HIVE and AIDS

Question 1

what is the distinction b/t HIV and AIDS?

Answer 1

HIV :is virus that targets WBC ( leukocytes) or T4 cells feels like worst flu ever, can be asymptomatic for 8 years
AIDS: chronic life threating illness caused by HIV virus: Normal CD4 count is 550-1500 and AIDS defining illness is below 300cells/mm3. Karposis sarcoma, thrush oral, PCP = Pneumocystis Carinii pneumonia

Question 2

What population of people in the US is at risk for new infections?

Answer 2

13- 24 years old

Question 3

What are symptoms of initial HIV infection?

Answer 3

diarrhea for two weeks, feels like worst flu ever!

Question 4

What are the stages of HIV?

Answer 4

1. acute infection: flu like
2. Clinical latency: can last 8 or more years, still active
3. AIDS CD4 cells fall below 200

Question 5

What are the clinical problems related to HIV and AIDS ( musculoskeletal, neuro)?

Answer 5

1.Myopathy= weakness in muscles
2. Polymyositis= inflammatory process in muscle- WBC affected
3. Fatigue
4. weakness
Neuro:
1. Cognitive impairment with:
a. executive function skills
b. attention
c. motivation
d. emotion
e. Aids dementia
Peripheral Neuropathy: 1/3 develop in feet with numbness, tingling, burning and ms weakness.
Cytomegalovirus retinitis: causes blindness

Question 6

What OT assessments are relevant for HIV and AIDS infected clients?

Answer 6

Barthal ( BI): assesses IadL, kitchen skills, financial management via community resources.
KELS
ADLs= energy conservation
9 hole peg test
COPM
ACL/executive performance
ROM, MMT, sensation ( light touch, pain, temp)
SF.36: quality of life = depression screen
visual screen- sneling chart difficulty tracking
KATZ

Question 7

What areas of occupational performance are likely impacted.

Answer 7

self esteem issues: shame
cognition: vision and perception
vocational and leisure
psychosocial
ROM
strength
endurance
muscle tone