HIV/ AIDS: Nursing Process - Assignment Example

3 years down the line showed a history of Seth losing weight, developing a persistent fever that lasted for over a month, oral thrush, plus developing generalized lymphadenopathy (Kathy & Stolley 2009, p. 34).

Seth became screened for HIV when he was 11 years and found to be serologically reactive. His parents due to their religious and cultural beliefs had difficulties in accepting the status of their child plus he was their only son. The parents were emotionally depressed, following Seth's diagnosis, and found no happiness in seeing him go through the sickness. Seth had in the recent week been started on Septrin in an attempt to reduce recurrences of bacterial infections. Later, Seth developed an allergic rash all over his body to the medication and his parents brought him to the hospital.

On admission, Seth remained sick-looking, depressed, and withdrawn. The nurse in charge that knew his condition took control of the situation by warmly welcoming the parents and inviting them to a private room. A physical examination became done and found out that she had high temperatures of 38. 2 degrees Celsius. His mother also added in Seth’s history that the boy had difficulties in sleeping due to the high temperatures thereby improvising to sleeping on wet towels in order to control his body temperature. In addition, the nurse explained to the parents the importance of a CD4 count test. Later a test became done and found the boy’s CD4 count to be 300 cells per microliters (Kathy & Stolley 2009, p. 34).

Seth became hospitalized in the pediatric ward in order to manage her allergic rash following Septrin use. The nurse admitted the patient and later took the child and a room where his parents would constantly visit him. In addition, his room was self-sufficient and had television to keep him entertained when his parents were working. Through guidance and counseling, Seth managed to have a connection with the nurse involved through a one on one talk with him. The nurse explained to Seth the condition he was suffering and continued to explain to him about the possibility of living for a longer period in case of starting antiretroviral drugs.

A plan became discussed regarding his new treatment regimen. Since Seth was a school-going child, his parents together with him became advised on the importance of antiretroviral drugs. A sheet to record the intake of the drugs became allocated to the boy and advised to record daily. His parents then became advised to monitor the child keenly to see if he adheres to the regimen and report any problem related to his condition immediately to the nurse in concern.

Seth became admitted to the hospital for a week until the allergic rashes subsided, of which spectrin intake became stopped and switched to dapsone and the prescribed antiretroviral drugs from the HIV/AIDs clinic.

During hospitalization, Seth had three nursing diagnoses listed below:

Nursing diagnosis

Goals/ expected outcomes

Nursing interventions

Rationales

Evaluations

Date ceased

Allergic rashes following Septrin use

Eliminate any drug reactions

1.     Introduce alternative medication

To improve his condition and

to assess the effectiveness of the alternative treatment.

Seth’s rashes subsided

Nursing diagnosis

Goals/ expected outcomes

Nursing interventions

Rationales

Evaluations

Date ceased

Depression is related to the disease.

Reduce Seth’s depression levels

1.     Explain the rationale behind the interventions plus their purposes including possible implications.

2.     Help Seth to clarify the reasons for his depression.

3.     Encourage active participation in order for the boy to adhere to the given management plan.

Explain to the patient about the disease and ways to live with the condition

Seth’s depression reduced

Nursing diagnosis

Goals/ expected outcomes

Nursing interventions

Rationales

Evaluations

Date ceased

Deficient knowledge regards HIV/ AIDs related to his age with a low CD4 count

Seth will get some education regarding her disease in order to have a deeper understanding.

To increase the CD4 count level

Provide information regards HIV/AIDS plus means of treatment.

To start on antiretroviral treatment

Provide some information regarding medication to take, their action, and side effects.

To help him to adapt to his condition and life.

To ensure correct dosages and use of his medication.

Seth is fully aware of and understands his condition.

On discharging the patient, the nurse ensured that Seth had started taking the medication he had been given and left the responsibility to both parents and boy. He recommended that the parents return with the boy every month for a check-up and to assess the boy’s progress.