Measles Measles is one of the most contagious diseases ever known and is a notable cause of death and disability among young children worldwide. In 1912, measles became a nationally notifiable disease in the United States, requiring U.S. healthcare providers and laboratories to report all diagnosed cases. In the first decade of reporting, an average of 6,000 measles-related deaths were reported each year (CDC, 2017a). One of the major roles of the advanced practice nurse is educating their patients and family on signs and symptoms, risk factors, and preventative measures to inhibit the spread of the measles virus. Epidemiological studies are important for healthcare professionals to review for the most up-to-date information on the virus The study investigated in total, 54,111 measles cases and 367 measles deaths reported in 2009 through the aggregated surveillance system A case was either a measles case reported to the MOH case-based surveillance database or an illness meeting the WHO measles clinical case definition of fever, generalized rash, and >=1 of the following: cough, conjunctivitis, or coryza. Case-patients were included if aged 1-30 years at study enrollment and rash onset was during January 1-July 30, 2009. Case-patients were randomly selected from the MOH case-based surveillance database. Trained data collectors from the study districts administered a questionnaire to case-patients and controls, or their caregivers, in the local language. The questionnaire collected information on clinical symptoms, demographic characteristics, education, employment, and travel and migration history. The results of the study were beneficial in identifying two major things. Measles vaccination status varied between geographic areas, and showed a disproportion with the given age groups. The age group of people age15-30 were much more likely to be unvaccinated, and populations with limited transportation, and access technology to receive appropriate teaching. Among eligible subjects who provided It is essential that the advanced practice nurse provide accurate information and thoroughly answer patients’ questions about vaccines and their safety. A strong knowledge base, and proper educational techniques are essential for the role of the advanced practice nurse. According to the CDC (2017a), healthcare providers play a vital role in maintaining elimination of measles in the United States. Healthcare providers should maintain a high awareness of measles and suspect measles in persons who have a febrile rash and clinically compatible symptoms (e.g., cough, coryza (symptoms of a cold), or conjunctivitis) and those who recently have traveled abroad or have had contact with travelers. Identification and awareness, as well as proper reporting to the local health department are key preventative strategies for the advanced practice nurse, and should be utilize in the care of all patients. Education, and available resources are the key to prevention of the measles virus, and should be the central focus of care for the advanced practice nurse caring for any at-risk
In one of the studies healthcare workers were provided a questionnaire only 27.3% responded that no other healthcare worker had ever talked to them about MRSA (Raupach-Rosin, et. al, 2016). This study proves that healthcare workers need to be more educated on the topic of MRSA, how it spreads to the patients, and how the intervention of infection control and patient education will assist in reducing the amount of MRSA cases acquired. In one study, patients underwent a MRSA screening for nasal colonization. Out of the 29,371 patients, 3,262 had MRSA colonization. (Marzec & Bessesen, 2016). The study conducted allowed healthcare providers to see the effects of how easily MRSA is spread and how many patients could easily contract
Wallace, J.M. ( 2014 May 19 )Measles, Mumps Outbreaks put Ohio at center of nationwide surge of vaccine preventable illnesses ;Cleveland Plain Dealer; retrieved from www.cleveland .com/health fit
Ackley, B. & Ladwig, G. (2010) Nursing diagnosis handbook:an evidence based guide to planning care. Maryland Heights, MO: Mosbey.
" Journal Of The American Academy Of Nurse Practitioners 24.12 (2012): 726-734. Academic Search Premier -. Web. The Web.
The nurse practitioner (NP) is a registered nurse with graduate education and advanced clinical training. The NP has acquired knowledge and clinical skills to diagnose and treat illness, and provide individualized, evidence-based care to a particular population (Chism, 2013). Throughout the past decades, the responsibilities of the NP have expanded and evolved due to the advances in healthcare. NPs are responsible for understanding the complex life processes of patients and must integrate evidence-based research into clinical practice (American Association of Colleges of Nursing, 2006). NPs focus on meeting the current and the future health needs of the patient population.
