The Toronto General Hospital

Running head: CASE STUDY ANALYSIS
Nursing case study and its analysis
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Part 1
Introduction
Mrs Amaryl Josh is a 42-year-Old person who was admitted to the Toronto General
Hospital by a ambulance vehicle in the wake of being found by her elder son lying in bed
with a blister-like rash all around her face and arms. It could be quickly comprehended that
she is experiencing the pervasion of the Varicella zoster infection on account of which she
has been building up the rashes all over her body. From the physical appearance of the rash, it
could be made out that the contamination is profoundly infectious which could be transmitted
by respiratory discharges, that is, air transport or coughing tainted droplets. It can likewise be
spread by direct contact with vesicle liquid of skin injuries. Subsequently, after understanding
the seriousness of the condition experienced by the mother, the child called the special
emergency vehicle to such an extent that basic contact is made with the patient.
Background Information
After questioning the elder son, it could be discovered that the patient was a part of a
communicable illness awareness program in the area in the previous week where she may
have gotten the disease. In the awareness program, the patient was clarified about the
hindering impacts of chickenpox because of the changing climate and the pervasiveness of
the infection noticeable all around. It is there that the patient had met with a patient who had
gone to the awareness program for the treatment alternatives that are accessible for the
contamination to be treated in the given time. It could be fathomed from the discussion with
the son that Mrs Josh has been living in her own home, a two-story terrace house, in Toronto
for just about 58 years. She has lived alone since her significant other died two years back
after a heart failure. She has two sons, of which the senior son lives with her for quite a while
when his better half goes for business visits which are at one time a month. The more
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youthful child lives in Quebec with his family and visits his mom on uncommon events. Mrs
Josh is a resigned bank representative and she and her children portray her as an amazingly
private individual who has never delighted in having guests in her home.
Mrs Josh took a lot of support to acknowledge cleaning and shopping help once every
week after her latest admission to the emergency clinic. After hitting more discussions with
the son, it was comprehended that the siblings have a history for long-standing clash which
has exacerbated by the demise of their father. Consequently, it was effortlessly
comprehended that the care of the patient is not probably going to be received in light of the
general individual issues experienced by the children and the mother. Mrs Josh has a
background marked by Alzheimer's disease; hypertension; type II diabetes – insulin-
dependent; elevated cholesterol and osteoarthritis. She has had two ongoing admissions to the
emergency clinic for a urinary tract disease and a fall with regards to low blood sugars.
Consequently, the person who has never been contracted with the infection and a low
resistant framework will be in danger of the contamination which will require the people to
be provided with the Varicella vaccine.
Main Issue or Problem
From the previous nature of the cases registered for chickenpox, it is known that the
nature of the virus is to be spread in close proximities to individuals who are in contact with
the infected individuals. In addition to this risk, another risk which is associated with
chickenpox is the spread of the infection by contact. In case, the patient comes in contact with
a family member or the staff of the hospital or the ambulance who has not been provided with
the vaccine, the risk of contracting the infection is quite high for the individual. In the
community center, Mrs Josh was present with his son and came in contact with an individual
who was infected with the virus. She was not educated enough to wear gloves or sanitize the
hands frequently to avoid the spread of the infection from one person to another. The infected
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