Describe and discuss the nurse’s role in health promotion and disease prevention in older adults. Topic: Infectious Respiratory Disorders
A 75-year-old patient of Hispanic descent arrives in an immigrant healthcare clinic with fever, chills, a sore throat, and a nonproductive cough. She speaks some English. The patient appears very ill, with dry mucous membranes, dark circles under the eyes, and pale skin. The patient appears anxious and is reluctant to make eye contact or speak. The health history reveals that the patient lives with extended family in a home setting, including infants and elderly. All of the family members are undocumented residents of the United States. Further workup reveals the patient has influenza.
Please post your responses to the following questions in Unit 7 Discussion Board.
1. What method should be used to ensure full communication with the patient?
2. Because the patient is an undocumented resident of the United States, what factors should you consider in the care and treatment of the patient?
3. Because influenza vaccination has been recommended, how will you suggest the family access influenza vaccinations?
4. What test was likely used to confirm the diagnosis of influenza?
5. What differential diagnoses need to be ruled out for the patient?
6. What self-care management should be explained to the patient?
7. The patient should report the development of what symptoms to the practitioner?
The Nurse’s Role in Health Promotion and Disease Prevention for Older Adults with Infectious Respiratory Disorders
In the realm of healthcare, the nurse’s role in promoting health and preventing disease among older adults, particularly in the context of infectious respiratory disorders, holds immense significance. This is especially true given the complex case of a 75-year-old patient of Hispanic descent who recently presented at an immigrant healthcare clinic with symptoms suggestive of influenza. As we delve into the intricacies of this case, we can glean valuable insights into the nurse’s responsibilities in ensuring effective communication, addressing the unique considerations surrounding undocumented patients, advocating for influenza vaccinations, confirming diagnoses, ruling out differential diagnoses, providing self-care management, and identifying alarming symptoms.
1. Ensuring Effective Communication
Given the patient’s limited English proficiency, it is pivotal for the nurse to employ an approach that facilitates comprehensive communication. Utilizing medical interpreters or translators proficient in both English and the patient’s native language can bridge the communication gap and ensure accurate understanding of symptoms, concerns, and treatment recommendations.
2. Considerations for Undocumented Patients
Navigating the care of an undocumented patient involves a delicate balance of addressing their health needs while being sensitive to their legal status. Nurses should prioritize patient privacy and confidentiality, providing care without discrimination. Collaborating with social workers or legal experts can help navigate potential challenges and connect patients with appropriate resources.
3. Advocating for Influenza Vaccination
Considering that the patient’s diagnosis is influenza, it is imperative to extend preventive measures to the patient’s family, which includes infants and elderly individuals. Nurses can educate the family about the benefits of influenza vaccinations, highlighting its role in safeguarding vulnerable family members from contracting the virus. Referring them to community health clinics, local health departments, or outreach programs can facilitate access to vaccines.
4. Confirming Diagnosis Through Testing
To confirm the diagnosis of influenza, healthcare providers typically rely on diagnostic tests such as rapid influenza diagnostic tests (RIDTs) or polymerase chain reaction (PCR) assays. These tests detect the presence of viral genetic material or antigens, aiding in accurate and prompt diagnosis.
5. Ruling Out Differential Diagnoses
In the process of diagnosing infectious respiratory disorders, nurses should consider potential differential diagnoses. In this case, conditions like COVID-19, pneumonia, and streptococcal pharyngitis should be ruled out through appropriate diagnostic assessments and clinical evaluation.
6. Self-Care Management
Empowering the patient with self-care management strategies is essential for their recovery and overall well-being. The nurse should provide guidance on staying hydrated, managing fever with appropriate medications, ensuring adequate rest, and implementing respiratory hygiene practices to prevent the transmission of the virus to family members.
7. Identifying Alarming Symptoms
The patient should be educated about symptoms that warrant immediate medical attention. These include worsening shortness of breath, chest pain, confusion, persistent high fever, and a significant deterioration in overall well-being. Timely reporting of these symptoms can lead to prompt intervention and prevent complications.
In conclusion, the nurse’s role in health promotion and disease prevention among older adults with infectious respiratory disorders is multi-faceted and crucial. By addressing communication barriers, advocating for preventive measures, ensuring accurate diagnosis, and empowering patients with self-care strategies, nurses play a pivotal role in enhancing the health outcomes and quality of life of this vulnerable population.
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Lee, R. M., & Chawla, N. (2016). Undocumented immigrants and healthcare access in the United States. American Journal of Public Health, 106(5), 799-800.
Jefferson, T., Jones, M., Doshi, P., & Del Mar, C. (2020). Neuraminidase inhibitors for preventing and treating influenza in healthy adults and children. The Cochrane Database of Systematic Reviews, 4, CD008965.