Question

Patient Profile: A.R. is a 26-year-old male with a history of IV drug use. He has been clean and sober for 2 years. He was diagnosed as HIV positive 9 months ago and comes to the clinic for a check-up. He states he has difficulty remembering to take his medications consistently since beginning a new job working nights. His current CD4+T cell count is 850 cells/μL. His CD4+T count at his checkup 3 months ago was 1100 cells/μL. He reports good health and denies any recent illness or infection. He reports that he recently began dating someone 1 month ago who is HIV negative.

1. 2 short-term and 1 long-term goals for the patient , education to the patient on how to meet these goals and maintain optimum health. fllow-up care as well.

Answer 1

The specific goals for better quality life for A.V are created to promote him health and well being.

Short term goals

1. Maintain weight and display weight gain towards set and desired goal

Patient education- Provide a diet plan to the patient and advise to take small frequent meals including all nutrition and proper balanced diet. Avoid very hot liquid and food that serve nausea and irritation. Include eggs, ice cream, vegetables, fruits etc. Advise to take appropriate fluids to reduce fluid imbalance.

2. Maintain usual reality and cognition towards orientation of life

Patient education- Maintain a pleasant environment using proper auditory, visual and sensory stimuli, promote remembering of reality and routine using diary and notes, administer medication as prescribed, use alarm and technological aids to do so.

Long term goal-

1. Use of strategies to prevent the spread of disease and also ensure positive sexual health for own self

Patient education- The patient is advised to use proper care while having any intercourse and sexual activity with the HIV negative person, also provide information to the person he is dating or seeing and also ensure better prevention and care.

He is advised to follow up after 3 months and have proper medications followed.