Ms. C.W\'s daughter is not infected and grows into a healthy Six years later, Ms
ID: 139115 • Letter: M
Question
Ms. C.W's daughter is not infected and grows into a healthy Six years later, Ms. C.W. develops a chronic cough, overwhelming fatigue, recurrent diarrhea, and a sore mouth. Her physician diagnoses AIDS with PCP pneumonia, oral thrush, and infectious diarrhea. Blood tests show a significant reduction in CD4 helper T cells. Ms. C.W. is admitted to hospital for treatment. 9. There is no notice on Ms. C.W.'s room that she is HIV+. Why is this not done to reduce the likelihood of a staff member becoming infected with HIV? 10. What is the significance of a reduction in CD4 helper 11. Ms. C.W. remains antibody positive for HIV. Why don't 12. What is the cause of her pneumonia and oral infection? T cells? the antibodies reduce viral load? What is the prognosis for Ms. C.W. if these infections cannot be controlled and if her CD4 helper T cell count does not return to more normal levels? 13.Explanation / Answer
9.When placing notices about HIV outside of patient room is a discrimination of her dignity and it make
negative impact on the process of care so it should be avoided and staff members can check her
case file before enter her room to reduce chances of getting infection.
10. CD4 helper T cells are important immune cells of our body which helps to send signals to CD8
killer cells of the body during the time of infection for destruction.so reduction of helper CD4
T cell result in poor immune response and greater chance of developing local and systemic
infection.
11. HIV affect the immune system of the body and the virus undergo mutation very rapidly to live and
attack immune system so even antibodies present in the body to fight this virus it shows ineffective.
12 .Opportunistic infections can develop because of HIV infection due to poor immune status of the
body is the reason for her pneumonia and oral infection.
13.Normal CD4 helper T cell count is between 500-1500cells/cubic millimeter and if the count is going
below 200 result in severe life threatening complications like severe sepsis,maligancies,tuberculosis
HIV encephalopathy etc will occur which result in death of the patient.
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