Question

3. Miguel Souza, 14 years old, comes to the free clinic complaining of a prolonged course of diarrhea. The health history reveals that Miguel's family has recently emigrated from South America: that Miguel has had seven incidences of "bad sore throats" in the past 12 months when he iniures himself it "almost always" gets infected; and he has diarrhea lasting several days at least monthly. Miguel states that he sometimes earns money as a male prostitute. Vital signs include the following: temperature 100°F, heart rate 85, respiratory rate 18, and blood pressure 125/78. Height and weight measurements are in the 5th percentile for age. No developmental delays are noted. (Learning Objectives 1, 2, 3, 4, 6, and 7) A. What other information would be important to include in Miguel's health history? B. What diagnostic tests would the nurse expect to be ordered? C. What should be included in a nutritional plan for Miguel? D. What might the psychosocial impact of HIV infection be on Miguel?

Answer 1

A: Most probably he is suspected for immunodeficiency disorder so other information would be important to include in Minguel's health history of-

• Cold and cough
• Alcohol and illicit drug
• Fatigue
• loss of appetite
• Dietary pattern (Any changes)
• Unsafe sex Practices
• Fever (day or night)

B: Expected diagnostic test:

• Physical examination
• Complete blood count (Hb level)
• White blood cell counts
• T cell counts
• Immunoglobulin level
• X-ray

C: Nutritional plan : According to Minguel's health condition these things can added in his diet:

• Small and frequent diet avoid heavy meals
• Plenty of liquid in the form of water/juice etc.
• Ginger and gargling with salt water is good for sore throat
• For boosting immunity- green tea,turmeric,kiwi
• Green leafy vegetables,fruits,poultry/dairy product
• Less spice and oil in diet

D: Psychological impact of HIV infection might lead to depression and anxiety because it will affect day to day life of Minguel. Mental health refers to the overall well-being of a person, including a person's mood, emotions, and behavior. These feelings are normal with the time it will fade. We have to provide psychological and emotional support to the client and teach them regarding excellent treatment that we have for HIV that can lead to long and full lives.