Describe your plan of care for this patient following his hospitalization (he will likely be admitted to the “medical respite floor,” of a local homeless shelter, which has the services of a Nurse Practitioner three times per week—with on-call weekend consultation, and a registered nurse, Monday through Friday)

Describe your plan of care for this patient following his hospitalization (he will likely be admitted to the “medical respite floor,” of a local homeless shelter, which has the services of a Nurse Practitioner three times per week—with on-call weekend consultation, and a registered nurse, Monday through Friday)

Case Study for Derek Smith Example Approach

It is apparent from the description that Derek Smith is has the Human Immunodeficiency Virus (HIV). It is a condition that advances into the acquired immunodeficiency syndrome (AIDS) if not treated during the initial stages. Thus, it becomes chronic and thus potentially life threatening. It damages the immune system and makes it difficult for the body to fight any invasive conditions. As indicated by Wallace et al., (2012), the virus is mainly sexually transmitted and is spread via several body fluids.

It attacks the CD4 cells and mostly the T cells. With time, it causes destruction to many of these cells to the point that it cannot fight diseases. If it is not treated; it reduces the number of CD4 cells leading to the invasion by opportunistic infection and cancers. Pneumocystis pneumonia (PCP) is one of the serious infections that are caused Pneumocystis jirovecii fungus. Most of the people who suffer from it have weakened immune system as a result of HIV/AIDS or the use of drugs that lower the ability by the body to fight diseases (Skarbinski et al., 2015).

The advent of antiretroviral therapy has reduced the chances of infection with PCP. However, it is still a significant health problem that is accompanied by chest pains, fatigue, chills, fever and cough. Derek should be put on antiretroviral drugs as well as other antibiotics to help in the management of the chest conditions. There is also the need to put him under several analgesics to help in pain management. He should be placed under a medical respite floor where he can be safe from some of the too cod or dusty conditions. A follow up on the medication should be done to confirm adherence (Wallace et al., 2012).

Derek Smith a 31 y o Caucasian Male Injection Drug User References

• Skarbinski, J., Rosenberg, E., Paz-Bailey, G., Hall, H. I., Rose, C. E., Viall, A. H., … & Mermin, J. H. (2015). Human immunodeficiency virus transmission at each step of the care continuum in the United States. JAMA internal medicine, 175(4), 588-596.
• Wallace, J. M., Rao, A. V., Glassroth, J., Hansen, N. I., Rosen, M. J., Arakaki, C., … & Pulmonary Complications of HIV Infection Study Group. (2012). Respiratory illness in persons with human immunodeficiency virus infection. American Review of Respiratory Disease