Publications

Abstract

Objectives. Understanding more about the psychological state of persons notified of human immunodeficiency virus (HIV) infection is critical for designing notification and counseling programs that will have the most positive effect. Methods. The subjects were blood donors who had been notified of HIV infection by the New York Blood Center. A nurse elicited a medical history, performed a limited medical examination, and asked the subjects to complete a questionnaire that included questions about drug use, sexual behavior, and psychological characteristics. The subjects completed another questionnaire approximately 2 weeks later. Results. The average depressive symptom scores for both men and women were substantially higher than scores typically found in representative population samples. More than a quarter of the men and more than a third of the women reported seeking psychological or psychiatric services in the first few weeks following notification. Conclusions. Anticipating and meeting individuals' psychological needs may be necessary if HIV screening programs are to address effectively the needs of persons infected with HIV.

Abstract

Diarrhea is a common manifestation of HIV disease which most nurses will find themselves confronting at some point. It can be extremely debilitating, as well as causing psychological distress to patients. Treatment depends on etiology; it may be successful if the diarrhea is caused by a specific enteric pathogen or a specific medication the patient is taking. However, often the diarrhea cannot be resolved and treatment must be by supportive measures. Management has three components: diet, anti-diarrheal agents, and skin care. A multidisciplinary team provides the most effective approach for managing these complex, difficult cases.

Abstract

Despite the many environmental and cultural differences, many similarities exist between home health nursing in Kenya and the United States. Family-focused care is the goal, with emphasis on education and prevention.

Abstract

The prevalence of diabetes is considerably higher among ethnic minorities, particularly black and Hispanic Americans, than in the nonminority white population. Obesity, a significant risk factor for non-insulin-dependent diabetes mellitus (NIDDM), also is more common in these ethnic groups. Because the combined effects of obesity and NIDDM can lead to potentially serious complications, overweight patients with NIDDM must be treated aggressively. However, effective treatment of these ethnic groups requires a sensitivity to and recognition of their unique cultural values. Diabetes educators and health care providers need to take into account specific ethnic beliefs, customs, food patterns, and health care practices, with the goal of incorporating these cultural factors into a practical and beneficial treatment regimen.

Abstract

The authors discuss prostitution as a high-risk behavior for HIV infection and transmission, using data from interviews with prostitutes in Bridgeport, Connecticut, and New York City. "The primary objective is to share some of the information gained in research interviews and street work so that it can be utilized to assist efforts at reaching such high risk behavior populations with appropriate AIDS prevention information, testing, counseling and health services." Factors considered include prostitute characteristics, the pimp, perceived roles of the prostitute, power and control, risky sexual practices, and knowledge, attitudes, and behavior relating to AIDS. excerpt

Abstract

The number of reported AIDS cases in women rose to 12.8% of all reported cases in 1991. Nurses caring for HIV-infected women must be aware of the clinical issues as well as emotional and practical problems posed by HIV infection in order to design a plan of care that addresses patients' specific needs.