MENENGITIS

MENiNGITISJoe BachelderINTRODUCTIONProvide Understanding of Meningitis

Evidenced Based Research Summary

TRUEPIC case study

Nursing Care and Advocacy

Understanding Meningitis

Evidence For CareAt Risk Population Freshman College Students

Nursing Theory Dorothea Orems Self Care Theory

Treatment and Prevention Programs

Evaluation of evidenceReview of research studySystematic reviews of electronic databases and bibliographies reviewed for further evidence not identifiedInclusion and exclusion criteriaData extraction and synthesisComparison of studies identifiedInterventions and outcomes not clearly defined

Limitations and critique of studyLimited published literature on prevention programs

One Study performed in the United Kingdom

Potential for bias identified

Critical need for further controlled studies

Collaboration of patient careNurse

Patient

Family

Health Care Team

District Health Department

University Health Department

TRUEPIC

A twenty-one year old male college student living on campus. Arrives at the emergency department (ER) with a 24-hour history of chills, stiff neck, and headache. Clinical examination reveals he is experiencing a severe headache, nausea, and vomiting. When asked to move his neck he complains of pain in the cervical area of the spine. Patient (Pt) has no history of previous illness, and patients mental status is normal.

1. IDENTIFY 2. RELATE21 year old male Primary Position: Patient it at risk for bacterial24 hour history of stiff neck, and severe headache meningitis Pt has nausea, and vomiting Possible Assumptions: Patient is aware of hisPt has normal mental status symptoms but may not understand them Possible Confounding Variables: Patient needs counseling on meningitis and treatment plan to follow for expected positive outcomes

TRUEPIC CONTINUED3. Understand 4. EXPLAINProposition: Patient understanding of condition Proposition: Educate the patient on behaviorswill allow for positive outcomes associated with meningitis along with any tests and treatments expected with this diagnosisSignificance of Assumptions: Patient outcomes will be negative if the patient does not adhere with Assumptions: Educate the patient on the benefits of proposed treatment plan following the treatment plan to a full recovery, and that this should prevent meningitis from happeningPossible Confounding Variables: Patient is in the futureaware of treatment and should comply accordingly Confounding Variables: All treatment will be explained, allowing for questions to be answered TRUEPIC CONTINUED5. PREDICT 6. INFLUENCEProposition: Patient has an understanding of Proposition: Include family in the education andthe disease and is ready for treatment treatment of meningitis. Educate patient on theAssumptions: With the patients cooperation importance of following medication protocoltreatment will begin immediately Assumptions: Explain to the patient associated risksConfounding Variables: Patient understands involved with this disease as well as his treatmenthis risk and their disease. Patient should expect regime to followfavorable results Confounding Variables: Patient verbalizes risk and treatment plan related to his disease 7. CONTROL Patient will verbalize an understanding of his disease, treatment plan, and medication plan prior to discharge nursing diagnosisAcute pain related to headache, fever, neck pain secondary to meningeal irritation

Interrupted Family Process related to critical nature of situation and uncertain prognosis

Patient AdvocacyAdvocate on behalf of patient

Quality of Patient Care

Striving for Positive Outcomes

Care Specific to Disease

Educating Incoming College Students

REFERENCESAllison, S. (2007). Self-care requirements for activity and rest: an Orem nursing focus. Nursing Science Quarterly, 68 thru 76.Butler, K. (2006). Meningococcal Meningitis prevention programs for college students: A review of the literature. Worldviews on Evidence-Based Nursing, fourth quarter, 185 thru 193.Centers for Disease Control (CDC). (2013). Bacterial Meningitis. Retrieved from://www.cdc.gov/meningitis/bacterial.htmlWorld Health Organization (WHO). (2012). Meningococcal Meningitis. Retrieved from://www.who.int/mediacentre/factsheets/fs141/en/