This document provides information on managing patients with AIDS. It discusses the introduction and global impact of HIV/AIDS. It then covers basic facts about HIV and AIDS, including causative agents, transmission, clinical staging, opportunistic infections, cancers, and complications. The remainder of the document outlines diagnosis, treatment, nursing management including common nursing diagnoses, and prevention of HIV/AIDS. It aims to inform on all aspects of caring for patients living with HIV/AIDS.
This is a lecture by Katherine A Perry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications.
This is a lecture by Katherine A Perry from the Ghana Emergency Medicine Collaborative. To download the editable version (in PPT), to access additional learning modules, or to learn more about the project, see http://openmi.ch/em-gemc. Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Share Alike-3.0 License: http://creativecommons.org/licenses/by-sa/3.0/.
Diabetes is a chronic illness that requires continuing medical care and patient self-management education to prevent acute complications and to reduce the risk of long-term complications.
Pneumonia is an inflammation of the lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi, and viruses.
Pneumonitis is a more general term that describes the inflammatory process in the lung tissue that may predispose and Pneumonia is an inflammation of the lung parenchyma that is caused by a microbial agent.
place the patient at risk for microbial invasion.
Pneumonia is classified into four: community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP), pneumonia in the immunocompromised host, and aspiration pneumonia.
Meningitis involves meninges
Viral meningitis
Bacterial meningitis
Fungal meningitis
Parasitic meningitis
Meningitis is an acute inflammation of the meningeal tissues surrounding the brain and the spinal cord (meninges).
Skipping vaccinations
Age-Viral meningitis occur in children younger than age 5. Bacterial meningitis is common in those under age 20.
Living in a community setting
Pregnancy.
Compromised immune system. AIDS, alcoholism, diabetes, use of immunosuppressant drugs etc.
Primary- Neisseria meningitidis
Secondary- E. coli
Haemophilus influenzae
Streptococcus pneumoniae
Meningitis involves meninges
Viral meningitis
Bacterial meningitis
Fungal meningitis
Parasitic meningitis
Meningitis is an acute inflammation of the meningeal tissues surrounding the brain and the spinal cord (meninges).
Skipping vaccinations
Age-Viral meningitis occur in children younger than age 5. Bacterial meningitis is common in those under age 20.
Living in a community setting
Pregnancy.
Compromised immune system. AIDS, alcoholism, diabetes, use of immunosuppressant drugs etc.
Primary- Neisseria meningitidis
Secondary- E. coli
Haemophilus influenzae
Streptococcus pneumoniae
Urinary Tract Infection with Nursing ManagementSwatilekha Das
Urinary Tract Infection introduction, definition, common microorganisms, classification, predisposing factors, clinical manifestations, pathophysiology, diagnostic studies, medical management and nursing management along with assessment, nursing diagnosis, goal, nursing interventions and expected outcome after the intervention.
Rheumatic heart disease is a condition in which the heart valves have been permanently damaged by rheumatic fever. The heart valve damage may start shortly after untreated or under-treated streptococcal infection such as strep throat or scarlet fever.
Pneumonia is an inflammation of the lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi, and viruses.
Pneumonitis is a more general term that describes the inflammatory process in the lung tissue that may predispose and Pneumonia is an inflammation of the lung parenchyma that is caused by a microbial agent.
place the patient at risk for microbial invasion.
Pneumonia is classified into four: community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP), pneumonia in the immunocompromised host, and aspiration pneumonia.
Meningitis involves meninges
Viral meningitis
Bacterial meningitis
Fungal meningitis
Parasitic meningitis
Meningitis is an acute inflammation of the meningeal tissues surrounding the brain and the spinal cord (meninges).
Skipping vaccinations
Age-Viral meningitis occur in children younger than age 5. Bacterial meningitis is common in those under age 20.
Living in a community setting
Pregnancy.
Compromised immune system. AIDS, alcoholism, diabetes, use of immunosuppressant drugs etc.
