The Impact of Nightingale’s Notes of Nursing on the Toronto TB program
Alexandra Golan
NUR 102
Karen Kelly
November 2, 2016
The Impact of Nightingale’s Notes of Nursing on the Toronto TB program Tuberculosis (TB) is one of the top causes of death worldwide (WHO, 2016). In 2015, TB affected 10.4 million people and was the cause of death for 1.8 of them (WHO, 2016). TB is spread by air, what makes it contagious and dangerous. In order to prevent the spread of TB and support for individuals with TB as well as their families, the city of Toronto developed programs which are definitely based on Florence Nightingale’s theories regarding ventilation, clean air, observation of the sick and food. Tuberculosis is caused by the bacteria “Mycobacterium Tuberculosis” and is mainly causes infection of the lungs (WHO, 2016). Its mode of transmission is airborne, so it can be passed on by inhalation of airborne droplets which carrying the bacteria, when an infected patient coughs, sneezes, or spits the TB germs into the air (WHO, 1026). Among the symptoms of active TB are: cough with sputum and blood, chest pains, weakness, fever and night sweats (WHO, 2016). Most at risk to get the TB infection are people with weakened immune system such as people who are suffering from chronic diseases such as diabetes mellitus, severe kidney disease, silicosis and especially HIV infection (CDC, 2016). Children and Tobacco users are also at greater risk to fall ill with TB.
Florence Nightingale was an immense impact on nursing, who “became famous for her revolutionary work as a nurse during the Crimean War” (Kent 30). “She dedicated her life to improving conditions in hospitals, beginning in an army hospital during the Crimean War,” (3 Registered). Her actions were then used by “concerned individuals, rather than by professionally trained nurses” during the Civil War, (Registered 279). Many of Nightingale’s ideas were brought into modern times, but with the improvement of technology and licensed nurses. With the influence and patience of Florence Nightingale, nursing has evolved into an outstanding career.
(McMurray, 2007). “The agent in this study is Mycobacterium tuberculosis, an acid fast aerobic rod that reproduces slowly and is hypersensitive to heat and ultraviolet light. TB primarily affects the respiratory system; however, it can also affect the pericardium, lymph nodes, meninges, kidneys, intestines, bones, joints, and reproductive organs” (The Merck Manual, 2014). “The transmission of the Mycobacterium tuberculosis is spread from person to person via airborne droplets through actions such as coughing, talking and sneezing. The smaller the droplet, the longer it can stay in the air after the infected person has left the area. This causes an increase in the probability of inhalation by another individual. Passing TB from a family member or co-worker is more likely than a stranger in a store or on the streets”. (Reichler et. al, 2002). Mycobacterium tuberculosis, the infectious disease agent, is readily transmitted to susceptible humans, the host, through respiratory exposure in communal settings or public gatherings, the environment. Individuals with compromised immune systems, such as cancer, being on corticosteroid therapy, and HIV/AIDS, are at greatest risk for getting TB infection. Healthcare workers are continuously exposed to illnesses at the hospitals and long term care facilities, which puts them at risk for
Tuberculosis (TB) is a communicable disease caused by Mycobacterium tuberculosis. These bacteria spread through the air, most often affecting the lungs. Factors that predispose one to develop tuberculosis include malnourishment, overcrowding of public areas, homelessness, and substance abuse, affecting about 300 people in Toronto every year (City of Toronto, n.d.). Hence, the City of Toronto initiated a TB care and prevention program to provide support for those infected with tuberculosis as well as helping to decrease the spread of TB. Nightingale’s tenets of ventilation, cleanliness, light, and nutrition all become apparent within this program as there are standard minimum guidelines for the treatment of those who are institutionalized. These standards include
