Clinical quiz: Providing pre-travel well being recommendation

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Pre-travel well being consultations can elevate complicated questions, significantly in sufferers who’re pregnant, immunocompromised, travelling at quick discover or visiting associates and family members in nations the place infectious illnesses are endemic.

Nurses working normally follow and the group want to have the ability to assess particular person dangers, give clear and up-to-date recommendation, and recognise when vaccination or malaria prophylaxis could also be contraindicated.

This fast quiz makes use of 5 sensible eventualities to check your information of some difficult travel-health points, together with recommendation on Zika and being pregnant, malaria prevention in being pregnant and younger youngsters, yellow fever and chikungunya vaccination in an immunocompromised traveller and requests for ‘just in case’ antibiotics to take overseas. It additionally highlights the significance of contemplating timing, vacation spot, medical historical past and medicines when advising travellers.

Work by way of the questions beneath to check and refresh your information of secure, applicable pre-travel well being recommendation in main care settings.

Note all circumstances on this collection are hypothetical and created for academic functions

</p> <section data-block="SingleChoice"> <h3>You are doing the Monday morning journey clinic; your first affected person is Maria, a 24-year-old girl who’s planning her marriage ceremony and her honeymoon to Mexico. On her return she needs to attempt to conceive right away and she or he is worried that if she contracts the Zika virus whereas overseas then this may threat the well being of any youngster that she conceives. She asks if she may be vaccinated towards Zika.What do you inform her?</h3> <ul> <li>The Zika vaccine shouldn’t be accessible on the NHS and so she ought to method a personal journey clinic to get it.</li> <li>There is not any vaccine for the Zika virus – she will remove any threat to a future child by suspending attempting to conceive for 3 months after she returns.</li> <li>There is not any vaccine for the Zika virus – to remove any threat to a future child she might want to postpone attempting to conceive for one 12 months after she returns.</li> <li>There is not any threat of Zika in Mexico, so she needn’t fear.</li> </ul> </section> <section data-block="SingleChoice"> <h3>Your subsequent affected person is Alupu, who could be very distressed. She has simply had information that her mom has died abruptly in a highway visitors accident again dwelling in Papua New Guinea and she or he must journey instantly to get there for the funeral – she has managed to get a flight for the day after tomorrow. She is 26 weeks pregnant and is conscious that there’s malaria threat in Papua New Guinea. She needs to know what she ought to take.What do you inform her?</h3> <ul> <li>The dangers of malaria prophylaxis to her being pregnant outweigh the dangers of catching malaria so she ought to simply take each precaution to not be bitten.</li> <li>It is essential that she takes malaria prophylaxis and all choices are secure in being pregnant.</li> <li>She ought to take malaria prophylaxis however should keep away from sure choices which aren’t secure in being pregnant.</li> <li>She ought to keep away from oral malaria prophylaxis however can use a prescribed gel on her physique which repels mosquitoes.</li> <li>She can now be vaccinated towards malaria.</li> </ul> </section> <section data-block="SingleChoice"> <h3>Your subsequent affected person is Lucas, aged 30, who’s travelling to Mauritius in 3 months. He needs to learn about yellow fever vaccination and has additionally examine chikungunya – are you able to vaccinate him towards each of those? He has inflammatory bowel illness for which he takes adalimumab.What do you inform him?</h3> <ul> <li>You aren’t a yellow fever centre and so you’ll advise him to attend such a centre for his yellow fever vaccine.</li> <li>Yellow fever vaccine is contraindicated for these taking biologics equivalent to adalimumab, however he gained’t want it if flying on to Mauritius from the UK.</li> <li>You can vaccinate him with the chikungunya vaccination, however you’ll have to order it in specifically.</li> <li>There is not any chikungunya vaccine accessible within the UK.</li> </ul> </section> <section data-block="SingleChoice"> <h3> Your subsequent affected person is Limo, who has come to hunt recommendation about himself and his three-year-old daughter. They are travelling to go to Limo’s mother and father, who reside in Kenya. He wonders if they should take malaria prophylaxis as Limo grew up in Kenya and by no means acquired sick (he moved to the UK as an grownup), and his daughter was born there to 2 Kenyan mother and father, shifting to the UK on the age of 6 months.What do you inform him?</h3> <ul> <li>Limo doesn’t want prophylaxis – rising up in Kenya may have given him immunity. His daughter does want it.</li> <li>They each want prophylaxis.</li> <li>Neither of them want it; he may have immunity from childhood and his daughter may have acquired immunity by way of the placenta, as her mom additionally grew up in Kenya.</li> <li>He wants prophylaxis however his daughter is simply too younger to want it.</li> </ul> </section> <section data-block="SingleChoice"> <h3>You at the moment are fairly drained after this complicated clinic, and happy that you’re on to your final affected person, Cheryl, aged 54, who’s going on vacation to Spain in 3 weeks. She had a urinary tract an infection a month in the past (her first ever) and is fearful that it would come again whereas she is overseas, spoiling her vacation. She wonders for those who might give her some antibiotics to take together with her, simply in case she will get unwell in Spain. She doesn’t converse Spanish and is fearful about discovering a physician in her vacation resort.What must you do?</h3> <ul> <li>Offer her a one-off prescription of trimethoprim to take together with her and begin if she will get signs of a urine an infection.</li> <li>Suggest that she takes prophylactic antibiotics for 2 weeks earlier than she goes, to stop an an infection whereas overseas.</li> <li>Explain that you simply can’t prescribe ‘just in case’ medicines and advise her to hunt medical assist domestically if sick whereas overseas.</li> <li>Explain that you simply can’t prescribe ‘just in case’ medicines however reassure her that if she wants recommendation whereas overseas she will telephone the follow and converse to one of many GPs.</li> </ul> </section> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p> </p> <p>

This web page was created programmatically, to learn the article in its authentic location you’ll be able to go to the hyperlink bellow:
https://www.nursinginpractice.com/clinical/vaccination-and-infection/clinical-quiz-providing-pre-travel-health-advice/
and if you wish to take away this text from our web site please contact us

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Clinical quiz: Providing pre-travel well being recommendation

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