identification

• 6 ELEMENTS OF COMMUNICABLE DISEASE

  1. Causative Agent
  2. Reservoir
  3. Portal of exit
  4. Mode of transmission
  5. Portal of entry
  6. Susceptible host
• FUNCTIONS OF PUBLIC HEALTH NURSE

  • Report immediately to the Municipal Health Office any known case of notifiable disease
  • Refer immediately to the nearest hospital
  • Assist on the diagnosis of the suspect based on the signs and symptoms
• ROLES AND RESPONSIBILITIES OF THE NURSE IN THE NTP AND DOTS STRATEGY

  • Administrator
  • Health educator
  • Case manager and coordinator
  • Community organizer
  • Treatment partner 
  • TB program advocate
• 4’S IN FIGHTING DENGUE

  1. Search and destroy mosquito-breeding sites.
  2. Secure self-protection measures (long pants and long-sleeved shirts, mosquito repellent)
  3. Seek early consultation
  4. Support fogging/spraying in hotspot areas.
• CAUSATIVE AGENTS OF MALARIA

  • protozoa genus plasmodium
  • p. falciparum
  • p. vivax
  • p. ovale
  • p. malariae
  • p. knowlesi
• FILARIASIS SIGNS & SYMPTOMS

  • CHILLS, FEVER, MYALGIA, LYMPHANGITIS
  • gradual thickening of the skin commonly affecting limbs
  • scrotum resulting in elephantiasis and hydrocele.
•  SCHISTOMIASIS 

  • Causative agent: Schistosoma japonicum; Schistosoma mansoni; Schistosoma haematrobium
  • Vector: ONCOMELANIA QUADRASI (snail)
  • Incubation period: 2 months
  • MOT: VEHICLE (water), INDIRECT (skin pores)
  • Signs & symptoms: RASH AT SITE OF INOCULATION
• TREATMENT FOR SCHISTOMIASIS

  • Praziquantel ( Biltricide)
  • Oxamniquine (for S. mansoni and S. haematobium)
• LEPTOSPIROSIS

  • Other names: Canicola/Well’s disease
  • Signs & symptoms: 

  1. Septicemic – high , remittent fever 4 days, myalgia, myositis, particularly calf pain
  2. Immune/ toxic stage – JAUNDICE
  3. Convalescence

  • Incubation period: 7-13 days
• TREATMENT FOR LEPTOSPIROSIS

  • Penicillin or Tetracycline
  • Symptomatic nursing management
• LEPROSY (HANSEN'S DISEASE)

  •  a chronic, progressive bacterial infection caused by the bacterium MYCOBACTERIUM LEPRAE.
  • primarily affects the nerves of the extremities, the skin, the lining of the nose, and the upper respiratory tract.
• LEPROSY SIGNS & SYMPTOMS

  • muscle weakness: numbness in the hands, arms, feet, and legs
  • skin lesions: The skin lesions result in decreased sensation to touch, temperature, or pain.
• Roles and responsibilities of the nurse in the NTP and DOTS strategy

  • Administrator
  • Health educator
  • Case manager and coordinator
  • Community organizer
  • Treatment partner
  • TB program advocate
• Laboratory/diagnostic test for DENGUE

  1. Tourniquet test(Rumpel Leads test)18
  2. Capillary refill test or Nail blanch test
  3. Platelet count and Hematocrit
  4. Hemagglutination –inhibition test
• DENGUE NURSING MANAGEMENT

  • Give Paracetamol every 6 hours
  • Encourage oral intake of Oral Rehydration Solution (ORS)
  • Avoid dark-colored foods
  • Ensure bed rest and protect from trauma
  • Do not give IM injections
  • Instruct to bring to the hospital if with severe abdominal pain, no clinical improvement, persistent vomiting, cold and clammy
• FILARIASIS

  
• LEPROSY