East Tennessee State University Community and Public Nursing Case Study – Description
Case Study Scenario
You are a new nursing graduate assigned to a busy Emergency Department (ED) at a level I Trauma Center. The ED has just been notified by local EMS that a multiple vehicle pile-up on the interstate has just occurred with several injuries.
The first victim to arrive in your ED is a middle age man who arrived back into the United States this week from visiting family in France. The family met the injured father at the ED with the ambulance. This non-traditional family consists of two fathers, aged 40 and 38, a 17 year old son, and 5 year old fraternal twins (one boy, one girl). None of their injuries appear life threatening.
As an intake nurse interviewing the family, you observe that the 38 year old father has difficulty breathing, nasal congestion, headache, swollen lymph nodes, and extreme fatigue. On visual inspection, you find he has a scaly rash that looks like pimples or blisters on his face, chest and hands. He says he first noticed the rash two days before his return home. He describes the area as painful and itchy. You notify the ED physician immediately.
During your assessment of the 38 year old father you find he has a fever of 103.2, complaints of nasal congestion, and headache. He states that he thinks he may have caught a cold from the cold airplane air. When asked about the rash, the patient states that he thought they were reactions to mosquito bites he may have received while visiting France. He further stated that during the trip he attended quite a few lively outdoor family reunions. No other family members have signs or symptoms. Diagnostics testing for monkey-pox virus infection was ordered. You ask about the timeline of the family activities before the father’s travel to the family reunion. The traveling father returned from his trip four weeks ago.
This is the first case of monkey-pox the facility or the physician has encountered. Therefore, the physician and the infectious disease team contact the Laboratory Response Network (LRN) at the Centers for Disease Control and Prevention for guidance.
The 40 year old father works from home as a data analysis expert. He cooks for the entire family and they eat at home on most occasions. The 38 year old father is a tax attorney and travels extensively for his company. The 17 year old son likes extreme sports and rides his skateboard at the local public park daily. He starts his senior year of high school this fall. The twins are home schooled by the 40 year old father.
Based on the above information, answer the following questions in narrative format: Part 1 worth 10 points.
1. What laboratory procedures would be indicated in this scenario?
2. Discuss infectivity. What, if any, infectivity issues would be different for this family based on the global location?
3. Discuss pathogenicity. What, if any, pathogenicity issues would be different for this family based on the global location?
4. What, if any, antigenicity issues would be different for this family based on the global location?
5. What, if any, virulence issues would be different for this family based on the global location?
6. Describe in narrative form what each step of Chain of Transmission would look like for this family?
7. What nursing actions would the public health nurse consider when caring for a patient potentially infected with
Monkey-pox?
8. What primary prevention strategies would the public health nurse provide to a family of this composition? Include teaching for each family member and what would be different.
9. What is unique about the Monkey-pox outbreak for 2022?
10. What is the current vaccine protocol for each family member?
Global Burden of Monkey-pox – Part 2 worth 10 points.
Identify the social implications of monkey-pox both on this family and their community.
Economically, how has this outbreak affected global, and US finances?
How will/does the occurrence of Monkey-pox affect the delivery of healthcare in the US?
What type, if any, immunizations are available for Monkey-pox and what are the guidelines?
What other community based care is needed to prevent the spread of Monkey-pox?
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