Primary- Neisseria meningitidis
Secondary- E. coli
Haemophilus influenzae
Streptococcus pneumoniae
Meningitis involves meninges
Viral meningitis
Bacterial meningitis
Fungal meningitis
Parasitic meningitis
Meningitis is an acute inflammation of the meningeal tissues surrounding the brain and the spinal cord (meninges).
Skipping vaccinations
Age-Viral meningitis occur in children younger than age 5. Bacterial meningitis is common in those under age 20.
Living in a community setting
Pregnancy.
Compromised immune system. AIDS, alcoholism, diabetes, use of immunosuppressant drugs etc.
Primary- Neisseria meningitidis
Secondary- E. coli
Haemophilus influenzae
Streptococcus pneumoniae
Urinary Tract Infection with Nursing ManagementSwatilekha Das
Urinary Tract Infection introduction, definition, common microorganisms, classification, predisposing factors, clinical manifestations, pathophysiology, diagnostic studies, medical management and nursing management along with assessment, nursing diagnosis, goal, nursing interventions and expected outcome after the intervention.
Rheumatic heart disease is a condition in which the heart valves have been permanently damaged by rheumatic fever. The heart valve damage may start shortly after untreated or under-treated streptococcal infection such as strep throat or scarlet fever.
Acquired Immunodeficiency Syndrome is severe HIV infection.
There were 940,000 deaths from AIDS in 2017.
Lancet estimated that global incidence of HIV infection peaked in 1997 at 3.3 million/year.
Epidemiology of HIV & AIDS.pptx presentation 2024Motahar Alam
Epidemiology of HIV/AIDS encompasses the study of the distribution and determinants of HIV infection and AIDS-related illnesses within populations. HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immunodeficiency Syndrome), a condition characterized by a weakened immune system, making individuals susceptible to various infections and illnesses.
Key aspects of the epidemiology of HIV/AIDS include:
Prevalence and Incidence: Prevalence refers to the total number of people living with HIV/AIDS within a population at a specific time, while incidence refers to the rate of new infections occurring within a given period. These measures help understand the burden of the disease and its spread over time.
Demographic Patterns: HIV/AIDS affects different demographic groups differently. Factors such as age, gender, race/ethnicity, socioeconomic status, and geographical location can influence susceptibility, access to healthcare, and outcomes. For example, in many regions, young adults and certain minority populations may have higher rates of infection.
Transmission Routes: Understanding how HIV is transmitted is crucial for prevention efforts. HIV primarily spreads through unprotected sexual intercourse, sharing contaminated needles or syringes, and from mother to child during childbirth or breastfeeding. Other modes of transmission include blood transfusions (though rare in regions with screening protocols) and occupational exposure.
Risk Factors: Certain behaviors and circumstances increase the risk of HIV transmission. These include having multiple sexual partners, engaging in unprotected sex, using intravenous drugs, lack of access to healthcare, poverty, stigma, and discrimination. Additionally, structural factors such as laws and policies can influence risk behaviors and access to prevention and treatment services.
Global Distribution: HIV/AIDS is a global pandemic, but its prevalence varies widely between countries and regions. Sub-Saharan Africa remains the most affected, with the highest burden of HIV infections worldwide. However, significant progress has been made in some regions, while new challenges emerge in others, such as Eastern Europe and Central Asia.
Progress in Prevention and Treatment: Efforts to combat HIV/AIDS include prevention strategies such as promoting condom use, harm reduction programs for injecting drug users, pre-exposure prophylaxis (PrEP), and comprehensive sexual education. Antiretroviral therapy (ART) has transformed HIV/AIDS into a manageable chronic condition for many, reducing mortality and transmission rates.
Challenges and Future Directions: Despite significant progress, challenges remain in the global response to HIV/AIDS. These include disparities in access to healthcare, stigma and discrimination, funding gaps, emergence of drug-resistant strains, and persistent barriers to prevention and treatment in certain populations.
