The nursing process makes use of an organized framework that can be used to guide the nurse in practice and to provide holistic care to patients. The ADPIE nursing process involves the assessment, diagnosis, planning, interventions, and evaluation of the problem (Ackley, 2019). The case study provided is Outbreak at Waters Edge involving a health discovery game that can be used to help health care providers become engaged in health practical knowledge of dealing with various diseases. The case study shows how public health nurses can try to gain an understanding of those diseases and what they can do to prevent them. This paper provides an analysis of Water’s Edge Outbreak through the use of the ADPIE nursing process.
Assessment
The community identified at Water’s Edge deals with the health of the entire community. There is an outbreak and various individuals such as health specialists and physicians have to work together in order to identify the cause of the problem. There were 5 people that were identified to show severe symptoms such as vomiting, headache, weight loss, cramping, vomiting, fever, gas, nausea, and diarrhea. However, diarrhea was identified as the most reported illness. Most people that had experienced the symptoms were from the Thompson Lake Park. Those that had become sick had either swum in the lake or drank the fruit punch.
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Additional data was collected from interviewing people, environmental observations, and the collected water samples. Different water samples were chosen such as the runoff drain and the water fountain at the park and investigated. Interviews were also carried out from various individuals that had gone to the park. Local residents were also interviewed to identify factors that could have resulted in the ailment. The newspaper was also taken as a key resource to identify various current issues affecting the region.
Diagnosis
At the office, the individuals that worked at the lab provided information regarding the samples that had been collected. The samples were from different places such as the lake, water fountain, runoff drain, and the sink located at the concession stand. The analysis showed that the water was contaminated. However, other samples did not show any positive signs. The investigation of the patients showed that it was related to zoonotic disease which was caused by parasites that were transmitted between animals and humans.
The information collected from the investigation showed that that the park was located near the beach and it was the place where most people had become sick. The analysis showed that the filter located at the fountain does not work and parasite cryptosporidium was washed by the rains into the well. Cryptosporidium is a microscopic parasite which causes the disease cryptosporidiosis that has symptoms of diarrhea (Ungar, 2018). The newspaper report showed that there were big rains in the past few days which caused big runoffs. This showed that the fountain had been infected mainly due to the rain. Local residents informed the team of a poultry farm that was in a nearby location. The summary of the diagnosis was thus that the sick patients had cryptosporidium parasite which was caused by drinking water at the fountain. The reason for the contamination was due to the recent rains that had washed the parasites from the farm.
Planning
The analysis had shown that the water at the fountain was the reason for the transfer of parasites. The plan was thus to shut down the water fountain temporarily. The water fountain would then be disinfected and cleaned through the use of chemicals that would make it safe for drinking. There are several disinfecting chemicals that can be used such as chlorine (Xie, 2016). The filter to the fountain was broken and it was necessary to have them replaced. The old water pipes were a reason for the contamination and it was necessary to have them replaced. After conducting the replacements, it would be necessary to have the water supply system monitored frequently so as to prevent any illnesses.
Intervention
The first intervention would involve first shutting down. This would prevent any additional infections that would come from the fountain. The second intervention would involve making running repairs and replacing the old pipes and broken filters. The third intervention would involve cleaning the fountain through water cleaning agents. This would make the water safe for future drinking.
Evaluation
The evaluation will be made after the interventions have been carried out. After carrying out the repairs and cleaning the water, the water would have to be tested to ensure that it is safe for drinking and that there are no cryptosporidium parasites in the water. The fountain should only be opened when the water has been identified as safe for drinking. Individuals that contracted the disease will also be evaluated for treatment and to identify whether they made a full recovery. This will be important to ascertain that the main cause of their illness was as a result of the parasite.
In conclusion, the case study presented of Water’s Edge Outbreak showed that the various patients had experienced various symptoms such as diarrhea due to a parasitic infection. The parasite identified as cryptosporidium which had been washed from the farm to the fountain by the recent rains and water runoff. The fountain had old pipes and broken filters which allowed the contamination. The plan was that thus to have old pipes and filters repaired and the water disinfected. These interventions would be investigated by testing that the water has been disinfected and that the sick individuals have recovered.
References
Ackley, B. J., Ladwig, G. B., Msn, R. N., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care . Mosby.
Ungar, B. L. (2018). Cryptosporidiosis in humans (Homo sapiens). In Cryptosporidiosis of man and animals (pp. 59-82). CRC Press.
Xie, Y. (2016). Disinfection byproducts in drinking water: Formation, analysis, and control . CRC press.
