PNEUMONIA CARE BUNDLE- healthcare workers responsibility

How to care fore patients with pneumonia

1. PNEUMONIA prevention CARE BUNDLE

2. OBJECTIVES The participants will : Describe the meaning of pneumonia Explain the epidemiology of pneumonia Enlist the causes and risk factors of pneumonia Identify the types of pneumonia Discuss the pathophysiology of pneumonia Describe the components of pneumonia prevention care bundle List the general instructions in pneumonia prevention care bundle

3. INTRODUCTION Pneumonia is inflammation and fluid in the lungs caused by a bacterial, viral or fungal infection. It causes breathing difficulty, fever, chest pain and cough with sputum (yellow, green or blood)

4. EPIDEMIOLOGY Hospital acquired pneumonia (MAP) is the second most common hospital infection. VAP is the most common intensive care unit (ICU) infection. 90% of all nosocomial infections occurring in ventilated patients are pneumonias

5. CAUSES AND RISK FACTORS CAUSES Bacteria Viruses Fungi Aspiration R ISK FACTORS Young children Older adults Underlying health conditions Impaired immune systems Smokers and heavy drinkers

6. TYPES Community-acquired pneumonia (CAP) Hospital-acquired pneumonia (HAP) Aspiration pneumonia VAP (ventilator associated pneumonia) Healthcare-Associated Pneumonia (HCAP)

7. COMPONENTS OF PNEUMONIA PREVENTION CARE BUNDLE VENTILATOR ASSOCIATED PNEUMONIA(VAP) Head Of Bed elevated to 30’-45 degrees Dally sedation vacation & daily assessment of readiness to wean off DVT Prophylaxis Stress Ulcer Prophylaxis Subglottic secretion drainage Daily mouth care with chlorhexidine

8. GENERAL INSTRUCTIONS   Hand washing Sterile suctioning (do not reuse suction catheter) 2 nd hourly positioning. Pneumonia Vaccines

9. BIBLIOGRAPHY Lewis,Heitkemper , Durksen.Medical surgical nursing: Assessment and management of clinical problem.6th edition: Mosby publication.. Black.J.M , Hawks.J.H . Medical-surgical nursing for positive outcomes.8th edition: Elsevier publication. Watson J, Jaffe M.S. nurses manual of laboratory and diagnostic tests.2nd edition. Philadelphia :Davis company. Chen, C., Lin, C., Tzeng, Y., Hsu, L. (2009). Successful mechanical ventilation weaning experiences at respiratory care centers . Journal of nursing research, Vol. 17, NO. 2, JUNE 2009 Chithra , R. A., Raju, J. (2017). Effect of structured teaching programme on knowledge regarding prevention of ventilator associated pneumonia among critical care nurses.international journal of health sciences & research, Vol.7; Issue: 7; July 2017, 156-163

10. BIBLIOGRAPHY Chopra, M., Vardhan, V., Chopra, D. (2014). Recent innovations in mechanical ventilatory support.The Journal of Association of Chest Physicians, Vol. 2, Issue 2 Couchman, B.A., Wetzig , S. M., Coyer, F. M., Wheeler, M. K. (2007). Intensive and Critical Care Nursing (2007) 23, 4—14  Fulbrook , P., Delaney, N., Rigby, J., Sowden, A., Trevett M., Turner, L., Whittam, A. (2004). Developing a Network protocol: nurse-led weaning from ventilation.The world of critical care nursing, Volume 3 Number 2, 28-37 Furesz , S. (2016). Complications of mechanical ventilation.Decision support in medicine, LLC.https ://www.clinicaladvisor.com/hospital-medicine/complication mechanicalventilation /article/602421/

11. THANK YOU