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Post-Acute Care Management of Patients with Angiostrongyliasis: A Guideline in Caring for Patients Who Suffer Long Term Sequelae of Rat Lungworm Disease
|Title:||Post-Acute Care Management of Patients with Angiostrongyliasis: A Guideline in Caring for Patients Who Suffer Long Term Sequelae of Rat Lungworm Disease|
|Contributors:||Hensley, Patricia (instructor)|
Daub, Katharyn (instructor)
|Keywords:||rat lungworm disease|
|Date Issued:||15 May 2020|
|Abstract:||Angiostrongyliasis, also known as rat lungworm disease (RLWD), is a parasitic infection caused
by the nematode Angiostrongylus cantonensis. Anecdotal experience in Hawaii has shown that
many patients diagnosed with RLWD develop chronic neurological sequelae which can last for
years and possibly a lifetime (Hawaii’s Joint Task Force, 2018). Currently, there is no available
literature or guidelines on chronic care treatment of RLWD. Previous and current literature
focuses on RLWD acute manifestation and treatments. Through a rigorous literature search and
critical analysis of evidence-based information on possible treatment options of the chronic
symptoms of RLWD, an evidence-based guideline was created. Ten Hawaii island primary care
providers participated in a project aimed at educating providers on the guideline. The providers’
knowledge level of RLWD chronic care management strategies was assessed before and after the
guideline was presented to them. Data analysis showed increased knowledge in all participants.
Ninety percent of participants stated that the guideline was significantly effective in increasing
their knowledge about the long-term sequelae of RLWD. Limitations of the project included a
small sample size and participants’ limited practice experience. Primary care providers who are
not familiar with RLWD or are new to the Hawaii community should familiarize themselves
with the chronic health effects of RLWD, especially those practicing in endemic regions such as
East Hawaii. This evidence-based guideline could serve as a basic introduction to the chronic
care aspect of RLWD.
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|Appears in Collections:||
DNP Practice Inquiry Projects|
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