Chapter 9

Crisis Related to

AIDS and HIV

Progression of HIV to AIDSHIV: Human Immunodeficiency Virus

How it’s Contracted:• Sperm• Blood• Mother’s Milk• Feces• Vaginal Fluid

Progression Once Infected:• 1 – 2 Weeks After Infected, May Have Cold-Like Symptoms,

Feel Run Down.• 6 Months – One Year After Infection, May Be Dormant With

No Symptoms, But Will Test Positive For HIV.

Progression of HIV to AIDS(Continue)

Without Treatment May Lead To:

ARC: AIDS Related Complex

Symptoms: Progression:

Profuse Sweating T-Cells Die

Diarrhea Many HIV Cells in Blood Stream

Thrush in Mouth May Start to Have

Bacterial Infections

Vomiting

Fever

Crisis Issues

HIV: AIDS:

• Perceived death sentence

• • Death and Dying Issues

• Fear of disclosure • Medical Care

• Fear of lifestyle changes

• Financial Issues

• Medication cooperation

• Disability Issues

• Suicidal ideation • • Suicidal Ideation

• Family reactions. • • Caretaker Issues

Crisis Issues (Continue)

• Once T-Cell Count is Below 200 or Person Develops One of 27 Opportunistic Infections, She or He Now Receives the Diagnosis of:– AIDS: Acquired Immunodeficiency

Syndrome

• Without Medication Person May Die!

• May need to Take Both Antibacterial Medications and ANTIHIVVIRAL Medications.

Intervention StrategiesHIV: AIDS:

• Education • Grief Therapy

• Suicide Prevention • Suicide Watch

• Optimistic Support Groups

• Case Management

• Medication Compliance

• Medical Intervention

• Honor Denial of Death

• Support Groups

• Family Therapy • Hospice

• Practice Safer Sex

• Increase Healthy Lifestyle