Nursing Care Plan (NCP) for Leprosy Patient:
Nurses play a vital role in leprosy treatment. Nurses apply evidence-based nursing interventions for leprosy affected patients. They assist the leprosy patient from the first diagnosis to discharge follow up. They provide systemic care to patient and enable to develop a better interaction with the patient. Nurses are counseling the patient to continue treatment and promote self-care between them.
They provide knowledge about the sing symptoms of leprosy and reduce physical disabilities caused by leprosy. They encourage the patient’s participation in the program, provide opportunities and stimulate the exchanges of experiences and discussion of the problems. After identifying problems, they aim to provide proper quality of care to client’s real need. Timely diagnosis and proper treatment is the most effective way of preventing the disability.
Nursing Interventions for Leprosy Patient:
Leprosy is a chronic infectious disease caused by the acid fast bacillus Mycobacterium laprae. Some important nursing interventions for leprosy patient are pointed out in the below:
- Diagnose the impaired tissue integrity and monitor the characteristics of the lesion such as size, color, odor and drainage.
- Clean the wounds with saline or nontoxic substances as indicated.
- Apply sterile bandage to cover the wounds and maintain aseptic technique.
- Examine the wound damage daily during each dressing changes.
- Compare the changes of ulcer daily and record regularly.
- Routinely monitor temperature and color of skin.
- Encourage the affected people to maintain regular medical care with Multidrug therapy (MTD).
- Keep continue follow up the affected leprosy patient to identify relapse of leprosy disease.
- Monitor any sings of adverse effects regarding medications and take proper action.
- Protect hands and feet to avoid inadvertent injury and prevent chronic disability.
- Keep skin moist to prevent dryness and fissuring and avoid ulceration or infection of skin.
- Educate the patient to avoid plastic footwear or gloves which trap moisture and cause ulceration.
- Ensure adequate intake of fluid to maintain optimal skin hydration.
- Ensure proper rest and nutrition of the affected leprosy patient.
- Ensure proper treatment nursing of eye inflammation to preserve vision.
- Ensure moisture of nasal mucosa with 0.9% saline and essential fatty acids.
- Educate the patient and family member about the consequence of leprosy.
- Nurses should educate the leprosy patient about the signs and symptoms of relapse and disease exacerbation.
- Closely monitor the family and community people for development of leprosy signs and symptoms.
- Provide knowledge and increase awareness about advance sings of neuropathy.
- Nurses should educate the community people about signs and symptoms and mode of transmission of leprosy.
- Educate the patient and family members about importance of continuing treatment with Multidrug therapy (MDT) and evaluate the efficacy of Multidrug therapy (MDT).
- Identify patients who are not collecting drug on time and identify the reasons and take effective actions.
- Nurses should arrange health campaigns for early detection of leprosy and start early treatment.
- Public awareness and education campaigns are necessary to eliminate social stigma and isolation associated with the disease.
- Increase awareness among family members and community people to reduce discrimination to leprosy patient.
- Provide information to community people that leprosy is an infectious disease but curable with treatment.
- Inform the community people that leprosy treatment is available and free of cost.
- Also informed the community people, treated persons are no longer infectious.
- Nurses can increase awareness among people by arranging quizzes, essay competitions with prizes, public talks, game, puppet shows, posters and leaflets, religious leaders, local public representative and the mass media..
- Give psychological support to leprosy patient that they can able to live a normal life after proper treatment.