Tuberculosis is a disease of an infectious nature caused by a bacterium known as mycobacterium tuberculosis. The disease spreads through the air. People with the disease can spread it to susceptible people through coughing, sneezing, talking or spitting. It mainly affects the lungs and other parts such as the lymph nodes and kidneys can also be affected. The symptoms for TB are fatigue, coughing, night sweats, weight loss and fever. One third of the population of the world is affected with mycobacterium tuberculosis. The rate of infection is estimated to be one person per second. About 14 million people in the world are infected with active tuberculosis. Drug resistant TB has been recorded to be a serious public health hazard in many countries. Resistant strains have developed making it difficult to treat the disease. TB has caused millions of death mainly in people living with HIV/AIDS ADDIN EN.CITE Ginsberg19981447(Ginsberg, 1998)1447144717Ginsberg, Ann M.The Tuberculosis Epidemic: Scientific Challenges and OpportunitiesPublic Health Reports (1974-)Public Health Reports (1974-)128-13611321998Association of Schools of Public Health00333549http://www.jstor.org/stable/4598234( HYPERLINK l "_ENREF_3" o "Ginsberg, 1998 #1447" Ginsberg, 1998). The World Health Organization came up with the DOTS (Directly Observed, Therapy, Short course) strategy. The approach involves diagnosing cases and treating patients with drugs for about 6-8
Tuberculosis (TB) is brought on by a bacterium called Mycobacterium tuberculosis. The microorganisms more often than not assault the lungs, however TB microbes can assault any part of the body, for example, the kidney, spine, and mind. Not everybody infected with TB microbes gets to be sick. Therefore, two TB-related conditions exist: latent TB infection (LTBI) and TB infection. If not treated legitimately, TB can be deadly (CDC, 2016). TB microbes are spread through the air starting with one individual then onto the next. The TB microorganisms are put into the air when someone with TB illness of the lungs or throat coughs, talks, or sings. Individuals adjacent may take in these microscopic organisms and also become ill (CDC, 2016). Individuals with TB are well on the way to spreading it to individuals they invest time with consistently. This incorporates relatives, companions, and coworkers or classmates.
Tuberculosis is a bacterial infection that can be spread in the lungs, lymph nodes, and bloodstream and to any part of an organ in the body. They are two types of tuberculosis which, is active and
According to the World Health Organization, tuberculosis (TB) is the number two killer worldwide due to a single infectious agent (WHO, 2017). In 2015, 10.4 million new cases have been identified and 1.8 million people have died from this disease (WHO, 2017). TB is caused by the bacteria Mycobacterium TB, and the majority of TB deaths occur in low and middle-income countries. This disease is curable and preventable, but the lack of access to proper healthcare and medication administration makes it a concern for the most of the world’s population. TB is an airborne disease that can transmit when an infected person coughs, sneezes, spits, laughs, or talks. The majority of TB cases can be cured when the right medications are available and
Tuberculosis (TB) is caused by a bacteria called Mycobacterium Tuberculosis, which normally affects the lungs, but it can also affect any part of the body, including the bones and the nervous system. The disease is spread easily through prolonged exposure to someone who has the illness, from their coughs and sneezes. For a healthy individual the body’s immune system kills the bacteria and prevents it from spreading in the body, which is known as ‘latent TB’. However, if the immune system fails to fight the bacteria, it can easily spread in the body. Symptoms will develop within a few weeks or months depending on the individual. This is known as an ‘active TB’. The symptoms are, constant coughing that brings up phlegm that may also contain blood, which lasts more than three weeks, combined with weight loss, tiredness and fatigue, loss of appetite and also fever. Without treatment, TB can cause major health problems and if its left untreated can even cause death (NHS 2016).
