Question

Scenario: Chief Complaint: Fever , AIDS. 40 year old white male resides at the hotel and lives on social security disability; diagnosed with AIDS, end stage, addiction, and agoraphobia presents with fever X2 weeks, no thermometer available, diarrhea daily. He tends to miss appointments because of his extreme anxiety in public places. He has not been on antiretroviral therapy due to his inability to regularly take medications. He is not in contact with case management, but there is a special hospice for homeless people with AIDS and perhaps it might be time to consider a referral for more supportive services.

Vital signs: 100/70 64 18 99.8 BMI:17   Gen: thin white male

skin: dry and flacking multiple nevi ruddy complexion, red flaky, rash on naso/ labial folds, and scalp + DANDROFF

HEENT:  Poor definition, gengevitus, shotty lymph nodes posterior / Anterior cervical.

Question: How would APRN (Nurse practitioner) prepare for home visit? Explore the practical concerns, the equipment APRN need to bring, and goals for the patient’s care.

Question: What might you want as Nurse practitioner to know from the case management and supportive services team?

Question: What specific things would you assess as Nurse practitioner at this visit?

Question: What are the essential elements of the history and physical today?

Question: What is your assessment as Nurse Practitioner ?

Question: What is your plan?

Answer 1

The APRN nurse use new glouse for every patient ,Wear protective eye wear ,mask,face shield during procedure likely to generate droplets of blood or body flluids, In general protective eye wear mask and clothhing are not needed for routine care of Aids persons

The university of Texas medical branch at Galveston have discover d a new potential medication that works with an hiv infected persons own body to further suppress the ever present but silent virus that available to combat, the nurse shouuld learn the basics of the care of the patient with hvi along with the modern treatment regimans and available new medicines also.

The nurse should assess the current nutritional status and body buit of the patient,acute pain,oral mucos,thought process,and social isolation

Taking care of people living with HIV/AIDS

An immportant function of inpatient AIDS care is the efficient planning of patiennts action should be stepped up to cope with the projected burden of aids related illness on the medical therapy,Comprehensive care plans help the clients care to ensure clients are keeping up with their health goals.The plan of care for patient with Aids is individuualized to meet the needs of the patient.

plz give a thums up