I. Inflammation
A. Inflammatory
response
B. Healing
process
C. Factors
affecting wound healing
II. Normal Immune Response
A. Types of
immunity
B. Humoral
immunity
C. Cell-mediated
immunity
III. Altered Immune Response
A. Hypersensitivity
reactions
B. Allergic disorders
C. Immunodeficiency
D. Autoimmune Disorders
E. The nursing process
in caring for clients
with altered immunity
1. Assessment
a. objective symptoms
b. subjective symptoms
2. Nursing diagnosis (examples)
a. high risk for infection
b. impaired skin integrity
c. impaired gas exchange
3. Planning and nursing interventions
a. promote wound healing
b. prevention and management of
infection
c. health promotion
d. prevention of transmission
e. support coping mechanisms,
therapeutic communication
f. integrative therapies related to immunity
g. community resources
4. Expected outcomes of nursing care of a
client with altered immunity
E. Current health
issues
1. resurgence of TB
2. antibiotic resistance
3. biologic warfare
4. ethical/legal issues associated with AIDS
Readings:
Lewis et al: pp. 204-224, 239-254, 264-287, 601-607
Winningham & Preusser
Chapter 3: Case Study #3
Chapter 9: Case Studies #1,2,5,6,7
Chapter 12: Case Study #6
Web Resource:
http://www.bt.cdc.gov/
CDC Bioterrorism Response and Preparedness Site |
1. Review skills related to isolation
2. Demonstrate skills related to a client with
a wound
b. 34-1 wound culture
c. 29-3 preparing a sterile
field
d. 29-4 sterile gloves
e. 35-4 dry dressing (on
p. 877 in Kozier text)
Readings:
Kozier: pp. 924-927, 860-867, 655-662
Videos
NUR 104 Skills Video
"Wound Care for Nurses
Computer
Nursing Software I: BNAT “Bloodborne Infection”
Web Sites for Further Information
http://www.bertek.com/burnandwound/
frameset_woundcare.html
(pictures of wounds and treatment)
http://coninfo.nursing.uiowa.edu/sites/
Chronicwound/index.htm
(lesson on wound care)
|
A. Provide care for clients with alterations in
immunity or inflammation.
-
assess client for allergies
-
review relevant lab studies for
a client with infection or immuno-suppression.
-
provide wound care
-
practice therapeutic communication techniques for clients
with alterations in immunity
-
Interview client regarding the use of cultural and/or integrative
therapies to promote immunity
In conference:
-
Develop a teaching plan to prevent transmission of
HIV.
-
Review your institution's policies and procedures for the
care of clients with TB, MRSA, VRE and HIV.
Student Activities:
Attend selected support groups/ Community education program
related to problems of immunity/ infection such as educational programs
or support groups for people with AIDS. (option) |
