Question

In: Nursing

Ms. Nicolette Nevin, age 26, has been diagnosed as HIV positive. She asks, “Do I have...

Ms. Nicolette Nevin, age 26, has been diagnosed as HIV positive. She asks, “Do I have AIDS, and am I going to die?”

  1. As her nurse, what should you say to her?

  2. When is the patient with HIV considered to have AIDS?

  3. Ms. Nicolette is started on a combination of Sulfamethoxazole and Trimethoprim (TMP- SMX [Bactrim, Septra, Cotrim]) medication. Why?

Solutions

Expert Solution

a)

  • The nurse should maintain interpersonal relationship to the patient and provide psychological support.
  • Provide accurate information about HIV disease and new treatment.
  • Explore the client 's perception of HIV disease.
  • Correct any misconceptions about HIV disease.
  • Refer the client to HIV or AIDS support groups.
  • Encourage the client to share her thoughts, feelings, beliefs and concerns with someone who is supportive.
  • Convey empathy
  • Teach the client's family basic theraputic communication skills. For example, teach them to listen to the client's concerns without interuption and to avoid false reassurance.
  • Teach intervention to the client and her family that may be useful in decreasing anxiety (eg: deep breathing, progressive relaxation and massage )
  • Teach the client and her family about anxiolytics and other prescribed medications.
  • Teach the client's family about providing calm and quiet environment.

b) A person with HIV is considered to have progressed to AIDS when: the number of their CD4 cells falls below 200cells per cubic millimeter of blood.

c) Sulfamethaxazole - trimethoprim has been shown to reduce HIV related mortality among adults and children when used as prophylaxis against opportunistic infections.


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