Unformatted text preview: Chiropractic Management of the HIV/AIDS Patient
Questions Submitted by Gender Class 2005
Presented by John S. Mosby, B.A., B.S., D.C., M.D. 1. Will AIDS Patients Come Into 1. Will AIDS Patients Come Into Our Practice?
What do you think? YES
How many of you know someone who has HIV/AIDS? Or know someone who knows someone with HIV/AIDS?
Curtis Day, D.C., Chicago/One of my consultants
Large Percentage of his practice consists of HIV/AIDS patients AIDS Patients Are Diagnosed Earlier AIDS Patients Are Diagnosed Earlier Today Have new medical treatments prolonged the lives of Persons Living With AIDS (PLWA)? Have the number of new cases leveled off? HIV Estimate: No One Really Knows
HIV Estimate: No One Really Knows HIV+AIDS Estimate For 2005: Approximately 1,200,000 250,000 or more have HIV but don’t know it Reference: National HIV Prevention Conference June 2005 Atlanta Historical Review: The Spread of AIDS DOT MAP 1983 DOT MAP 1985 DOT MAP 1989
DOT MAP 1989 DOT MAP 1995
DOT MAP 1995 DOT MAP 1996 Palmer HIV/AIDS Case Study
Palmer HIV/AIDS Case Study 2. How Will HIV/AIDS Patients 2. How Will HIV/AIDS Patients Present? CLINICAL MANAGEMENT:
CLINICAL MANAGEMENT: Common Findings in HIV/AIDS Patients NONE Expected S/S and Frequency: FEVER 96% LYMPHADENOPATHY 74% PHARYNGITIS 70% RASH 70% MYALGIA/ARTHRALGIA 54% PROGRESSION OF PROGRESSION OF HIV TO AIDS Retroviral Illness 26 Weeks Positive Test 624 Weeks Symptoms 110 Yrs. Or More (First noticeable symptoms usually 10 years after exposure unless PEP) PROGRESSION OF PROGRESSION OF HIV TO AIDS
AIDS 711 Years (AIDS usually occurs 711 yrs. or more post exposure.)
Recommendations for testing:
Baseline, 6 wks., 3 mos., 6 mos. TESTING
TESTING Orasure ELISAEnzymelinked immunosorbent assay Western Blotused to confirm P24 AntigenHIV replication PCR Polymerase Chain Reactionquantity
References: CDC AIDS HOTLINE 1800342AIDS, p.1285 CMDT
CDC Publication: Frequently Asked Questions on HIV/AIDS 3. What Are Common Illnesses In AIDS Patients? Most Recent Clinical Presentations
Most Recent Clinical Presentations
3. Lipodystrophy, Lipoatrophy
Mouth/Yeast 4. Do We Have To Care For These Patients Differently? Answer:
Answer: No, Adjust Them Are There Any Special Are There Any Special Precautions That Chiropractors, Their Staff, And Their Patients Should Take While Being Near An AIDS Patient? Answer
Answer No! Universal Precautions Apply Federal Law: Exposure To Bloodborne Pathogens Standards Apply In Certain Situations Policy Manual Spill Kit Precautions
Precautions Skin Lesions Fluid (Especially Bloody) = Glove Up Last Question Submitted:
5. What Are The Risks To Our Other Patients? Hepatitis B (and C)
Hepatitis B (and C) Up to 100 times easier to catch than HIV Unlike HIV, can live outside of body several days HIV vs. Hepatitis B.
HIV vs. Hepatitis B.
Transmitted through blood, semen, vaginal secretions and breast milk Transmitted through blood, semen, and vaginal secretions 1050
Virus particles per ml of blood 1,000,0001,000,000,000 Virus particles per ml of blood Virus lives outside the body only a few hours Virus lives outside the body for up to 7 days
Up to 100 times easier to catch than HIV No vaccination available Vaccinations available – 3 doses Last Question Submitted:
What Are The Risks To Our Other Patients?
In Reference To…? NEUROIMMUNOLOGY
NEUROIMMUNOLOGY Nerve fibers physically link the nervous system and the immune system
Since the 18th Century medical doctors have relied on the concept that WBCs control immunity
New Concept=Nerve fibers control immune system
Medicine may validate the chiropractic subluxation! Ref: Psychoneuroimmunology, Academic Press 3rd Edition, David Felten, 2001
Slide 33 No Matter Who Your Patient Is
You Have A Lot To Offer
Chiropractic Is Your Gift To Humanity
Let’s Correct Subluxations And Try To Help All Of
Our Patients Enjoy At Least One More Day Of
Make One More Step Even If It May Be A Little
Toward Wellness! ...
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This note was uploaded on 01/03/2012 for the course DIAG 717 taught by Professor Killinger during the Summer '09 term at Palmer Chiropractic.
- Summer '09