Question

1. Fatigue
2. O2 saturation of 92%
3. 3 L of O2 via nasal cannula
4. Frequent oral and vaginal candidiasis
5. CD4 + t cell count of 185 cell/uL (low)
6. Hematocrit of 30%
7. Positive HIV antibody test
8. Refused ART because “We couldn't afford it”.
9. Pneumocystis jiroveci pneumonia (PCP)
10. AIDS
11. Seen by her health care provider 6 years ago
12. Two children ages 8 and 10, never tested for HIV infection
13. Sternum pain and difficulty swallowing
14. Esophageal candidiasis
15. Married to a former IV drug user
16. Viral load of 55, 328 copies/uL
17. BMI low (18), 100 lbs
18. 100.4 temperature
19. Husband died from AIDS-related complications
20. Respiratory distress

• Come up with 5 evidence-based interventions.

Answer 1

ANSWER :

5 EVIDENCE BASED INTERVENTIONS :

1.Interventions for medication delivery and its adherence for the chronic HIV patients :

• Making them accessible to ART drugs at low cost or making them aware that government is supplying free ART drugs along with HIV counselling.
• Text messaging interventions for medication adherence by sending messages to patients with HIV to remind them or encourage them to take their medications as prescribed.
• Messages must be sent regularly,they can be personilized to patients with 2 way communication.

2.HIV infection screening :

• The children of that patient who are at increased risk of HIV infection should be screened so that early identification and treatment can improve their immunity and decrease complications.
• It can also prevent transmission of the infection.

3.Behavioral interventions :

• Enhancing family planning sevices to prevent unwanted pregnancies .
• Awareness about barrier methods which can prevent transmission of sexually transmitted diseases like HIV.
• Creating awareness to reduce sexual risk behaviors.

4.Empowerment and Sisters Informing Sisters About Topics on AIDS ( SISTA) :

• Recruiting and maitaining a core group of young and bisexual men to design and carry out project activities.
• Recruiting volunteers to help deliver services.
• Conducting informal outreach to influence behavioral change.
• Teaching women condom use skills ,positive attitudes and norms towards consistent use of condoms.
• Emphasizing their partners involvement in practicing safer sex and discussing the cultural and gender related issues.

5.Interventions to improve employment outcomes for HIV infected people:

• For people living with HIV ,loss of job can make it harder to cope with their illness.
• Along with ART therapy , make changes to their working environment and offer psychological support to cope up with their illness ,especially at work.