Health Problem Family Nursing Problem Goal of Care Objectives of Care Nursing Interventions Methods of Nurse-Family Contact Resources Required Human Resources
Incidence Cases of Infectious Diseases in Jordan by Months (2013)
The chickenpox rash starts out as clusters of
small, usually itchy, red blisters that eventually blister and then pop (picture 1). After bursting, the blisters dry up, crust, and form scabs. The rash tends to form on the face, chest and back, or limbs, and new clusters of blisters continue to appear for a few days. The lesions begin as macules that rapidly become papules followed by characteristic vesicles; these lesions can then develop a pustular component followed by the formation of crusted papules. The patient with varicella Diseases / Months 1 2 3 4 5 6 7 8 9 10 11 12 Total Chickenpox 510 285 374 685 1060 1158 668 204 257 353 522 574 6650 Hepatitis A 42 37 44 49 40 55 113 94 159 167 156 126 1082 Measles 1 13 17 24 38 31 30 16 18 10 4 3 205 Pulmonary Tuberculosis 7 14 16 21 17 18 17 9 13 15 19 16 182 Brucellosis 10 8 7 28 19 30 22 16 9 1 4 4 158 Mumps 14 15 18 15 12 3 10 8 11 15 10 5 136 typically has lesions in different stages of development on the face, trunk and extremities. New vesicle formation generally stops within four days, and most lesions have fully crusted by day six in normal hosts. Crusts tend to fall off within about one to two weeks and leave a temporary area of hypopigmentation in the skin. Latent TB During this latent stage of TB, also called TB infection, the person is well and cannot spread the infection to others. If the person is treated at this stage, active TB can usually be prevented. Treatment is recommended for individuals who are at increased risk for the development of active TB. (See 'Treatment of latent tuberculosis' below.) Active TB Active TB may develop if latent infection is not fully treated. This is called reactivation TB, and it occurs in 5 to 10 percent of people with latent infection. Reactivation TB may occur if the individual's immune system becomes weakened and is no longer able to contain the dormant bacteria. The bacteria then become active and make the person sick with TB. This is called TB disease. The greatest risk for developing reactivation TB disease is within the first two years following the initial infection. Reactivation can also occur in people with HIV, diabetes mellitus, malnutrition, or those who take medications that weaken the immune system, such as steroids or cancer chemotherapy. It can also occur with aging and weakening of the immune system. Reactivation may also occur for other, unknown reasons Depending on the medication(s) prescribed, the duration can be from four months to nine months or more. COMPLICATIONS OF TUBERCULOSIS Pulmonary complications of tuberculosis (TB) include hemoptysis, pneumothorax, bronchiectasis, extensive pulmonary destruction (including pulmonary gangrene), malignancy, and chronic pulmonary aspergillosis
Health Problem Family Nursing Problem Goal of Care Objectives of Care Nursing Interventions Methods of Nurse-Family Contact Resources Required Human Resources