This family case study of Mr. E.E with Pulmonary tuberculosis and Human Immuno Virus/Acquired Immune deficiency syndrome; who was admitted and was discharged on 8/6/2014 at a certain hospital
Tuberculosis is a chronic mycobacterial infection. It primarily attacks the lungs in more than 80% of the cases, leading to pulmonary tuberculosis. The disease is present in all parts of the world.
Recently the disease has been associated with HIV/AIDS and tuberculosis has been recognized as one of the most frequent opportunistic infection due to compromised immunity of such persons. Similarly, the incidence of tuberculosis and HIV infection are highly prevalent. The causative agents are mycobacterium tuberculosis (human and bovine strains). And that of HIV/AIDS is human immuno virus. Mode of transmission of tuberculosis is mainly air-borne by droplets, droplet nuclei and dust; thus it is enhanced by overcrowding in poorly ventilated accommodation. Infection may occur by ingestion, especially contaminated milk and infected milk.
While HIV/AIDS is transmitted through unprotected sexual intercourse with an infected person and sharing of sharp objects among drug users. The medical and nursing management was rendered accordingly at the comprehensive health centre and subsequently at home with good prognosis.
The medical treatment and nursing management carried out during the various home visits were discussed.
OBJECTIVE OF THE STUDY
- To promote the awareness on prevention and complications of pulmonary tuberculosis.
- To ensure that the breathing pattern of Mr. E.E improves before he leaves the clinic.
- To health educated the family members the need for adequate ventilation and avoidance of overcrowding.
- To relieve chest pain before he leaves the clinic
- To health educate client on the regular and proper use of septum mug.
- To ensure patient takes his drugs as prescribed.
- To health educate patient and family members on the need of environmental and personal hygiene.
- To find measures on which to tackle other family problems.
FAMILY HISTORY: MR. E.E is from a family of three children, 2 males and one female and he is the second son. Both father and mother are late.
SOCIAL HISTORY:- Mr. E.E belongs to social groups such as community age grade, men Christian association.
MEDICAL HISTORY:- Mr. E.E was apparently well until last two months when he started experiencing cough that was productive and yellowish in color, fever and night sweating and loss of weight which has also lasted for two months.
After seeing the medical officer, he was diagnosed of pulmonary tuberculosis secondary to right lobar pneumonia.
Mr. E.E was ordered to do the following laboratory investigations: which include:- Pack cell volume, whole blood count, MP, Widal test, chest X-ray and sputum microscopy and RVS.
And the laboratory investigations result is as follows:
Widal – significant
RVS – +ve. (Reactive).
Blood pressure: 130/70mmHg, pulse: 76b/m, Weight: 48kg, temperature: 37.1c, respiration 36c/m. Before the laboratory investigations was done, he was given pre-test counseling and when the result was out and turned out to be HIV positive, he was given post test counseling.
During the counseling he was told he can still lead a normal life while on anti-retroviral drugs and anti tuberculosis drugs and to avoid unprotected sex to avoid infecting others and increasing his vital load.
He was also advised to bring his wives for HIV screening in the clinic.