AIDS.F07-1 - ACQUIRED IMMUNODEFICIENCY SYNDROME AIDS OUTLINE

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Unformatted text preview: ACQUIRED IMMUNODEFICIENCY SYNDROME AIDS OUTLINE MEDICAL-SCIENTIFIC INFORMATION LEGAL ISSUES SOCIO-CULTURAL DIMENSION ROMAN CATHOLIC CHURCH TEACHING MORAL ANALYSIS MEDICAL-SCIENTIFIC INFORMATION THE DISEASE DEFINITION PROTECTION/TREATMENT PROGRESS IN THE INDIVIDUAL TRANSMISSION OF THE DISEASE THE EPIDEMIC THE DISEASE "ACQUIRED," NOT BORN WITH IT, NOT GENETIC. "IMMUNODEFICIENCY," LACKING THE BODY'S NATURAL ABILITY TO RESIST INFECTION OR REJECT A FOREIGN BODY. "SYNDROME," A CLUSTER OF SYMPTOMS IDENTIFYING A DISEASE OR PATHOLOGICAL CONDITION. PATHOGEN: HUMAN IMMUNODEFICIENCY VIRUS BOTH LYMPHATROPIC AND NEUROTROPIC CAN INFECT LYMPH SYSTEM AND CENTRAL NERVOUS SYSTEM. LETHAL/INCURABLE? CHRONIC? THE DISEASE cont'd THE CONDITION WHICH LEADS TO AIDS BEGINS WHEN THE VIRUS IS TRANSFERRED TO ONE INDIVIDUAL BY ONE ALREADY INFECTED. A VIRUS IS A LIFE-FORM WHICH CAN SURVIVE ONLY IN A HOST ORGANISM. A RETROVIRUS IS ONE WHICH REVERSE TRANSCRIBES ITSELF INTO HOST DNA. HIV HAS BEEN FOUND IN ALL TISSUES & FLUIDS OF THE HUMAN BODY. BECAUSE THE VIRUS MUTATES, IT HAS BEEN DIFFICULT TO DEVELOP A VACCINE TO RESIST IT. NONE DEVELOPED TO DATE (2007) HISTORY OF AIDS 1981 NY & SAN FRAN RARE DISEASES IN HOMOSEXUAL MALES; UNEXPLAINED 1984 VIRUS IDENTIFIED & NAMED NO VACCINE EXISTS WHICH PREVENTS INFECTION; NOR THERAPY TO ELIMINATE INFECTION COMPLETELY VIRUS DESTROYS T-4 CELLS AT THE HEART OF THE IMMUNE SYSTEM, GRADUALLY WEARING IT DOWN UNTIL INDIVIDUAL FALLS VICTIM TO SOME OPPORTUNISTIC INFECTION. DEFINITION A PHYSICIAN WILL TELL PATIENT HE HAS AIDS WHEN: HELPER T-CELL COUNT IS BELOW 200 OPPORTUNISTIC INFECTION (KS,TB PCP, TOXOPLASMOSIS, ENCEPHAL.) UPDATES TO INCLUDE FEMININE INFECTIONS E.G.CERVICAL CANCER DETECTION NORMAL HIV-TESTING IDENTIFIES THE PRESENCE OF ANTIBODIES, NOT VIRUS. TWO MOST FREQUENTLY USED TESTS: ELISA TEST AND WESTERN BLOT TEST PROBLEM: "FALSE POSITIVES" AND "FALSE NEGATIVES" CLINICAL ADVICE: RETAKE TEST IN 4-6 MONTHS IF EXPOSURE RECENT. PROTECTION/THERAPY AFTER 26 YEARS, STILL NO VACCINE. ONLY PROTECTION, AVOID "HIGH-RISK BEHAVIOR" MEANING ... EARLIEST THERAPIES FOCUSED ON OPPORTUNISTIC INFECTIONS. MOST RECENT THERAPIES (ANTI-VIRAL "COCKTAILS") ATTACK THE VIRAL LOAD. VERY DIFFICULT REGIMEN; SIDE EFFECTS LEGAL ISSUES IMPACT ON LEGAL PROFESSION HUGE NUMBER OF CASES, CIVIL AND CRIMINAL. IMPACT ON EDUCATION: TRIED TO KEEP INFECTED OUT OF SCHOOL; COURTS REJECTED. IMPACT ON THE MARKETPLACE: MULTIPLE PRESSURES. NYS CONFIDENTIALITY LAW LEGAL QUESTIONS LEGAL STATUS DISABILITY (BROGDON V. ABBOTT) PRIVACY CONFIDENTIALITY DISCRIMINATION PROBLEM AREAS: INSURANCE, EMPLOYMENT SOCIO/CULTURAL DIMENSION A MAJOR ISSUE: BIAS LEANING TO/FROM, AN INCLINATION TO/FROM PREJUDICE A JUDGMENT W/O RATIONAL BASIS, FOR/AGAINST DISCRIMINATION BEHAVIOR BASED ON PREJUDICE. ROMAN CATHOLIC CHURCH TEACHING MORAL VALUES THE RC CHURCH PROPOSES AS A RESPONSE TO HIV/AIDS: COMPASSION - WHAT RELEVANCE? CONCERN FOR FAMILY - " SPREAD OF DISEASE " AIDS EDUCATION MORAL CONCERNS MORAL ANALYSIS MICRO-ETHICAL : PATIENT DISCRIMINATION PRIVACY/CONFIDENTIALITY OBLIGATION NOT TO SPREAD OBLIGATION TO TREAT MORAL ANALYSIS MICRO-ETHICAL PHYSICIAN DEAL FAIRLY WITH QUESTION OF FUTILE TREATMENT PRESERVE PATIENT'S RIGHT TO INFORMED CONSENT MORAL ANALYSIS MACRO-ETHICAL MANDATORY TESTING. MASS SCREENING/QUARANTINE FUNDING UNANNOUNCED QUIZ 1. AIDS is an acronym for _____________ 2. The pathogen which leads to AIDS is ___ 3. One opportunistic infection is _________ 4. Seropositive means _________________ 5. One way in which AIDS is transmitted is _________________________ ...
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This note was uploaded on 04/24/2008 for the course THEOLOGY 3300 taught by Professor Devine during the Spring '08 term at St. Johns Duplicate.

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