About
Acquired immunodeficiency syndrome, diagnosed after a person has + HIV diagnosis, and either a low CD4 count or an active infection.
Assess
Same as with HIV, but client may present with a high viral load and low CD4 counts; assess for recent exposure to infection or illness, assess for opportunistic infections including pneumonias, lesions that will not heal, fungal infections. Fatigue, fever, lethargy, confusion.
Complications
Opportunistic infections; pneumonia, gastrointestinal infections, viruses.
Other diseases- Kaposi's sarcoma, cancers, diabetes
Wasting syndrome- diarrhea, malabsorption, decreased appetite, mouth sores
AIDS dementia complex
Death
Diagnosis
- Fear related to possible death
- Risk for infection related to compromised immune system
- Risk for loneliness related to isolation, illness progression
Goals
- The client will remain free from opportunistic infections.
- The client will maintain adequate nutrition.
- The client will have no signs of impaired skin integrity.
Interventions
- Maintain universal precautions.
- Monitor vitals, pulse oximetry, and intake/ outputs.
- Monitor skin integrity, turn every two hours if immobile, apply pressure reducing surfaces as necessary.
- Balance rest and activity; encourage frequent rest periods.
- Encourage client to verbalize fears and concerns.
- Encourage client to maintain adequate hydration and nutritional intake.
- Administer medications, as ordered, for infection and symptom management.
- Administer oxygen as ordered.
- Administer analgesics for pain as ordered.
- Allow for multiple opportunities to talk about illness, side effects, concerns, fears, needs, and anything else the client may want to verbalize.
- Monitor for signs/ symptoms of complications.
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