You are working as an independent nurse at a local physician’s office. You have been hired to work alongside the physician to offer patients more education, counseling and follow-up to the care provided at this office. During one of your shifts, you become involved in a patient’s case. The patient is a 40 year old woman who is in the counseling room. The patient, Sheila, has been divorced for over 5 years and has two children ages 10 and 6 years of age. Three weeks ago she had visited the physician’s office and asked for a routine physical examination and an HIV test to be conducted. Sheila was in a serious relationship and was considering marriage. Her main reason for asking for the HIV test was that she was uncertain about her partner, as he has had many girlfriends prior to proposing marriage. As well, she was contemplating buying a new house with her boyfriend and the insurance company required her to have the HIV test. The physical examination results were unremarkable. The blood work performed included routine blood chemistries, hematology, studies and an enzyme-linked immunosorbent assay (ELISA) test also referred to as the enzyme immunoassay (EIA) test.
Sheila is waiting for her results at the physician’s office. Prior to informing Sheila of her blood tests results, the physician firstly informs you that Sheila’s EIA was positive.
Sheila comes back for her appointment at the physician’s office. She informs you in private that she was going to blame her boyfriend for “giving her AIDS”. Sheila states she was so upset after the initial news of being HIV positive that she was certain her boyfriend was cheating on her. She states that her boyfriend confessed that he was afraid of telling her about his hemophilia condition and thought she might leave him. Her boyfriend had been tested on a regular basis for HIV and his last test was about 6 months ago and came back negative. He was re-tested recently and this test was positive for HIV. His physician discussed the possibility of transmission through a recombinant Factor VIII product. Sheila informs you that they are still going to get married and live their life together supporting each other.
Using the files in this session and the resources in the course introduction below, prepare a care plan for a client who is in an acute stage of a gastrointestinal disease. You may pick any disease you wish to prepare this case study.
The case study must include information on the following:
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