Tuberculosis Pulmonar Multidrogoresistente y Vih

Abstract

This case involves a male patient aged 60 with a history of tuberculosis multidrug about 3 years treated with antituberculosis drugs and hearing impairment due to the side effects of TB drugs. His illness began about three years ago when the patient had hemoptysis moderate, sporadic cough why he was taken to the health center to be evaluated by detecting TB BK + antituberculosis treatment was started when the patient completed as cured but a month Treatment comes back with the same symptoms to the health center why test GENE XPERT PCR is performed resulting in rifampicin resistance, which is referred to QUITO to be valued, those working in the hospital contrarefieren with new treatment Ambato but after a month of continued medication in Ambato (Health Center) the patient has bilateral deafness and is sent back to Quito to be worth obtaining as severe sensorineural hearing loss results and other secundaros to medication effects and is detec HIV. The information detailed in the present investigation were part obtained through medical records, interviews, tests and questionnaires administered to the patient because the medical records do not have sufficient information. In this case analysis of the difficulties experienced by the patient as to their quality of life as their illness affected their hearing also risk factors that limit their self be identified will be described. In the course of the investigation it was assessing the patient does not carry a good quality of life, disease caused considerable impact on your hearing what hinders you from doing your daily activities independently. To achieve this objective, a nursing intervention plan based on the functional patterns of Virginia Henderson basic needs with its 14 Plan and taxonomy NANDA NIC and NOC which are aimed at meeting the needs of the individual must make, is proposed to be used is evidence that many needs better in a favorable value. The aspects was able to optimize patient education and family in the importance of continuing treatment to avoid problems.