Aids - AIDS Acquired immunodeficiency syndrome(AIDS is the...

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AIDS Acquired immunodeficiency syndrome ( AIDS ) is the final result of infection with a retrovirus, the human immunodeficiency virus (HIV). HIV infection is a progressive disease leading to AIDS, as defined by the CDC (January 1994): “persons with CD4 cell count of under 200 (with or without symptoms of opportunistic infection) who are HIV-positive are diagnosed as having AIDS.” Research studies in 1995 showed that HIV initially replicates rapidly on a daily basis. The half-life of the virus is 2 days, with almost complete turnover in 14 days. Therefore, the immune response is massive throughout the course of HIV disease. Evidence suggests the cellular immune response is essential in limiting replication and rate of disease progression. Controlling the replication of the virus to lower the viral load is the current focus of treatment. Persons with HIV/AIDS have been found to fall into five general categories: (1) homosexual or bisexual men, (2) injection drug users, (3) recipients of infected blood or blood products, (4) heterosexual partners of a person with HIV infection, and (5) children born to an infected mother. The rate of infection is most rapidly increasing among minority women and is increasingly a disease of persons of color. CARE SETTING Although many of the interventions listed here are appropriate at the community level, the focus of this plan of care is the acutely ill individual requiring care on an inpatient medical or subacute unit or hospice setting. RELATED FACTORS End of life/hospice care Extended care Fluid and electrolyte imbalances HIV-positive patient Psychosocial aspects of care Sepsis/septicemia Total nutritional support: parenteral/enteral feeding Upper gastrointestinal/esophageal bleeding Ventilatory assistance (mechanical) Patient Assessment Database Data depend on the organs/body tissues involved, the current viral load, and the specific opportunistic infection (OI) or cancer. ACTIVITY/REST May report: Reduced tolerance for usual activities, progressing to profound fatigue and malaise; weakness Altered sleep patterns May exhibit: Muscle weakness, wasting of muscle mass Physiological response to activity, e.g., changes in BP, HR, respiration CIRCULATION May report: Slow healing (if anemic); bleeding longer with injury May exhibit: Tachycardia, postural BP changes Decreased peripheral pulse volume Pallor or cyanosis; delayed capillary refill EGO INTEGRITY May report: Stress factors related to lifestyle changes, losses, e.g., family support, relationships, finances, and spiritual concerns Concern about appearance: Alopecia, disfiguring lesions, weight loss, altered distribution of body fat (associated with protease-inhibiting drug therapy), thinning of extremities, wrinkling of skin
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Denial of diagnosis; feelings of powerlessness, hopelessness, helplessness, worthlessness, guilt, loss of control, depression May exhibit: Denial, anxiety, depression, fear, withdrawal
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This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

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Aids - AIDS Acquired immunodeficiency syndrome(AIDS is the...

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