Question

Scenario:
Nurse Patricia is caring for a patient with Pulmonary Tuberculosis in the emergency room. The hospital doesn't have any private room for isolation. Explain your answer with the theory provided.
1. What is the best nursing action of Nurse Patricia in line with the Environmental Theory.
2. How will you promote quality of life in PTB patient by the use of 14 basic needs and 21 nursing problems?

Answer 1

Answer:

This patient needs a negative pressure Isolation room. I realize in the middle of a Respitory Illness Pandemic that is prime real estate.

Creating an indoor Isolation enviroment with plastic dropcloths and duct tape. Depending on their care level moving them to an outdoor “Tent" room. Limit staff access wherever they are.

All over the U.S. TB patients were cared for on screened in porchs at special TB Sanatoriums Even in the dead of winter. So that might be an longer term option. But N-95 masks on patient and N-95 Mask and eye protection and gown and gloves wherever they are.

By far, this is far from a perfect solution, especially if they need ICU or Acute level care.