Managing External and Internal Bleeding in Ebola Virus Disease Patients

The provided content discusses the high contagious nature of Ebola virus disease and emphasizes the importance of careful and sensible management measures to minimize its spread. It highlights the need for healthcare professionals to be aware of their role in preventing transmission, as well as the impact on their own mental health and well-being. The articles referenced provide insights into the challenges faced by healthcare providers during the 2014-2016 Ebola outbreak in West Africa, including the importance of personal protective equipment and oral care protocols in post-mechanical ventilation patients.

Introduction
Nursing plays a significant role when it comes to control of and management of
infections. Nursing is assumed to the practice that forms a fundamental ground
which helps to prevent as well as controlling the transmission of diseases that are
infectious within the health care environment and its surrounding. Therefore, this
paper discusses the important issues that should be taken care of by health workers
to minimize the spread of diseases among the patients, workers or even the family
members of the patient.
Importance of Considering Infection Control in Nursing
Mr. Reginald Bowen must be taken care of so to help reduce the spread of norovirus
in the meantime. The symptoms such as severe abdominal pain, lethargy, headache,
inability to urinate, diarrhoea and vomiting shown by Mr Bowen are also manifested
by patient suffering from EVD illness that is highly fatal in human, severe and
extremely contagious among people as well as animals. According to World Health
organization, the average fatality rate of EVD is approximately 50% (Andertun et al.,
2017 p. 648). Therefore, policies and precautions must be implemented to ensure
that the spread of the deadly diseases is controlled. Policies like the engagement of
the community members play a fundamental role in successfully preventing the
outbreak of the fatal illness.
Isolation of Mr Bowen and transferring him to safe areas also helps in preventing the
spread of sickness (Team, 2106 p.1485). Additionally, excellent laboratory services,
personal protective gears as well as social mobilizations assist in the control of the
disease. Moreover, if the health workers and the staff show any signs and symptoms
of the EVD such as vomiting, rash, muscle pain and diarrhea, they must be isolated
from the rest of the group immediately and taken to a close safe room to minimize
the spread of the disease (Lehmann et al., 2016 p.74). According to WHO, during
diagnosis of Mr Bowen, the health workers as well as the staff must wear gloves,
face masks that should be capable of repelling fluid and long sleeved gowns (Reidy et
al., 2017 p. 46). Finally, routine cleanliness must be maintained through cleaning and
disinfection of the equipment used when handling the patient.

Identify two (2) important health issues/problems for your patient.
Mr. Bowen being allergic to sulphur may suffered serious health complication
because many hospital uses sulphur for various activities. Many hospital uses sulphur
for various activities including preservation thereby posting a great health problem
to Mr Bowen.
Additionally, Mr Bowen also suffers from stress. This patient is stressed by the
number of times and distance that his wife must cover so to come and see him.
Stress can minimize Mr Reginald survival chances and lead to quick death as a result
of the disease (McMahon et al., 2016 p. 135).
Nursing Interventions used to address the Issues
In case of inability to urinate, surgery can be done so must correct the problem that
Mr Reginald Bowen is facing. Effective surgery can help him to urinate effectively and
prevent emergence of other urethral diseases. Moreover, severe abdominal pain,
lethargy, headache, diarrhoea and vomiting, careful and well-evaluated
consideration should be given when handling the situation so as to enable the health
workers determine and give correct prescription (Anderson et al., 2014 p.66.
Necessity of using a particular Nursing Intervention in addressing the Issue:
Mr Reginald Bowen should be put under careful observation including checking for
Benign hypertrophic prostate (BHP), Gastro oesophageal reflux disease (GORD), the
past infection that he has suffered from (Chipps et al., 2016 p.112). Consequently,
immediate supportive and careful rehydration is very vital for the patient who
suffers from internal as well as external bleeding to relieve them from muscle pain
and fatigue. The interventions mentioned above are necessary because the patient
had already indicated the symptoms. Additionally, the diagnosis mentioned above
should be administered because the patient is already suffering from the impaired
liver and kidney function as well as the internal and external bleeding (Kumar et al.,
2017 p.232). Therefore, the methods mentioned above recommended since they
speed up recovery thereby helping to reduce the pain.
Conclusion

