Mental Health Nursing

A 53 years old man is diagnosed as HIV positive.

He had a history of and off diarrhea and progressive weakness for past few months. He sigmoidoscopy. Which of the following measure should the healthcare providers evaluate?

  1. A Reverse isolation and optimum nutrition
  2. B Confidentiality and social support system Correct answer
  3. C Health maintenance and follow up regimen
  4. D Family screening and prevent spread of infection

Explanation

Core Concept: Psychosocial and ethical nursing care for patients with chronic, stigmatized infectious diseases (HIV/AIDS).

Clinical Presentation:

  • Chronic diarrhea, profound weight loss, fatigue, opportunistic infections, and severe psychosocial distress or depression.

Diagnosis:

  • First-line: 4th generation HIV Ag/Ab combination immunoassay.
  • Gold Standard: HIV-1/HIV-2 differentiation assay combined with CD4 count and viral load testing for disease staging.

Management:

  • Acute: Initiate Antiretroviral Therapy (ART) and aggressively treat any opportunistic infections.
  • Long-term: Given the profound social stigma associated with HIV, evaluating and ensuring strict confidentiality, alongside assessing the patient's social support system and mental health, is a critical priority to ensure medication adherence and protect the patient's psychosocial well-being.

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