Highly active antiretroviral therapy: Incidence of adverse drug reactionspharmaindexing
The Acquired Immunodeficiency Syndrome (AIDS) was first recognized in 1981, in theUnitedStates of America in young homosexual men who had Kaposi sarcoma and serious infections. HIV is transmitted through unprotected sexual intercourse, transfusion ofcontaminated blood, sharing of contaminated needles and between a mother and her infant during pregnancy, childbirth and breastfeeding. In India, an estimated 0.1 percent of adults aged 15-49 are living with HIV, which seems low when compared to HIV prevalence in some parts of sub- Saharan Africa.The HIV prevalence at antenatal clinics was 1% in 2007. This number is smaller than the reported 1.26% in 2006, but remains the highest out of all states. HIV prevalence at STD clinics was very high at 17% in 2007.Although adverse reactions are common and often predictable, their management must be individualized.In addition, the patient's report of severity can be inconsistent with the clinical interpretation and this must be considered when determining the management of adverse reactions.Antiretroviral therapy is effective for HIV treatment but also increasingly complex. The many adverse effects of therapy may cause symptoms affecting a variety of organ systems. Patient nonadherence is the reason for the treatment failure to antiretroviral therapy. To optimize adherence treating physicians must focus on early detection and prevention of ADRs, when possible and distinguishing those that are self-limited from those that are potentially serious. Pharmacist should be able to detect ADRs and the culture of reporting ADRs should be instructed. All ART centers should have pharmacovigilance cell. All ADRs reported should be analyzed as per WHO guidelines of causal assessment.Our study concluded that there is a need of active Pharmacovigilance centre with intensive monitoring for ADRs by the Pharmacist in Indian HIV positive patients
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
Management of patient with AIDS
1. MANAGEMENT OF PATIENT WITH
AIDS
MATHEW VARGHESE V
MSN(RAK),FHNP (CMC Vellore),CPEPC
Nursing officer
AIIMS Delhi
2. INTRODUCTION
HIV continues to be a major global public health
issue, having claimed more than 32 million lives so
far.
However, with increasing access to effective HIV
prevention, diagnosis, treatment and care, including
for opportunistic infections, HIV infection has
become a manageable chronic health condition,
enabling people living with HIV to lead long and
healthy lives.
There were approximately 37.9 million people
living with HIV at the end of 2018.
4. BASIC FACTS ABOUT HIV
HIV stands for human immunodeficiency virus.
The virus destroys a type of white blood cell in the
immune system called a T-helper cell (CD4 cells) and
makes copies of it inside these cells
As HIV destroys more CD4 cells and makes more
copies of it, it gradually weakens a person’s immune
system.
If HIV is left untreated, it may take up to 10 or 15 years
for the immune system to be so severely damaged
However, the rate at which HIV progresses varies
depending on age, general health and background
5. BASIC FACTS ABOUT HIV
People with HIV can enjoy a long and healthy life
by taking ART which is effective and available to all.
It’s possible for antiretroviral treatment to reduce
the level of HIV in the body to such low levels that
blood tests cannot detect it.
People living with HIV whose viral load is confirmed
as undetectable cannot pass on HIV.
Regular for HIV is important to know your status.
6. BASIC FACTS ABOUT AIDS
AIDS stands for acquired immune deficiency
syndrome; it’s also called advanced HIV infection or
late-stage HIV.
AIDS is a set of symptoms and illnesses that
develop as a result of advanced HIV infection which
has destroyed the immune system.
Although there is no cure for HIV, with the right
treatment and support, people living with HIV can
enjoy long and healthy lives.
7. CAUSATIVE AGENT OF AIDS-
HUMAN IMMUNODEFICIENCY VIRUS
HIV is a retrovirus that contains only RNA.
The most common type is known as HIV-1
There is also an HIV-2 that is much less common
and less virulent, but eventually produces clinical
findings similar to HIV-1.
The HIV-1 type itself has a number of subtypes (A
through H and O) which have differing geographic
distributions but all produce AIDS similarly.
