Question

Due ansite clinic Worksheet 8.10: Prevention of Mother-to-Child Transmission Case fou are mentoring a group of nurses on the nostrarum ward. A 31-year old HIV-infected mother had a healthy baby boy 2 days ago, and is scheduled to be discharged this a (Both the mother and baby took prevention of mother-to-child [PMTCT) prophylactic regimens). During the morning, you notice that the nurse taking care of the patient is barely speaking otis barely speaking to her. Later, you notice the nurse being extremely rude and unprofessional with when she asks for some water to drink. rou take the nurse aside and tell her that there are several important counseling messages that she should be teaching the patient before she leaves. You ask the nurse why she is behaving in such a hostile manner with the patient. The nurse answers that this mother should have never become pregnant. "Look at how she put her poor infant in possible danger because of her foolishness, HIV-positive women should never be allowed to have children." Questions 1. How would you intervene at this juncture? 2. In terms of postpartum counseling, what are some important messages that you would like to address with the mother? 3. What should the mentee be teaching the patient regarding feeding her newbor

Answer 1

1. As a mentor , i would counsel the nurse that by this way she is discriminating the patient and this against theedical ethics. Counsel and teach her how to behave with the patients and monitor her how she is taking care of that patient .

2. Some important messages that are to be addressed with the mother are :-

- she should be asked to either choose between breastfeeding or bottle feed .

- advice her for bottle feed to avoid transmission of virus

3. The mentor should explain the patient about the contraindications of breastfeeding and encourage her for bottle feeds .