Nursing Experience of an Elderly Patient with Systemic Disseminated <i>Penicillium marneffei</i>

Elderly patients with systemic disseminated Penicillium marneffei are generally more seriously ill with high mortality. In addition to clear diagnosis and timely treatment, careful nursing throughout the hospitalization is particularly important for the patient’s recovery. Psychological nursing and family emotional support, the treatment of adverse drug reactions, systemic infection wound care, the prevention of pressure sores in long-term bedridden patients, antithrombotic nursing, disinfection isolation and the standard prevention of nosocomial cross infection all play decisive roles in the patient’s prognosis. After one month treatment and medical care, the patient was cured and was discharged from hospital. After discharge, the patient follow-up was carried out up to one year. This patient had completely recovered. In this paper, we report a successful nursing experience of an elderly patient with systemic disseminated Penicillium marneffei. With the summary of nursing key points, it could play a reference in the treatment and rehabilitation of similar patients.

Psychological Study of a Patient with COVID-19 at the Early Stage of the Epidemic

Coronavirus disease-2019 (COVID-19) caused by novel coronavirus 2019 (2019-nCoV) has led to 199,466,211 confirmed cases, including 4,244,541 deaths by 6:44 pm CEST. This epidemic is now on the period of global outbreak, the control of COVID-19 has severely challenged the world. At the beginning of the outbreak, patients infected or suspected were observed and close contacts were isolated. The country delayed the resumption of work and school and all walks of life are seriously affected. All kinds of true and false information and rumours on the internet exist, aggravating people’s anxiety and restlessness. These factors altogether often induce people to feel various negative emotions and psychological problems. In this paper, a patient with COVID-19 was examined through psychological dynamic observation at the beginning of the epidemic. It was found that in the early stage of the epidemic, due to the lack of clear treatment guidelines, the main treatment methods and psychological problems were the main reasons affecting the recovery of patients. Many uncertain factors, including individual and social factors and quarantine, worry about the prognosis, etc, resulting in anxiety, fear, unacceptance, insomnia, irritability and other pessimistic moods. After 16 days of symptomatic treatment, psychological counselling and adjustments in a timely manner, the patient eventually recovered and was discharged. The discussion of this case could serve as a reference for the treatment and rehabilitation of patients with COVID-19 in other countries and regions.