14. IMMUNOLOGICAL STAGING OF HIV
INFECTION
Stage CD4 cell count
Not significant
immunosuppression
>500/mm3
Mild immunosuppression 350 −499/mm3
Advanced
immunosuppression
200−349/mm3
Severe immunosuppression <200/mm3
15. IMPLICATIONS FOR CLINICAL AND IMMUNOLOGICAL
CRITERIA FOR INITIATING ART IN ADULTS AND
ADOLESCENTS
Clinical
stage
ART
4 Treat.
3 Consider treatment: CD4, if available, can guide
the urgency with which ART should be started.
1 or 2 Only if CD4<200/mm3
17. CANCERS COMMON TO HIV/AIDS
Kaposi's sarcoma.
A tumor of the blood
vessel walls, this cancer is
rare in people not infected
with HIV, but common in
HIV-positive people. It
usually appears as pink,
red or purple lesions on
the skin and mouth.
Lymphoma.
This cancer starts in the
white blood cells. The
most common early sign is
painless swelling of the
lymph nodes in your neck,
armpit or groin.
19. DIAGNOSIS OF HIV INFECTION
Serologic testing for HIV
• HIV antibody assays by ELISA and Western
blot
• Rapid tests / Card Test
• HIV p24 antigen assay
Urine and saliva Test
Viral Load Test
20. TESTS TO STAGE DISEASE AND TREATMENT
• CD4 T cell
count.
• Viral load
(HIV RNA).
• Drug
resistance.
26. AIDS MEDICATIONS
Nucleoside Reverse Transcriptase Inhibitors
(NRTI)
These drugs interrupt the virus from duplicating,
which may slow the spread of HIV in the body. They
include:
Abacavir (Ziagen, ABC)
Didanosine (Videx, dideoxyinosine, ddI)
Emtricitabine (Emtriva, FTC)
Lamivudine (Epivir, 3TC)
Stavudine (Zerit, d4T)
Tenofovir (Viread, TDF)
Zalcitabine (Hivid, ddC)
Zidovudine (Retrovir, ZDV or AZT)
27. PROTEASE INHIBITORS (PI)
These FDA-approved drugs interrupt virus
replication at a later step in the virus life cycle.
Protease inhibitors include:
Amprenavir (Agenerase, APV)
Atazanavir (Reyataz, ATV)
Fosamprenavir (Lexiva, FOS)
Indinavir (Crixivan, IDV)
Lopinavir (Kaletra, LPV/r)
Ritonavir (Norvir, RIT)
Saquinavir (Fortovase, Invirase, SQV)
28. OTHER AIDS MEDICATIONS
Fusion Inhibitors
Fusion inhibitors are a new class of drugs that act
against HIV by preventing the virus from fusing with
the inside of a cell, preventing it from replicating.
The group of drugs includes Enfuvirtide, also
known as Fuzeon or T-20.
29. Non-Nucleoside Reverse Transcriptase Inhibitors
(NNRTI)
Non-nucleoside reverse transcriptase inhibitors
(NNRTIs) block the infection of new cells by HIV.
These drugs may be prescribed in combination with
other anti-retroviral drugs.
NNRTs include:
Delvaridine (Rescriptor, DLV)
Efravirenz (Sustiva, EFV)
Nevirapine (Viramune, NVP)
30. Highly Active Antiretroviral Therapy (HAART)
In 1996, highly active antiretroviral therapy
(HAART) was introduced for people with HIV and
AIDS.
HAART — often referred to as the anti-HIV
"cocktail" — is a combination of three or more
drugs, such as protease inhibitors and other anti-
retroviral medications.
The treatment is highly effective in slowing the rate
at which the HIV virus replicates itself, which may
slow the spread of HIV in the body.
The goal of HAART is to reduce the amount of virus
in your body, or the viral load, to a level that can no
longer be detected with blood tests.
31.
32.
33. PREVENTION
Use a new condom every time you have
sex.
Consider pre exposure prophylaxis
(PrEP).
