Helminths are large organisms (parasitic worms) that feed on host tissue. The most common site is the intestine. Other sites are the lymphatic system, blood vessels, and liver.

There are four groups of helminths:

1. Cestodes (tapeworms) (enter via contaminated food [pork (trichinosis), fish, dwarf])

2. Trematodes (flukes)

3. Intestinal nematodes (roundworms)

4. Tissue-invading nematodes (tissue roundworms and filariae)

The nursing process related to treatment of patients who are taking anti-helmiths is:

• Assessment

° History of foods eaten, especially meat and fish and how it was prepared ° Note if other persons in household have been checked for worms ° Obtain baseline vital signs and collect a stool specimen

• Nursing diagnoses ° Altered comfort

° Activity intolerance related to dizziness, headache, drowsiness ° Altered nutrition ° Alteration in skin integrity

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