Immigrants and tuberculosis in Europe – are we prepared for outbreak?

Abstract

Introduction. International travel and immigration have led to a rise in the incidence of tuberculosis in European countries, mainly due to migration from Africa and the Middle East.Aim. In this article we point to an additional migration path - from Ukraine - and the threat of tuberculosis associated with this migration and we discuss our preparation for an increase in the incidence of this disease.Discussion. It is estimated that about 1.5-2.5 million Ukrainians work or live in Poland or the EU. This results from the implementation of some EU directives and Polish law regulations, which simplified an access of the Ukrainian citizens to the European labor market. Importantly, Ukraine is one of the 18 high-priority countries to fight tuberculosis in the WHO European Region and among the top 20 highest drug-resistant tuberculosis burden countries in the world. More importantly, there is no unitary tuberculosis screening program for migrants in the EU member states. For this reason, we have no reliable data on tuberculosis burden in any nationality group of immigrants in Europe, including Ukrainians.Conclusions. Nurses have always dealt with infectious diseases, they have always been and will be the last line of defense against the epidemic. Any epidemic, including tuberculosis. Perhaps, in the absence of an integrated tuberculosis policy in Europe, our only future are the experience, skills and dedication of nurses.

The therapeutic process and care problems of a patient with advanced vulvar cancer

“…The cancer process is associated with pain and discomfort, and the patient's psychological health is affected. The psychological dimension of the illness is also very important [13][14][15][16][17]. Among the psychological disorders in this group of people, depressive disorders predominate, which show a varying form of severity correlating with the degree of the neoplasm.…”

“…Studies indicate that this complication affects 26-45% of cancer patients [17]. A factor that could improve the quality of care for patients diagnosed with cancer is the routine introduction of a psycho-oncologist into the multidisciplinary team [16].…”

Care plan for pregnant and postpartum woman with diagnosed cancer – metastatic lymphoma

“…The midwife caring for the patient should minimise the risk of possible disorder to facilitate adaptation to the new life situation. The tasks of the midwife during hospitalisation of the patient include, among others, monitoring the well-being of the foetus using cardiotocography, promoting pro-health behaviours, collecting material for diagnostic tests, preventing venous thromboembolism complications, and taking care of physical and psychological comfort before the planned surgical procedure [10][11][12].…”