Defining the Scope of the Problem of Cholera in Peru

The first, abrupt symptom is disruptive diarrhea, often accompanied by vomiting. This leads to rapid loss of wandering and salts, causing muscle cramps, severe thirst, and cold, wrinkled skin. If lost fluids argon not replaced, coma and death may follow in spite of appearance 24 hours (Franco, Fix, Prada, P argondes, Palomino, Wright, Johnson, McCarter, Guerra & Morris, 1997).

Populations At Risk. Populations most at risk for the culture of Cholera are the millions of people in the lower socioeconomic groups of third-world countries (Guthmann, 1995). Also degree of risk increases with age; thus, the least at risk are children and the most at risk are older people (Guthmann, 1995). Further, if a member of one's family has confineed the disease, thither is an increased risk for all other family members that they will develop the disease (Guthmann, 1995).

Determinants Influencing The Condition

Primary Data (Essential Agent) Cholera is an acute infective disease in humans caused by the bacterium vibrion epidemic cholerae. While sixty serovars of Vibrio cholerae exist, only serovar 0 causes cholera in human beings. (Franco, Fix, Prada, Paredes, Palomino, Wright, Johnson, McCarter, Guerra & Morris, 1997).

Malnutrition is believed to place an individual at greater risk of contracting cholera because their inadequate nutrient stores make it difficult to stave off the dehydration associated with the disease. Also, since malnutrition is present in large numbers among the lower socioeconomic classes, this psyc

Martin, K.S. & Scheet, N.J. (1994). Nursing diagnoses applied to community wellness nursing. In M. Stanhope & J. Lancaster (eds.), Community health nursing: Process and practice for promoting health (3rd ed.) (pp.. 229 - 243). St. Louis: Mosby Year Book.

(2) Reduce possibility of encountering V. cholerae.

_________________________________________________________________I. Environmental Domain

hosocial factor is excessively believed to predispose an individual to contracting cholera (Guthmann, 1995). Other psychosocial contributors are believed to be the lack of drinkable water and the unavailability of cloaca and/or untreated sewage, especially in rural areas of Peru (Guthmann, 1995).

unmatched point that should be noted regarding biostatistical data on prevalence, incidence and essential is that these are averages computed across diverse geographic areas for the unpolished as a whole. Much higher prevalence, incidence and fatality rates often occur in rural areas referable to the low accessibility to health centers and many misconceptions and false health beliefs held by the people living in these areas (Guthmann, 1995).

(3) Facilitating purposeful manipulations of stressors (agents that empennage place stress and/or strain on their systems) and reactions to stressors (e.g., counsellor clients about high-risk behaviors, their use of medications).

Domains and Sub-Areas of the Omaha Classification Scheme That testament Be Used For Making Nursing Diagnoses

2. Compare the accompanying/fatality rates for adults, children and older program participants.

Franco, A.A., Fix, A.D., Prada, A., Paredes, E., Palomino, J.C., Wright, A.C., Johnson, J.A., McCarter, R., Guerra, H. & Morris, J.G. (1997). Cholera in Lima, Peru, correlates with prior isolation of Vibrio cholerae from the environment. American Journal of Epidemiology, 146(12), 1067-1075.

pip (Where Affected). Places where people are most likely to be septic are rural areas with low levels of drinkable water and po
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