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Psychosocial aspects of living with HIV disease. Most patients with serious, progressive illness confront a range of psychosocial challenges, including the prospect of real and anticipated losses, worsening quality of life, the fear of physical decline and death, and coping with uncertainty.

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Care involves medication, fluids, nutritional needs, and support, and stopping the spread, and teaching about the disease process!

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Consistently taking medication

Avoiding other infections

Nutrition needs

Diarrhea

Nausea and vomiting

Sore mouth

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Physical exam findings may be late in the disease. Findings include fever, lymphadenopathy, rash, oral thrush, retinal infiltrates, crackles on auscultation, and focal neurologic deficits.

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Place in a plastic bag all items that are soiled with blood, semen, or vaginal fluid and are not flushable, such as paper towels, sanitary pads and tampons, and wound dressings. Close the bag securely before placing it in a trash container

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Nucleoside analog reverse transcriptase inhibitors. Non-nucleoside reverse transcriptase inhibitors. Protease inhibitors, fusion inhibitors, chemokine receptor 5 antagonist, integrase inhibitors.

-highly active antiretroviral (HAART)
-ART - used to target HIV (treat ASAP)
- Goal is to reduce viral load and maintain low levels
-side effects, cost, adherence

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HIV is transmitted most often in three ways: Sexual, parenteral, perinatal. Education (best hope for preventation), sexual abstinence, monogamous relationship, limiting partners, safer sexual practices, pre-exposure prophylaxis (PrEP), treatment with HIV meds, avoid injecting or using syringe exchange.

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HIV produces cellular immune deficiency characterized by the depletion of helper T lymphocytes (CD4⁺ cells). The loss of CD4⁺ cells results in the development of opportunistic infections and neoplastic processes.