Anderson, A. R., & O’Grady, E. T. (2009). The primary care nurse practitioner. In A. B. Hamric, J. A. Spross, & C. M. Hanson (Ed.), Advance practice nursing and integrative approach (4th ed., pp. 380-402). St. Louis MO: Saunders.
The key to a successful healthcare reform is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue. Description of the Topic Definition The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic interventions” (p. 7).... ... middle of paper ... ...
Patient education is of paramount importance if MRSA is to be reduced to its lowest minimum. According to Noble 2009, patient’s education stands a critical component of managing MRSA therefore; nurses are expected to be prompt in educating patients on specific measures in limiting and reducing the spread of MRSA by person to person contact. (Noble, 2009) The specific measures includes definition of MRSA, mode of transmission, the damage it can do to the body, specific treatments available and the process of treatment. This is to help the patient take part in the care. Noble 2009 explains that during care giving nurses and all other healthcare provider involve in giving care to a patient should communicate to patient all the precaution that will prevent the transmission of MRSA, and also giving the scientific rationale for the use of any precaution that is been used in the cause of care giving. (Noble, 2009.)
Furthermore, reporting communicable diseases to the local health department can help detect outbreaks and prevent secondary transmission. This is especially true when there is an outbreak of illnesses, such as Encephalitis, smallpox, and rabies. These illnesses are warrant prompt and need to be reported immediately (2017). It is the responsibility of physicians, nurses, laboratory directors, infection and control practitioners, health care facilities, state institutions, and schools to report communicable
Measles is a highly contagious disease. It is caused by an RNA virus that changes constantly. Measles symptoms usually include a bad cough, sneezing, runny nose, red eyes, sensitivity to light, and a very high fever. Red patches with white grain like centers appear along the gum line in the mouth two to four days after the first symptoms show. These patches are called Koplik spots because Henry Koplick first noticed them in 1896. The Spots are important to diagnose measles. A characteristic red rash in measles is red spots starting at the hairline and going down to the face, body, and limbs.
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
Now it is rare for a child to get the measles. The decline in the disease has been attributed to vaccinations and their high success rate. According to ‘Childhood Vaccinations are Important for Public Health”, “by vaccinating we will make sure these 14 diseases will not become everyday events for our children.”. There are quite a few reasons why parents should not vaccinate their children. Some believe that it will cause harm to their children because of rumors.
Age groups who can receive treatment from NPs are from neonate to elderly Adult. They can manage either acute or chronic illnesses. Additional job description of NP is their ability to provide comprehensive assessment, establish differential diagnosis, treat, order and interpret laboratories and diagnostic tests or even prescribed medication. They can also make referrals to other specialty areas (oncology, psychiatric etc.) if furthers assessment needs to be done regarding patient health status. An NP can be involved in health promotion and disease prevention by providing education to patients and their family about disease processes (Advance practice, “n.d.”). In contrast, CNS practice is more focus in education, consultation to other disciplines, research conduction, improving quality of care, and administrative role. CNS also provides direct patient role but NPs spend twice as much time providing direct care. CNS is more likely to teach, conduct support groups and provides psychotherapy in daily basis to health care staff (Lincoln,
Those who choose not to vaccinate their children are endangering the health of those unable to be vaccinated themselves, such as infants, pregnant people, and the immunocompromised, by jeopardizing community immunity. According to vaccine.gov, a federal government website managed by the U.S. Dept. of Health and Human Services, community immunity or “herd immunity” occurs when “a critical portion of the community is immunized against a contagious disease, most members of the community are protected against that disease because there is little opportunity for an outbreak” (Community Immunity). An infographic featured in an NPR article entitled “How Vaccine Fears Fueled the Resurgence of Preventable Diseases” illustrated the rise in measles cases in Western Europe and of pertussis (whooping cough) cases in the U.S (Doucleff). In the first eight months of 2014, there were eighteen measles outbreaks, and six hundred cases of measles.
Improve preventive, diagnostic, and therapeutic interventions for infectious diseases as well as other conditions that affect mothers, infants, and children.