Nursing chronic condition journaling Scenario ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS) Demog: 29 yo Oriental female; single; rooming house Diagnosed: age 26 years Hx: suspect heterosexual transmission from partner who had used IV drugs; AIDS-defined with Pneumocystis (carinii) jiroveci; recurrent fungal infections; herpes zoster; memory loss; T cell count = 75 Current disease status: active Potential complications: multisystem effects; opportunistic infections; death Treatments: anti-HIV & prophylactic medication regimen; nutrition plan; multidisciplinary approach @ outpatient clinic Current situation: grieve loss childbearing capacity & unachieved adult roles & education; rejection by family; stigma of condition Client goals: stay functional with dignity as long as possible; prevent recurrent infections; start support group Task is to create ajournal Directions : 1. Introduce character & their family. a. The scenario may not provide information on the character or their family; students are responsible to provide for a complete character and family members in full. 2. All information from the students chosen scenario must be included in the Introduction of the character and family, and briefly state 3. Complete an Individual Developmental Assessment specific to the character, using Havighurst. 4. Complete a Family Developmental Assessment of the family unit using Duvall. 5. Select and write about a minimum of (3) of the remaining asterisked (*) concepts that are “most relevant to” (have the most impact on) your “assumed” chronic condition. Be sure that your journal clearly identifies each selected concept body image, sexuality, stigma, adaptation, social isolation (I think that underlined concepts most relate to her condition ) 6. Identify 1-3 nursing roles every week that are “most relevant to that weeks Journal focus. The student will identify a chronic care setting for each role chosen. a. Nursing Roles include: i. Advocate, Educator, Resource, Case Manager, Hospice/Palliative Nurse, Clinical Specialist, Home Health Nurse, Psych/Mental Health Nurse, Advanced Practice Nurse (NP) b. Chronic Care Settings include: Home, sub-acute, rehabilitation, acute, clinic, primary care, specialty clinic, community settings, public school, college, http://www.avert.org/aidsstigma.htm
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