02 Aug Mr. Frank ?is a 42-year old male who presents to the free- clinic with complaints of a cough and fever. He reports cough and fever began 2 weeks ago. Symptoms initially w
Mr. Frank is a 42-year old male who presents to the free- clinic with complaints of a cough and fever. He reports cough and fever began 2 weeks ago. Symptoms initially were accompanied by dyspnea on exertion, but he is now short of breath even at rest. Upon taking history, the Nurse Practitioner discover that the patient lives in a homeless shelter and upon history admits to using IV heroin intermittently for many years. He denies any prior health problems. On review of systems, he admits to 12-month history of fatigue, weight loss, and diarrhea. The Nurse Practitioner discusses screening for HIV for which the patient consents.
Social History: Divorced 5 years ago without children, has lived in the homeless shelter for 5-years, does not smoke, drinks alcohol occasionally, prior marijuana abuse, now uses IV heroin “off and on” for more than 8 years.
Diagnostic Studies: CXR reveals diffuse, bilateral, interstitial infiltrates that look like “ground glass”. ELISA test positive.
Diagnosis: 1) Pneumocystis jiroveci 2) Probable HIV- ELISA Positive
Discuss the following:
1. Explain the physiological basis for pneumocystis jiuroveci in this patient with HIV.
2. Why did the Nurse Practitioner ask if the patient had symptoms of fatigue, weight loss, and diarrhea?
3. Explain the physiological basis of muscle wasting in the presence of HIV.
4. Discuss implications associated with HIV testing.
5. Discuss HIV screening test and explain subsequent HIV testing that is appropriate. Provide rationale.
6. The Nurse Practitioner expects this patient’s CD4+ T-cell count to be_________. Why?
7. Develop an evidence-based plan of care for this patient that includes rationale for each intervention.
8. Discuss appropriate patient education.
9. Discuss HIV as a reportable disease.
10. Discuss partner notification laws in your upcoming state of licensure.
11. Incorporate the Christian worldview in answering this assignment.
Document this assignment in a 3 pages word document, include 4 references published in the last five years.
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteEdu. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
Do you need help with this question?
Get assignment help from WriteEdu.com Paper Writing Website and forget about your problems.
WriteEdu provides custom & cheap essay writing 100% original, plagiarism free essays, assignments & dissertations.
With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Chat with us today! We are always waiting to answer all your questions.