Tuberculosis (Mycobacterium tuberculosis), also known as TB, is a disease spread by respiratory inhalation of droplets that contain the bacteria. Tuberculosis is an ancient disease that has been traced back at least 9000 years. In 1882, Dr. Robert Koch was the first physician to describe Mycobacterium tuberculosis as the germ responsible for tuberculosis. However, treatment that was evidenced based was not put into practice until the 20th century. It is estimated that 2 billion people around the world are infected with the TB bacteria. Approximately 5 to 10 percent of these infected people will actual develop active TB and experience the life-threatening symptoms of the disease. Tuberculosis
Tuberculosis is a disease caused by Mycobacterium tuberculosis that most commonly affects the lungs. The etiologic agent can be expelled from one infected person via a sneeze or a cough, and enter the air and then the body of another person, leading to another infected person (“Tuberculosis, 2012). According to “What is TB?” (n.d.), someone who has diagnosed tuberculosis but is not receiving any form of treatment can pass the disease to up to 15 people in on year. Treatment of TB is necessary, so if symptoms are ignored, an infected person could die. Prevalence of this disease is not as common in the United States as it is in other countries. In 2014, there were approximately 9,421 reported cases; trends show that TB prevalence continues to decreases each year. Of
This disease is passed from human to human through a simple cough. The agents from the M. tuberculosis complex directly attack the respiratory system, specifically the lungs in most cases. The microbe can also effect the brain, kidneys or spine (Biggest). From there the disease can take two forms, latent or active. In Figure 1, the chart shows the aggressiveness difference between latent and active. Patients that had HIV were found to have a higher chance of catching the microbe or becoming re-infected with the disease. Latent TB is basically TB with the symptoms turned off. When tested for the infections, the results are positive, but the patient does not feel sick or show any symptoms. Latent TB patients will not spread the infection and are not infectious (Biggest). Without treatment very few cases will morph into the active form within two years of infection. Active form is the most aggressive and contains the most concern. Symptoms include, weight loss, loss of appetite, fever, fatigue and chills. When TB has infected the lungs patients will witness chest pain, coughing for more than three weeks and may get as far as coughing up blood (Biggest). This form is very infectious and can be passed easily through the air as an infected person coughs the microbes into the surrounding air. For now, no vaccines or drugs have been found to completely cure Tuberculosis. Only the symptoms can be dealt with. Unfortunately, there is a new strands emerging that is multidrug- resistant and extensively drug-resistant where treatment is no longer an option
Tuberculosis (TB) is an infectious disease that affects a persons lungs and has the ability to be life threatening. The bacteria that causes TB is known as Mycobacterium tuberculosis (MTB) (https://www.cdc.gov/tb/topic/basics/). The TB bacteria is spread from person to person when an infected person coughs or sneezes and minute droplets enter the air. Approximately one third of people throughout the world have latent TB
Tuberculosis (TB) is a chronic bacterial infection that affects millions of people globally. It is a contagious disease that is spread through the air, and it usually affects the lungs. It is transmitted from person to person through droplets from the respiratory tract of those who are already infected with the disease. Some who are infected with the bacteria that causes TB often exhibit no symptoms, because their immune systems stop the bacteria from growing and multiplying. Those with compromised immune systems are more susceptible to developing the full blown disease which can cause symptoms that include coughing, spitting blood, chest pains, weakness, weight loss, and fever. Tuberculosis can be treated with a six to nine month course of a combination of antibiotics. If left untreated, TB will spread and can be fatal.
Tuberculosis is a airborne bacterial disease caused by Mycobacterium tuberculosis bacteria (Mtb). It is one of the most common diseases worldwide. A person can either have an Mtb infection (inactive) or the TB disease (active). (1, 3)
Tuberculosis does show any different physical signs than regular tuberculosis. Both forms of tuberculosis show coughing for more than 3 weeks, coughing up blood or mucus, chest pain, fatigue/weakness, weight loss and loss of appetite, fever, and chills (1). Tuberculosis is easily caught by a new patient because the air that is contaminated by a carrier of the bacteria who has been in the room for a rather long time. Meaning if a person visits the carrier and goes into the carrier’s bedroom for an extended length of time, then that person could possibly contract tuberculosis. Not only is immediate contact a key factor in developing tuberculosis, health, where a person lives, and if that person developed tuberculosis in the past. These factors all accumulate and help in the spread of the disease from person to person.