Tell your sexual partners if you have HIV
Use a clean needle.
If you're pregnant, get medical care right
away.
Consider male circumcision
37. NURSING DIAGNOSES
Nursing Diagnosis: Diarrhea related to enteric
pathogens or HIV infection
Goal: Resumption of usual bowel habits
Nursing Diagnosis: Risk for infection related to
immunodeficiency
Goal: Absence of infection
Nursing Diagnosis: Ineffective airway clearance
related to Pneumocystis carinii pneumonia, increased
bronchial secretions, and decreased ability to cough
related to weakness and fatigue
Goal: Improved airway clearance
38. NURSING DIAGNOSES
Nursing Diagnosis: Imbalanced nutrition, less than
body requirements, related to decreased oral intake
Goal: Improvement of nutritional status
Nursing Diagnosis: Deficient knowledge related to
means of preventing HIV transmission
Goal: Increased knowledge concerning means of
preventing disease transmission
Nursing Diagnosis: Social isolation related to stigma of
the disease, withdrawal of support systems, isolation
procedures, and fear of infecting others
Goal: Decreased sense of social isolation
39. NURSING DIAGNOSES
Nursing Diagnosis Risk For compliocations :
Opportunistic infections; impaired breathing;
wasting syndrome and fluid and electrolyte
imbalances; adverse reaction to medications
Goal: Absence of complications
Opportunistic Infections
Impaired Breathing
Wasting Syndrome and Fluid and Electrolyte
Disturbances
Reactions to Medications
40. STUDY
Nursing Practice to Support People Living
With HIV With Antiretroviral Therapy Adherence
A Qualitative Explorative Study (16 Samples)
Rouleau, Geneviève RN, MSc*; Richard, Lauralie
RN, PhD; Côté, José RN, PhD; Gagnon, Marie-
Pierre PhD; Pelletier, Jérôme RN, MSc
Author InformationJournal of the Association
of Nurses in AIDS Care: July-August 2019 - Volume
30 - Issue 4 - p e20-e37
doi: 10.1097/JNC.0000000000000103
41. RESULTS
We explored HIV nursing practice, particularly the
challenges that nurses face in promoting ART
adherence and opportunities for practice
development in the field.
The nurse–patient relationship was at the forefront
of nursing practice to support PLWH.
This practice translated into a range of nursing
activities to foster ART adherence by supporting
PLWH in their whole situation, including the
assessment of an array of dimensions related to
PLWH health, teaching and sharing knowledge,
coordinating care, and connecting PLWH with
resources.
42. RESULTS
Providing HIV nursing care, especially ART-related care,
to PLWH was challenging in three areas:
(a) performing nursing roles at the interface of social
and biomedical boundaries,
(b) misalignment between nurse and patient
expectations regarding ART (non) adherence,
making nurses feel powerless when faced with
situations of nonadherence, and
(c) dealing with sociopolitical determinants affecting
access to health care resources and
services. Nurses mobilized a range of resources—
knowledge, networks, and strategies—to build capacity
and overcome challenges relating to their practices with
PLWH.
43. REFERENCES
UNAIDS ‘Overview: India’ accessed November 2019)
World Bank, ‘Data: India’ (accessed November 2019)
UNAIDS ‘Overview: India’ accessed November 2019)
https://www.mayoclinic.org/diseases-conditions/hiv-
aids/diagnosis-treatment/drc-20373531
https://www.google.com/search?q=diagnosis+f+hiv&rlz=1C1C
HBF_enIN808IN808&oq=diagnosis+f+hiv&aqs=chrome..69i57
j0l7.8650j1j7&sourceid=chrome&ie=UTF-8
https://www.mayoclinic.org/tests-procedures/hiv-
testing/about/pac-20385018
https://webpath.med.utah.edu/TUTORIAL/AIDS/AIDS.html
https://www.avert.org/about-hiv-aids/how-infects-body
https://www.who.int/news-room/fact-sheets/detail/hiv-aids
https://www.healthline.com/health/hiv-aids