiary prevention interventions did Nurse Jill use to prevent the spread of TB?

a. Nurse Jill used primary interventions to prevent spread of TB including

b. Nurse Jill used secondary interventions to prevent spread of TB including

c. Nurse Jill used tertiary interventions to prevent spread of TB including

3. What barriers to controlling TB did Nurse Jill encounter?

How did she overcome these barriers?

Answer 1

1) group of people who stayed with him in the homeshelter and rural farm employees are at the risk .

2 a) DOT therapy :- a strategy used to reduce the variety of tuberculosis (TB) cases. In DOTS, healthcare employees examine patients as they take their medicine. Left alone, many human beings with tuberculosis fail to take all their medicine and make a contribution to the unfold of drug-resistant tuberculosis.

B) seperated (isolated)him to a hotel room and provide meals there.

C) give a awareness class for him about the disease and how it spreads and who all are at risk.

3) difficulty in finding him.

Difficult to find the people's who are direct contact with him.

He is living in a shelter home and he has direct contact with lots of people . It's a barrier. So she Seperated him to a hotel room.