Legionella Pneumophila - Plasmodium ovale - Adenovirus - Nursing Assessment Answer

Case Study:
John (88 years old) is a resident at a high dependency aged care facility (nursing home). He has developed infectious conjunctivitis in his right eye. On examination, his eye was found to be red and swollen with a purulent and sticky discharge. His vision was unaffected; however he did complain that his eye was painful. The doctor prescribed gentamicin eye drops which were to be administered to both eyes.
Use the supplied template to answer the following questions:
Q1. Background of the case study 
1.1 What is infectious conjunctivitis?
1.2 Of the four micro-organisms listed below, justify which one is more likely to be the cause of John’s eye infection.
Indicate why the other micro-organisms from the list are less likely to cause the infection.
· Legionella pneumophila
· Plasmodium ovale
· Adenovirus
· Staphylococcus aureus
Q2. Mechanism of action and adverse reactions
2.1 Describe the mechanism of action of gentamicin
2.2 Name two possible adverse reactions to this drug
Q3. Physiological basis of signs (Total: 10 marks).
3.1-3.3 Describe the physiological basis of the three (3) signs observed in John’s eye. Relate your response to this case study.
Q4. Infection control issues 
4.1-4.2 Identify and discuss two infection control issues associated with high dependency aged care facilities that can contribute to the spread of conjunctivitis.
Q5. Transmission of infection 
5.1 Mary who resides in the room next door was diagnosed with the same eye infection 4 days later. Describe how the organism could have been transmitted from John’s eye to Mary’s eye.
Q6. Breaking the chain of infection
6.1 Describe two procedures nurses will need to undertake to prevent the infection from John’s eye being transmitted to another individual. Clearly explain how each procedure will effectively break the chain of infection.

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