Another opportunistic disease that Mr.T.M is currently facing is Pneumocystis carinii which is the most common serious infection among Human Immunodeficiency infected individuals (White, Duncan & Baumle, 2011). The clinical signs and symptoms that MR. T.M manifested are dyspnea, and cough productive of clear sputum. Pneumocystis carinii is primarily found in the lungs but it has been reported in the adrenal glands, bone marrow, skin, thyroid, kidneys and spleen of persons with Acquired Immunodeficiency Syndrome (White, Duncan, & Baumle, 2011). Due to the involvement of important organs a full thorough systems assessment is required. Diagnosis of Mr. T.M could have included chest x-ray showing diffuse infiltrates, or fiber optic bronchoscopy which is the standard of choice in obtaining a definitive diagnosis; procedure includes obtaining sputum which demonstrated the presence of the organism (White, Duncan & Baumle, 2011). The treatment of Mr. T.M will include IV pentamide isethionate or sulfamethazole trimetoprim given orally or IV; these medications are the current standards for Pneumocystis ...
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... and restore and preserve immunologic function (Durham & Lashley, 2010).
Nurses must listen carefully to patients when they describe symptoms and attribute the causes of these symptoms to the disease and side effects of medications (Durham & Lashley, 2010).
It is important to educate the client about Acquired Immunodeficiency Syndrome and
opportunistic illness management and the importance of adherence for maximum clinical benefits
(Carpento-Moyet, 2004). Provide information and encourage appropriate utilization of community
resources supportive of persons living with Acquired Immunodeficiency Syndrome. (Carpento-Moyet,
2004). Ask Mr. T.M’s partner to get tested for Human Immunodeficiency Virus so that proper measures
will be undertaken. Teach health promotion and illness prevention such as safe sex and nutrition.
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