Ecologic Model

A. Hypothesis

In the case of our client, the primary cause of the disease was non-compliance with the doctor’s orders and lack of knowledge
about the patient’s disease or disease process.

B. Pre-disposing factors
- Host
o Male
o 14 years old
o + for PTB
o Non-compliant
o Has no proper exercise
- Agent
o Bacterial
- Environment
o Unclean
o + for vectors

HOST

Agent

Environment
C. Analysis

The agent-host-environment model is primarily use in predicting illness rather than promoting wellness, although identification of
risk factors that result from the interactions of agent, host, and environment are helpful in promoting and maintaining health. Because each
of the agent-host-environment factors constantly interacts with others, health is an ever changing state. Health is seen when all three
elements are in balance while illness is seen when one, two, or all three elements are not in balance (Fundamentals of Nursing by Kozier
2004)

Controlling the spread of tuberculosis infection can prevent tuberculous spondylitis and arthritis. Patients who have a positive PPD
test (but not active tuberculosis) may decrease their risk by properly taking medicines to prevent tuberculosis. To effectively treat
tuberculosis, it is crucial that patients take their medications exactly as prescribed.

Since Pott's disease is caused by a bacterial infection, prevention is possible through proper control. The best method for
preventing the disease is reduce or eliminate the spread of tuberculosis. In addition, testing for tuberculosis is an important preventative
measure, as those who are positive for purified protein derivative (PPD) can take medication to prevent tuberculosis from forming.

In the case of our patient, who was positive for PTB last year, he fails to comply with the follow-up checkups as prescribed by his
doctor and neglects the abnormal changes and discomforts that was happening in his body.

D. Conclusion

We therefore conclude that our patient is suffering from conjunctivitis and is considered a recreational water illness probably due
to the bacteria that may have been present in the swimming pool.