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I. INTRODUCTION
A. Background of the Study
Leprosy has been a Public problem in the Philippines for several decades. The
disease unequally distributed throughout the country. In 1987, in the provinces of
Ilocos Norte and Ilocos Sur, Abra, Sulu, Palawan Cebu and La Union, Pangasinan and
Metro Manila, the prevalence rate changed from 0.40 to 3.01 per thousand
populations. In other provinces. The prevalence rate is lower than 0.40/1000
population. The National Prevalence Rate as of 1998 was 0.65/1000. (Community
Health Nursing Services in The Philippines. 9
th
Edition, page 215)
The Nationwide implementation of Multi-drug Therapy (MDT) SINCE 1988 has
resulted in the decrease In the prevalence rate of leprosy. The prevalence rate of the
disease declined from 7.2/10,000 population in 1986 to 1.2/10,000 population in
1997. Since then, the treatment of leprosy has shifted from institutional care to that
home treatment.
Leprosy (Hansen’s Disease; Hansenosis; Lepra; Leontiasis) is a chronic disease
with an insidious onset, transmitted from man to man, affecting the skin, mucous
membranes and nervous tissue and eventually producing deformities. This chronic,
mildly, infectious disease is caused by rod-shaped bacilli, Mycobacterium Leprae pr
Leprosy bacilli or Hansen’s Bacillus.
B. Rationale for Choosing the Case
Most of our patient assignments are Non-hansen patient. Meaning they are not
affected with the Mycobacterium Leprae. Since my focus is Patient care
management and we are in a Leprosarium, I choose the case of Hansen patient or
patient affected with the Mycobacterium Leprae because it would help us to have
focus study regarding this case- more nursing care would be given.
II. PATIENT PROFILE
A. General Data
Name: Patient X
Age: 25 years old
Birth date: January 24, 1979
Birth Place: Cebu
Sex: Female
Nationality: Roman Catholic
Civil Status: Single
Address: Caloocan City

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Ward/Accommodation/Service: Female Ward/Charity/Medicine
Patient Category: Non regular Hansen
Date Admitted: June 16, 2012
Time Admitted: 3:00pm
III. PHYSICAL ASSESSTMENT
BODY PARTS
NORMS
ACTUAL
FINDINGS
INTERPRETATION
AND ANALYSIS
Skin
Varies from light
to deep brown;
from ruddy pink;
from yellow
overtones to olive
(pg. 538
Fundamentals of
Nursing by Kozier,
7
th
Edition)
Skin lesions all
over the body.
Loss of sensation
on the skin
lesions.
Not normal. The
cardinal signs of
leprosy are the ff:
--Loss of sensation
on the skin lesions
--Enlargements of
peripheral nerves
--Presence OF
leprosy bacilli in the
skin smear. Loss of
sensation can cause
further damage to
skin.
IV. Anatomy and Physiology
The skin is the body’s largest organ, covering the entire body. In addition to
serving as a protective shield against heat, light, injury and infection, the skin also:
a. Regulates body temperature
b. Stores sensory organ
c. Prevents water loss
d. Prevents entry of bacteria
Throughout the body, the skin’s characteristics (thickness, color, texture)
vary. For instance, the head contains more hair follicles than anywhere else,
while the soles of the feet contain none. In addition, the soles of the feet and the
palms of the hand are much thicker. The skin is made up of the following layers,
with each layer performing specific functions:
a. Epidermis
b. Dermis

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I. INTRODUCTION A. Background of the Study Leprosy has been a Public problem in the Philippines for several decades. The disease unequally distributed throughout the country. In 1987, in the provinces of Ilocos Norte and Ilocos Sur, Abra, Sulu, Palawan Cebu and La Union, Pangasinan and Metro Manila, the prevalence rate changed from 0.40 to 3.01 per thousand populations. In other provinces. The prevalence rate is lower than 0.40/1000 population. The National Prevalence Rate as of 1998 was 0.65/1000. (Community Health Nursing Services in The Philippines. 9th Edition, page 215) The Nationwide implementation of Multi-drug Therapy (MDT) SINCE 1988 has resulted in the decrease In the prevalence rate of leprosy. The prevalence rate of the disease declined from 7.2/10,000 population in 1986 to 1.2/10,000 population in 1997. Since then, the treatment of leprosy has shifted from institutional care to that home treatment. Leprosy (Hansen’s Disease; Hansenosis; Lepra; Leontiasis) is a chronic disease with an insidious onset, transmitted from man to man, affecting the skin, mucous membranes and nervous tissue and eventually producing deformities. This chronic, mildly, infectious disease is caused by rod-shaped bacilli, Mycobacterium Leprae pr Leprosy bacilli or Hansen’s Bacillus. B. Rationale for Choosing the Case Most of our patient assignments are Non-hansen patient. Meaning they are not affected with the Mycobacterium Leprae. Since my focus is Patient care management and w ...
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