Tuberculosis (TB) increased 34.1% among children 5 to 14 years old and 36.1% among those 0 to 4 years old in 1992 (American Academy of Pediatrics, 1994). In light of this resurgence, a care plan for children with TB has been developed. Health care workers, especially community health nurses, must be knowledgeable about the transmission, pathogenesis, diagnosis, and treatment of this disease. Armed with this knowledge, an effective teaching program for nurses must be initiated to interrupt the spread of tuberculosis. The purpose of this paper is to present information regarding the spread of tuberculosis in children, current treatment regimens, a care plan specifically for children, and a description of the nurse's role in the care of the pediatric client with this disease.
Patients who have undergone bariatric procedures for weight loss are increasingly seen in the primary care setting. Due to the unique characteristics of surgical weight loss procedures, the prescribing practices of health care providers must be evaluated. This article addresses the anatomical changes associated with laparoscopic adjustable gastric banding, Roux-en-Y gastric bypass, biliopancreatic diversion with a duodenal switch, and vertical sleeve gastrectomy, because absorption, distribution, metabolism and excretion of medications may be more complex for bariatric surgery recipients than for other patients. Associated prescribing modifications for primary care providers caring for bariatric surgery recipients in the primary care setting are also discussed.
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