Question

Worksheet 8.6: Pediatrics Case Study - Basic I Case A 28 year old woman brings her 5-year old niece to clinic. She has taken care of this girl since her sister, her niece's mother, died of a wasting illness 3 years ago. The girl has been chronically ill with recurring pneumonia and diarrhea. She is small for her age and quite thin. In the clinic, a rapid HIV test is ordered and the result is positive. Question 1. At what stage of AIDS is this child? Case (continued) When the mentee receives the positive HIV test result he looks confused. He starts looking uncomfortably at the aunt and the patient. Questions 2. How would you intervene with this issue of pediatric disclosure? 3. What tests would you suggest the clinic doctor order? 4. What treatment and what advice would you recommend? Session 8: Case Studies Basics of Clinical Mentoring Facilitator Guid Pages

Answer 1

1. The stage of the child is Stage 1.

2. Nurses should disclose the result to the patient and their caregivers .

3. The tests that would be suggested are :-

- Cd4 T - cells count

- Viral loads

- ELISA test

- Western blot test

4. HAART is the treatment for this disease and the most important advice is to maintain the adherence to the treatment.