TB Skin Testing Essay Example | Topics and Well Written Essays - 1000 words

TB Skin Testing - Essay Example Potential high risk employees include emergency department personnel, respiratory therapists, microbiology laboratory workers, and pathologists, specialists in pulmonary medicine and nurses in some settings (McGowan, 1983; CDCP 1995). It is imperative to control TB and for this every health-care setting should have a TB infection-control plan. It is crucial because it depends on whether patients with assumed or established TB disease might come across in the setting or whether patients with suspected or confirmed TB disease will be transferred to another health-care setting. The TB infection-control program must encompass administrative controls, environmental controls, and a respiratory-protection program. These are the important control parameters as every location in which services are offered to individuals who have suspected or confirmed infectious TB disease, counting the hospital settings, should have a TB infection-control plan. The following methods must be adopted for TB infection-control program in HCWs settings: 1. ... These are the important control parameters as every location in which services are offered to individuals who have suspected or confirmed infectious TB disease, counting the hospital settings, should have a TB infection-control plan. The following methods must be adopted for TB infection-control program in HCWs settings: 1. Supervisory responsibility is essential for the TB infection-control program and this should be given to the authorized person deputed for the same. The supervisor must be supported to carry out the risk assessment for tuberculosis. HCWs must be educated to take the required training and ensure their actions in the direction of disease control. 2. Proper training is required to perform and enforce the TB infection-control program. 3. Atleast one person be designated to whom the problems must be addressed. 4. A protocol must be developed to get a TB infection-control plan and must be updated annually. 5. The problem must be evaluated and prompt recognition be made. 6. A contact investigation must be made in co-ordination with the local or state health department. 7. Implement and maintain environmental controls, including airborne infection isolation (AII) room(s) (see Supplement, "Environmental Controls" in the original guideline document). 8. Respiratory-protection program must be applied. 9. Constant training programme must be done to keep the HCWs updated and well-informed. (NGC Recommendations) Significance: It is very imperative to understand the implications of TB and therefore considering the repercussions of the infection, PPD skin test is arranged on a routine basis. It is the prime responsibility to the HCWs to keep a check of their records when to undergo PPD skin test. The best method to remember this is through the

Eczema Essay Example | Topics and Well Written Essays - 3000 words

Eczema - Essay Example Atopic eczema mostly begins at the stages of infancy and childhood. Among the children affected, about 65% developed the symptoms of Atopic eczema within their first year of life and 85% were affected with it before they were 5 years old (Atopic Dermatitis, 2011). Though Atopic eczema is found to be severe in infants and children, about 60 - 70% of the affected children are naturally cured of Atopic eczema by their early teens. Those children who inherited this atopic condition may suffer from its symptoms at any time, even in their teens, if triggered by environmental factors. Moreover, the atopic eczema patients are at an increased risk for asthma and allergic rhinitis. (Mandelin 2010).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Nurses play a major role in the management of atopic eczema.   Since there is no cure for eczema, patients and their caregivers can become despondent over time (NICE 2007). However, if a good skin care routine can be maintained, the majority of eczema patients can cope wit h the condition without too much trouble (Ward 2008).   Educating the patient about eczema is essential but this must be accompanied by demonstrating how to apply treatments, listening to what patients and parents/ caregivers have to say and working together to devise a skin care routine that fits in with their lifestyle in a holistic manner (Ward 2008).   Therefore â€Å"both the theoretical and clinical experience of a nurse is vital to assist both family and child in the condition† (Anderson & Miller, 2006).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  The primary aim in the treatment of atopic eczema is to heal the skin and to prevent the flare ups. For the treatment of the skin, the parents have to follow an assisted skin care routine, to prevent the worsening of the condition. However, the amount of help and guidance a parent will receive for the treatment of atopic eczema from their GP or nurse can often vary (Ward 2008).   It is, therefore, of great importance that children’s nurses are aware and up to date with evidence based practice (Lawston 2008).  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Nurses, since frequently make informed care decisions based on evidence based practice and research (Thompson 2002), they can assist and guide the family of atopic eczema patients and plan and devise an appropriate treatment. Today, nurses are accountable for their own practice and are answerable for their own acts or omissions, regardless of any direct instructions received and are expected to take responsibility for delivering care supported by best practice, a sound evidence base and validated research (NMC 2004).     Ã‚  Ã‚  Ã‚  Ã‚   The changes evolved in the field of Nursing is evident from the new roles of Nurses, such as a nurse practitioner running nurse led dermatology clinics, clinical nurse specialist at the forefront of a medical practicing field, etc. In the modern health care industry, Nurses need to be up-to-date with evidence based practice and it is th e responsibility of the nurse to maintain and implement research into practice (Polit & Beck, 2010).  Newell & Burnard (2011) reiterated this stating that one’s practice should always be evidence based and as being a health care professional, it is one’s ethical responsibility.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This paper focuses on the research studies conducted to find out the efficiency of prevailing treatments for