Sarah is a 17-year-old female who was diagnosed with HIV six months ago and is c

Question

Sarah is a 17-year-old female who was diagnosed with HIV six months ago and is currently two months pregnant. Prior to her diagnosis, Sarah admits that she did experienced mild flu like symptoms that passed after about 3 weeks. At this visit, Dr. Patel, wishes to discuss Sarah's decision to give birth and when to start antiretroviral therapy (ART) Dr. Patel also wants to discuss risk reduction behavior. Sarah admits to not using condoms because my boyfriend does not like them and because I am already pregnant what's the use?" She says she is scared to tell her family and her boyfriend that she is pregnant. Dr. Patel tells Sarah that he would encourage her to start ART to protect her baby. Sarah does not want to take the medication and does not understand why she needs it since she is not sick. She further states that since she has no symptoms then that means she is fine and that she cannot pass the virus on to her baby. He gives her a brochure concerning HIV treatment options during pregnancy Sarah says she does not have time to read it and she is not interested irn reading it because she is not sick Human immunodeficiency virus (HIV) preferentially destroys CD4- cells. Specifically, what effect does this have on antibody and cell-mediated immunity? 1. 2. How can Dr. Patel explain HIV and its progression so that Sarah 3. How can Dr. Patel explain the treatment prevention risk reduction 4 What other issues should be considered based on the age of the 5. Based on the case study discussion, what strategies to address health 6. What ethical responsibilities, if any, does Dr. Patel have to Sarah, will understand? regimen for HIV? client, access to services, and support systems? literacy might you include in an action plan for Sarah's care? her boyfriend and her baby? up

Explanation / Answer

Destruction of CD4 cells leads to cell death.HIV attacks CD4 cells and use it to multiply itself and spread all over the body.It takes almost three months to produce antibodies against this virus.antibodies are also known as immunoglobulins.If CD 4 cells are destroyed then it stops production of antibody.And in cell mediated immune system they stop protection against pathogens.

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