Ebola virus Disease is known to be one of the most dangerous, contagious and fatal
diseases around the world. The disease can quickly spread from one patient to
another or from even animal and plants to human beings. One of the major
symptoms of the illness is the external and internal bleeding from the infected
persons. Due to high contagious nature of the disease, careful and sensible
management measure should be put in place to ensure that the rate of its spread
adequately minimized.

Reference
Anderson, D.J., Podgorny, K., Berríos-Torres, S.I., Bratzler, D.W., Dellinger,
E.P., Greene, L., Nyquist, A.C., Saiman, L., Yokoe, D.S., Maragakis, L.L. and
Kaye, K.S., 2014. Strategies to prevent surgical site infections in acute care
hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(S2),
pp.S66-S88.
Andertun, S., Hörnsten, Å. and Hajdarevic, S., 2017. Ebola virus disease:
caring for patients in Sierra Leone–a qualitative study. Journal of advanced
nursing, 73(3), pp.643-652.
http://onlinelibrary.wiley.com/doi/10.1111/jan.13167/full
Chipps, E.M., Carr, M., Kearney, R., MacDermott, J., Visger, T., Calvitti, K.,
Vermillion, B., Weber, M.L., Newton, C., Clair, J. and Harper, D., 2016.
Outcomes of an oral care protocol in postmechanically ventilated
patients. Worldviews on Evidence
‐Based Nursing, 13(2), pp.102-111.
Kumar, A., Unnikrishnan, B., Mithra, P., Kulkarni, V., Holla, R., Nazareth,
S.V. and Bhat, V., 2017. Awareness Regarding Ebola Virus Disease among
Health Care Professionals in Tertiary Hospitals. Indian Journal of Public
Health Research & Development, 8(2).
http://web.b.ebscohost.com/abstract?
direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=09760245&A
N=122820270&h=KDzmd9nmfFBlsdxi
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%3d&crl=c&resultNs=AdminWebAuth&resultLocal=ErrCrlNotAuth&crlhash
url=login.aspx%3fdirect%3dtrue%26profile%3dehost%26scope%3dsite
%26authtype%3dcrawler%26jrnl%3d09760245%26AN%3d122820270
Lehmann, M., Bruenahl, C.A., Addo, M.M., Becker, S., Schmiedel, S., Lohse,
A.W., Schramm, C. and Löwe, B., 2016. Acute Ebola virus disease patient
treatment and health-related quality of life in health care professionals: A
controlled study. Journal of psychosomatic research, 83, pp.69-74.
McMahon, Shannon A., Lara S. Ho, Hannah Brown, Laura Miller, Rashid
Ansumana, and Caitlin E. Kennedy. "Healthcare providers on the frontlines: a
qualitative investigation of the social and emotional impact of delivering
health services during Sierra Leone’s Ebola epidemic." Health policy and
planning 31, no. 9 (2016): 1232-1239
.https://academic.oup.com/heapol/article/31/9/1232/2452988/Healthcare-
providers-on-the-frontlines-a
Reidy, P., Fletcher, T., Shieber, C., Shallcross, J., Towler, H., Ping, M.,
Kenworthy, L., Silman, N. and Aarons, E., 2017. Personal protective
equipment solution for UK military medical personnel working in an Ebola
virus disease treatment unit in Sierra Leone. Journal of Hospital
Infection, 96(1), pp.42-48.
http://www.sciencedirect.com/science/article/pii/S0195670117301494

Team, W.E.R., 2014. Ebola virus disease in West Africa—the first 9 months
of the epidemic and forward projections. N Engl J Med, 2014(371), pp.1481-
1495.
http://www.nejm.org/doi/full/10.1056/NEJMoa1411100#t=article