Hepatitis A Outbreak: A Case Study

The Never event: Exposing the largest outbreak of hepatitis c in American healthcare history (McKnight & Bennington, 2008) begins telling the story of what should have been a “top-notch” cancer center with a doctor committed to saving lives. Memorial Hospital of Dodge County was expanding their cancer services, making access to services easier for the community. They wanted to keep their patients in town and help them avoid commutes to Omaha. They hired Dr. Tahir Ali Javed from Punjab, Pakistan; he educated and trained at well-known, prestigious facilities. Everything that was put into place, the new facility and outstanding physician, made it seem as though the cancer center was going to exceed the expectations that the hospital had in mind. However, malpractice, lack of compassion, and avoidance drove the center and the patients into the ground. After reading this novel, I was able to define compassionate care in my own terms and will provide examples of acts of compassionate care. As well as, discussing the principles of dignity and beneficence in regards to Dr. Javed and nurses in the clinic. Lastly, I will provide a testimony statement about the future care of patients.

Find the actual cause (root-cause analysis) of infection from literature review, evidence, audit, site visit Design a plan (eg. Hand hygiene, preventive vaccination, sterilized equipment) to control HCAP infection and involve all the stakeholders

Hepatitis A is a highly contagious infection. The infection affects mostly the liver and internal organs. Hepatitis A is caused by a virus. You can get this virus by eating or drinking food contaminated by fecal matter. Symptoms do not normally appear until after you have contracted the virus for a few weeks. People most at risk for contracting this virus are children, laboratory workers, and people who have liver problems.

Hayley is a 24yo, G1 P0, who was seen for a consultation due to hepatitis C. The patient does have a prior history of substance usage but states that she has been clean throughout the entire pregnancy. She does periodically use Goody powders prn and she was told to discontinue this. She also has issues with depression and anxiety and is on Zoloft 50 mg daily. She believes that a viral load was drawn but in looking at the labwork I do not have those results currently. Her hepatitis C antibody test was positive. Overall, she denies any complaints with the pregnancy to date.

In Red Bluff, and other rural areas, there are less hospitals, shorter approved stays in hospitals, shortages of health care practitioners, more chronic illnesses that could complicate the recovery of Hepatitis A, more disabilities, and like San Diego, if large quantities of vaccines are needed, the governor would have to declare a state of emergency (United States Department of Health and Human Services, 2014).

Hepatitis C typically has a slower and more insidious onset. The preicteric phase, the first of three phases, precedes jaundice that last from 1 - 21 days. When symptom do occur they can be so vague that people often don't realize what is truly going on. People actually may mistake these symptoms as a mild case of the influenza virus as the symptoms of this phase often mimic the symptoms of the flu. The interic phase is characterized by the onset of jaundice that last 2 - 4 weeks. Urine often becomes dark and stool may be a abnormally light color, this is cause by the absence of bile in the stool. Bile pigment deposits in the skin can cause pruritus to occur. The liver often becomes enlarged and tender. During the third phase, the posticteric

Leigh’s screening process of immunizing all current patients and the testing of any new patients for hepatitis B did not protect the center from serious regulatory issues. The dilemma they faced, like many other organizations, was determining if their interpretation of regulations complied with a federal agency. In my opinion, regulations should be written clearly, leaving little to no holes if an agency has the rights to issue hefty fines and penalties at any time or obtain the ability to interrupt normal business’s day to day operation.

It has recently been brought to my attention that I am close to the maximum amount of allowed absences from our UGC 211 class before an automatic failing grade will be applied. These documents are to serve the purpose of explaining my previous absences, many of which have been due to my medical diagnosis of acute hepatitis that was derived from a severe case of mononucleosis. These two conditions affected me simultaneously.

There are several different disorders that are considered within the digestive system. Many of those disorders cause complications and eventually lead to manifestation in other blood systems. Hepatitis B and C are one of the biggest digestive system disorders and it undergoes several steps before it gets approved as a disability.

Hepatitis is the swelling and inflammation of the liver. It can be acute meaning lasting less than six months or it can be chronic last persisting longer than six months. Some of the symptoms of hepatitis is jaundice, which causes a yellowing of the skin and eyes, fatigue, abdominal pain, loss of appetite, nausea, vomiting, diarrhea, low grade fever, headache. However, there are five hepatotropic viruses hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C virus (HCV), Hepatitis D virus (HDV), hepatitis E virus (HEV).

(Allegan, MI) - As a result of hepatitis A outbreaks around the state of Michigan, the Allegan County Health Department (ACHD) would like to take this time to remind residents that vaccination is your best defense against hepatitis A.

Hepatitis E is an emerging viral infection able to cause chronic infection, and can lead to liver cirrhosis in immunosuppressed individuals. Currently ribavirin is the only treatment available, but some patients cannot tolerate this drug whilst others have infection with a ribavirin resistant virus due to a viral genetic mutation. Understanding an individual patients immune (T cell) response to HEV infection and how this changes during treatment is key to tailoring ribavirin treatment for an individual patient (optimum dose and length of treatment), and developing new therapeutic strategies such as T cell therapies to deal with HEV

Primary research has indicated that there has been a significant decline in the frozen fruit trend following the 2014 hepatitis A issue. Publics no longer consider Nanna’s frozen fruit products safe to consume. Secondary research has confirmed this is greatly due to the processing and packaging of these products offshore and predominantly in China. Consumers have made a rapid shift to competitor’s products which are processed either in Australia or countries outside of China. With the immediate pressure of the hepatitis A issue resolved, it is crucial to determine what the publics’ current perception of the organisation and products are. Through qualitative research, using informal and secondary data, a weak relationship

Initial research conducted has indicated that there has been a significant decline in the frozen fruit trend following the 2014 hepatitis A scare. Publics no longer consider Nanna’s frozen fruit products safe to consume. Secondary research has confirmed this is greatly due to the processing and packaging of these products offshore and predominantly in China. Consumers have made a rapid shift to competitor’s products which are processed either in Australia or countries outside of China (ABC, 2015). The market overall has witnessed a significant decline with the frozen fruit trend following the hepatitis A scare. With the immediate pressure of the hepatitis A issue resolved, it is imperative to determine what the publics’ current perception of

Hepatitis is caused by a virus that is targeted at the liver, one of your most important organs!! Specifically, it causes inflammation and injury to the liver. Hepatitis comes in many different forms, five to be exact. There is Hepatitis A, B, C, D & E. Hepatitis is caused mainly by viruses, all of which are set on shutting down your liver. I will be specifically concentrating on Hepatitis A in this report. Hepatitis A is also known as infectious Hepatitis, an extremely contagious viral infection that often effects young children and young adults, especially those in large groups. It has been known to break out in schools, summer camps and music festivals etc.