Your 36-year-old patient has just tested positive for HIV. He asks that you not inform his...

Your 36-year-old patient has just tested positive for HIV. He asks that you not inform his wife of the results and claims he is not ready to tell her yet. You also are aware that your sister has been seeing this man.

What is your role legally? What would you say to your patient? Would you tell your sister?

Expert Solution

As a health care professional we need to think from 2 aspects.

Partner notification the responsability of the patient and the responsability of the health care professional.

Partner notification responsability of the patient.

The infected person himself telling his partner and needle sharing people about the infection will help in screening more people and help to provide postexposure prophylaxis accordingly so that the viral load in the society can be reduced. In some countries the hiv infected index person is primarily responsible to inform his or her partner and needle sharing people about the infection. It depends upon the rules of each countries.

As a health care professional.

Many countries offer physicians to conduct partner notification. Partner notification is usually voluntary, but can be done without the consent of the index patient. It is based on the ethical principle do no harm. It is to confidentially tell the partners so that they can get texted.

To the patient I will try to convince him the need to disclose atleast to the close ones so that they can be protected. I will try to convince him that .

To my sister as a family member I can warn her for the person with whom she is hanging out. From a professional view, for my personal favour I should not disclose it rather I would some how convince the index patient to inform my sister.

All these are possibilities and legal considerations. The final decision is taken upon following the legal aspects of the country.

Nightingale answered 2 years ago

Your patient is a 32-year-old sedentary male with a BMI of 36. He has no scientific...

Your patient is a 32-year-old sedentary male with a BMI of 36. He has no scientific or healthcarerelated education whatsoever, aside from what little he might remember from high school. His fasting blood glucose reading today was 165 mg/dL and his A1c levels came back at 8.7%. Explain, using language appropriate for his education level: a. That he is diabetic, and what that physiologically means. b. What he needs to do to control his diabetes and how each step works....

A 34-year-old pregnant female discovered that her husband tested positive for HIV. She was never screened...

A 34-year-old pregnant female discovered that her husband tested positive for HIV. She was never screened for HIV infection earlier. She shares this information to her physician during delivery. Immediate screening of the infant with molecular methods such as qPCR yielded positive results. a. Explain the algorithm for laboratory diagnosis for screening and determination of true positive for the newborns? b. If the results are true positives, how should the infant be monitored? c. If the initial screening at birth...

Your 20 year old cousin asks you about HIV and how it could affect her. Explain...

Your 20 year old cousin asks you about HIV and how it could affect her. Explain to her, using appropriate terminology (for a 20 year old relative): i) exactly how HIV can be transmitted, ii) how she could be at risk, and iii) what measures she could take to protect herself

4. A 36-year-old patient is dying from acute lymphocytic leukemia. He is a home hospice patient,...

4. A 36-year-old patient is dying from acute lymphocytic leukemia. He is a home hospice patient, and 6 hours ago his family brought him to the emergency room for pain and intractable vomiting. He’s now resting comfortably after receiving medications and hydration. His family, however, is concerned because they’ve noticed that his extremities look mottled. He also rouses less easily. His blood pressure is 80/40 and his pulse is 150, with occasional skipped beats. The family reviews his DNR status...

A patient has recently been diagnosed as positive for human immunodeficiency virus (HIV). The patient is...

A patient has recently been diagnosed as positive for human immunodeficiency virus (HIV). The patient is unsure whether the medication regimen prescribed is actually helping. The patient complains of several adverse effects and is especially upset because he or she was asymptomatic before beginning treatment. How would you respond? What information about the progression of HIV/AIDS could you provide that will aid the patient in sticking to the treatment regimen?

A HIV positive patient of European ancestry has been referred to you for treatment. A standard treatment...

A HIV positive patient of European ancestry has been referred to you for treatment. A standard treatment is a cocktail of retroviral drugs including abacavir. Before prescribing this, you review the patient’s records and see that one of her cousins had a lethal reaction to abacavir treatment. a. What test or tests would you do on the patient before starting her on abacavir? b. What results of your test would cause you to not make this prescription c. Explain to the patient,...

A 34-year-old male patient presents to the ER with severe flank pain. He has just returned...

A 34-year-old male patient presents to the ER with severe flank pain. He has just returned from being on a trek through Nepal for the past month. A skin pinch test has very slow rebound of the skin. The patient complains of thirst and difficulty in urinating. a. What is the most likely diagnosis of the patient? b. Explain the pathophysiology of the condition listed in (a) c. How would this condition be treated? d. What is your first priority...

In March 2012, two patients - a 39-year-old man (Patient 1) and a 36-year-old woman (Patient...

In March 2012, two patients - a 39-year-old man (Patient 1) and a 36-year-old woman (Patient 2) - presented at a hospital in Queens, NY with symptoms of vomiting followed by dysphagia, diplopia, dysarthria, dyspnea, and difficulty walking. Neurologic examination of Patient 1 (who arrived on March 12th) revealed bilateral cranial nerve deficits: dilated pupils minimally reactive to light, ptosis, oculomotor palsy, and facial paralysis. He was admitted to the intensive-care unit. Electromyography studies eventually were determined to be suspicious...

Sauron is an HIV-positive patient who also suffers from herpes and rheumatoid arthritis. He was diagnosed...

Sauron is an HIV-positive patient who also suffers from herpes and rheumatoid arthritis. He was diagnosed with HIV in the late 90s and was prescribed a combination of three antiretroviral (ARV) drugs comprising two nucleotide reverse-transcriptase inhibitors (NRTI) and one non-nucleotide reverse-transcriptase inhibitor (NNRTI). Quite recently, his ARV treatment was changed to a fixed-dose combination (FDC) of the same drugs. His doctor also prescribed fluconazole as prophylaxis for candida suppression. a. If Sauron is taking interferon-α to treat the herpes,...

Mr. Chen asks the nurse how he should be instructing his 14-year-old child to use the...

Mr. Chen asks the nurse how he should be instructing his 14-year-old child to use the newly prescribed inhaler. In your post explain how you as a nurse would teach Mr. Chen and his son. Include how, when, and why using scholarly sources.

Question