AIDS Case Study Essay

2221 Words Apr 18th, 2014 9 Pages
Client Profile: Mr. Thomas is a 42 year old man admitted to the hospital with complaints of shortness of breath, fever, fatigue and oral thrush. The health care provider reviews the laboratory and diagnostic tests with Mr. Thomas and informs him he has pneumonia and is HIV positive. Mr. Thomas believes that he contracted HIV while involved in an affair with another woman three years ago. He is afraid to tell his wife, knowing she will be angry and that she may leave him.
Case Study: The nurse assigned to care for Mr. Thomas reads in the medical record (chart) that he learned two days ago he was HIV positive. There is a note in the record that indicates that Mr. Thomas has not told his wife the diagnosis. To complete a
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Who's to blame for this?" Bargaining: "Just let me live, and I'll do anything" Depression: "I am too sad to do anything" Acceptance: "I'm at peace with what is coming".

6. Discuss which stage of grief Mr. Thomas is most likely experiencing. Provide examples of Mr. Thomas’s behavior that support your decision.

I believe that Mr. Thomas is experiencing both denial and anger. In denial, he recognizes that this is indeed happening to him but he does not want his wife to know and that is his refusal to accept what is going on. The anger portion comes from him blaming his affair for it happening in which sense he blames both himself and the woman he had the affair with.

7. What laboratory tests are used to confirm the diagnosis of HIV infection in an adult?

HIV is most commonly diagnosed by testing your blood or saliva for the presence of antibodies to the virus. A newer type of test checks for HIV antigen, a protein produced by the virus immediately after infection.

8. Discuss the function of CD4 T cells and provide an example of how the CD4 t cell count guides the management of HIV.
CD4 cells are a type of white blood cell that's specifically targeted and destroyed by HIV. A healthy person's CD4 count can vary from 500 to more than 1,000. Even if a person has no symptoms, HIV infection progresses to AIDS when his or her CD4 count becomes less than 200. (3)

9. Briefly explain the purpose of viral

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