Transcript The Inpatient TB Treatment Experience”

“The Inpatient TB Treatment
Experience”
Dawn L. Farrell, BSN, RN
Texas Center for Infectious Disease
February 23, 2012
Art and Science of Nursing
• Nursing is:
• Caring
• Sharing
• Laughing
• Crying
• Touching
• Helping
• Believing in others
• Believing in self
• Trusting
• Learning
• Respecting
• Listening
• Doing
• Feeling
• Accepting
Mission Statement
Texas Center for Infectious Disease
The mission of the Texas Center for Infectious Disease
(TCID) is to provide high quality medical care, research,
and professional education of providers for patients with
tuberculosis (TB), and other related infectious,
contagious diseases. Health care and diagnostic services
will be provided to all referred patients:
• Across the age spectrum, except for pediatrics.
• As part of the Department of State Health Services
system supporting preventative and treatment services.
• Without regard to the ability to pay or other lawfully
protected classification.
Texas Center for Infectious Disease
Yesterday
Texas Center for Infectious Disease
Today
A Patient Room
Our Patients
Diverse Ethnic Background
• Hispanic
• Asian
• Native American
• Middle Eastern
• African
• European
Our Tb Patients
• All of the Tb cases admitted are “difficult” to manage
• Patients are admitted for a variety of reasons:
• Drug intolerance
• Drug resistance
• Hepatoxicity
• Safety
• Co morbidity
• Non-compliance
• Social Issues:
• Homelessness
• Substance abuse
• Foreign born
• Residency requirements:
• Both in state and out of state residents
Admission Day
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Admission to Unit
Assigned a negative pressure room
Meet Case manager
Meet nursing staff
Physician completes history and physical
Social Worker meets with patient
Dietary assessment completed by dietician
Substance Abuse counselor
Psychologist completes assessment
Vision and Hearing test’s completed
Sputum collected
Chest x-ray
EKG
Cultural Activities
4th of July Picnic
Cultural Awareness
• Biannual evaluation of patients’ ethnic background
• Variety of ethnic holidays and activities are celebrated
annually
• Community cultural activities are accessible to patients
• Cultural preferences of patients are considered-food, clothing
religion and grooming
• Staff is provided culturally sensitive training
• Language specific medical information
• Use of ATT Language line
Holiday Celebrations
Los Posadas
Specialized Care for Patients
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Physical Therapy
Respiratory Therapy
Psychiatric Counseling
Group therapy
Dental Care
Vision
Podiatry
Radiology
Pharmacy
Substance Abuse Counseling
Recreational Therapy
Work programs
Educational programs
Music therapy
Preparing our Patients……
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Group counseling
AA Meetings-English, Spanish and Women's meetings
Smoking Cessation Program
Patient worker program
Family visits
Church services
Dining hall for meals
Recreational activities: daily 2 mile walk, knitting, painting,
sewing
• Placement for homeless
• Volunteer program
• Diabetic teaching
Contact Information
For Admission questions please contact:
Texas Center for Infectious Disease
2303 S.E. Military Dr.
San Antonio, Texas
Phone: 1-800-TEX-LUNG
Or 210-534-8857
THANK YOU
Dawn L. Farrell, BSN, RN
Nurse Educator/Training Coordinator
2303 S.E. Military Dr.
San Antonio, TX 78223
Phone: 210-531-4965
Cell: 210-834-7674
Fax: 210-531-4516
[email protected]