“The Inpatient TB Treatment Experience”

Dawn L. Farrell, BSN, RNTexas Center for Infectious Disease

February 23, 2012

Art and Science of Nursing

•Nursing is:• Caring • Sharing• Laughing• Crying• Touching• Helping• Believing in others• Believing in self

• Trusting• Learning• Respecting• Listening• Doing• Feeling• Accepting

Mission Statement Texas Center for Infectious Disease

The mission of the Texas Center for Infectious Disease (TCID) is to provide high quality medical care, research, and professional education of providers for patients with tuberculosis (TB), and other related infectious, contagious diseases. Health care and diagnostic services will be provided to all referred patients: • Across the age spectrum, except for pediatrics.• As part of the Department of State Health Services

system supporting preventative and treatment services.• Without regard to the ability to pay or other lawfully

protected classification.

Texas Center for Infectious Disease

Yesterday

Texas Center for Infectious DiseaseToday

A Patient Room

Our Patients

Diverse Ethnic Background

• Hispanic• Asian• Native American•Middle Eastern• African• European

Our Tb Patients• All of the Tb cases admitted are “difficult” to manage• Patients are admitted for a variety of reasons:• Drug intolerance• Drug resistance• Hepatoxicity• Safety• Co morbidity• Non-compliance• Social Issues:• Homelessness• Substance abuse• Foreign born • Residency requirements:• Both in state and out of state residents

Admission Day • Admission to Unit• Assigned a negative pressure room• Meet Case manager • Meet nursing staff• Physician completes history and physical• Social Worker meets with patient• Dietary assessment completed by dietician • Substance Abuse counselor• Psychologist completes assessment• Vision and Hearing test’s completed• Sputum collected• Chest x-ray• EKG

Cultural Activities

4th of July Picnic

Cultural Awareness• Biannual evaluation of patients’ ethnic background• Variety of ethnic holidays and activities are celebrated annually• Community cultural activities are accessible to patients• Cultural preferences of patients are considered-food, clothing

religion and grooming• Staff is provided culturally sensitive training• Language specific medical information• Use of ATT Language line

Holiday Celebrations

Los Posadas

Specialized Care for Patients• Physical Therapy• Respiratory Therapy• Psychiatric Counseling• Group therapy• Dental Care• Vision• Podiatry• Radiology• Pharmacy• Substance Abuse Counseling• Recreational Therapy• Work programs• Educational programs• Music therapy

Preparing our Patients…… • Group counseling• AA Meetings-English, Spanish and Women's meetings• Smoking Cessation Program• Patient worker program• Family visits• Church services• Dining hall for meals• Recreational activities: daily 2 mile walk, knitting, painting,

sewing• Placement for homeless• Volunteer program• Diabetic teaching

Contact Information

For Admission questions please contact:

Texas Center for Infectious Disease2303 S.E. Military Dr.San Antonio, Texas

Phone: 1-800-TEX-LUNGOr 210-534-8857

THANK YOU

Dawn L. Farrell, BSN, RNNurse Educator/Training Coordinator

2303 S.E. Military Dr.San Antonio, TX 78223Phone: 210-531-4965Cell: 210-834-7674Fax: 210-531-4516dawn.farrell@dshs.state.tx.us