create a care plan for a patient diagnosed with AIDS.: incude a summary of chief complaint, HPI, PMHx and PE list 5 nursing diagnoses related to your patient list 5 goals planned for this patient list 5 inteventions to achieve your goals APA Style NANDA format note : here I am attaching a example to fallow .

Patient Summary:

Chief complaint: The patient presents with symptoms of fatigue, weight loss, and night sweats.

History of Present Illness (HPI): The patient has been experiencing symptoms of fatigue, weight loss, and night sweats for the past three months. The symptoms have gradually worsened, leading to a significant decline in the patient’s overall health. The patient also reports recurrent fevers and chronic diarrhea. The patient reports having engaged in high-risk behaviors in the past, including unprotected sex and intravenous drug use.

Past Medical History (PMHx): The patient has a medical history significant for HIV/AIDS. The patient was diagnosed with AIDS three years ago and has been receiving antiretroviral therapy (ART) since then. The patient has a history of opportunistic infections, including Pneumocystis jirovecii pneumonia (PCP) and cytomegalovirus (CMV) retinitis.

Physical Examination (PE): On examination, the patient appears thin and emaciated. Vital signs reveal a low-grade fever, elevated heart rate, and decreased blood pressure. The patient’s skin appears pale and jaundiced. There are multiple oral candidiasis lesions present. Lung auscultation reveals crackles, indicating the presence of pulmonary edema. Abdominal examination reveals hepatomegaly and splenomegaly.

Nursing Diagnoses:

1. Impaired gas exchange related to pulmonary complications secondary to AIDS.
2. Imbalanced nutrition: less than body requirements related to decreased appetite and malabsorption.
3. Risk for infection related to immunodeficiency secondary to AIDS.
4. Fatigue related to the effects of the disease process and chronic infections.
5. Impaired skin integrity related to oral candidiasis and compromised immune system.

Goals:

1. Improve gas exchange and respiratory function.
2. Enhance nutritional intake and promote weight stabilization.
3. Prevent and manage infections.
4. Reduce fatigue and enhance energy levels.
5. Promote skin integrity and prevent further complications.

Interventions:

1. Gas exchange:
– Administer supplemental oxygen as prescribed to maintain oxygen saturation above 92%.
– Position the patient in an upright or semi-Fowler’s position to optimize lung expansion.
– Encourage deep breathing and coughing exercises to mobilize secretions.
– Monitor respiratory rate, rhythm, and effort regularly.

2. Nutrition:
– Consult a dietitian to develop a nutrition plan tailored to the patient’s specific needs.
– Provide small, frequent meals that are high in protein and calories.
– Encourage the patient to maintain a food diary to monitor intake.
– Assess for signs of malnutrition and refer to a speech therapist as needed for swallowing difficulties.
– Administer vitamin and mineral supplements as prescribed.

3. Infection prevention:
– Educate the patient and caregivers about proper hand hygiene practices.
– Use standard precautions and appropriate personal protective equipment (PPE) when providing care.
– Monitor for signs of infection, such as fever, increased white blood cell count, or localized symptoms.
– Encourage adherence to antiretroviral therapy (ART) and prophylactic medications.
– Ensure appropriate immunizations are up to date.

4. Fatigue management:
– Assess the patient’s activity tolerance and encourage rest and activity balance.
– Educate the patient on energy conservation techniques and prioritize activities.
– Provide psychological support and counseling to address emotional and mental fatigue.
– Collaborate with the healthcare team to manage and alleviate symptoms contributing to fatigue, such as pain or depression.

5. Skin integrity:
– Encourage good oral hygiene to prevent and manage oral candidiasis.
– Provide meticulous skin care and keep the patient clean and dry.
– Monitor for signs of skin breakdown or infection, such as redness, swelling, or drainage.
– Assess and document the patient’s oral and skin condition regularly.
– Collaborate with other healthcare professionals to manage specific skin lesions and infections.

In summary, the care plan for a patient diagnosed with AIDS includes interventions to address impaired gas exchange, imbalanced nutrition, risk for infection, fatigue, and impaired skin integrity. These interventions aim to improve the patient’s respiratory function, enhance nutritional intake, prevent infections, reduce fatigue, promote skin integrity, and prevent complications. Regular evaluation and reassessment of the patient’s condition are essential to ensure the effectiveness of the care plan.