Maithe Enriquez - What Nurses Know...HIV/AIDS

WHAT NURSES KNOW

H I V / A I D S

WHAT NURSES KNOW

ISBN: 978-1-936303-19-9

E-ISBN: 978-1-617050-84-8

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Compositor: Newgen

2012 by Rose Farnan. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publisher.

Medical information provided by Demos Health, in the absence of a visit with a health care professional, must be considered as an educational service only. This book is not designed to replace a physicians independent judgment about the appropriateness or risks of a procedure or therapy for a given patient. Our purpose is to provide you with information that will help you make your own health care decisions.

The information and opinions provided here are believed to be accurate and sound, based on the best judgment available to the authors, editors, and publisher, but readers who fail to consult appropriate health authorities assume the risk of injuries. The publisher is not responsible for errors or omissions. The editors and publisher welcome any reader to report to the publisher any discrepancies or inaccuracies noticed.

Library of Congress Cataloging-in-Publication Data

Farnan, Rose.

What nurses know HIV/AIDS / Rose Farnan, Maithe Enriquez.

p. cm.

Includes bibliographical references and index.

ISBN 978-1-936303-19-9

1. AIDS (Disease) in pregnancyTreatmentUnited States. 2. HIV infectionsTransmissionUnited StatesPrevention. 3. HIV infectionsTreatmentUnited States. 4. HIV infectionsUnited StatesPrevention. I. Enriquez, Maithe. II. Title.

RG580.A44F37 2012

616.97920231dc23

2011050218

Printed in the United States of America by Hamilton Printing
12 13 14 15 / 5 4 3 2 1

Rose Farnan, RN, BSN, ACRN, has been providing care to persons living with HIV for over 20 years in the Infectious Disease Clinic at Truman Medical Center, Hospital Hill in Kansas City. In her current role as infectious disease program manager, she manages several HIV-related programs, provides education to the community, and partners with many community organizations to improve care and reduce the stigma for people living with HIV.

Maithe Enriquez, RN, PhD, ANP-BC, is an advanced practice nurse who has specialized in HIV care for the past 18 years. In 2004, she completed a postdoctoral research fellowship at the University of North Carolina at Chapel Hill, focusing on the development of practical interventions to enhance health outcomes for individuals living with HIV and other chronic illnesses. She is an associate professor of nursing and assistant clinical professor of medicine at the University of MissouriKansas City. She has an active clinical practice in the Infectious Diseases Clinic at Truman Medical Center, Hospital Hill in Kansas City. Her research endeavors center on reducing health disparities and enhancing health outcomes for at-risk populations.

WHAT NURSES KNOW

Nurses hold a critical role in modern healthcare that goes beyond their day-to-day duties. They share more information with patients than any other provider group, and are alongside patients twenty-four hours a day, seven days a week, offering understanding of complex health issues, holistic approaches to ailments, and advice for the patient that extends to the family. Nurses themselves are a powerful tool in the healing process.

What Nurses Know gives down-to-earth information, addresses consumers as equal partners in their care, and explains clearly what readers need to know and want to know to understand their condition and move forward with their lives.

Titles published in the series

What Nurses Know PCOS
Karen Roush

What Nurses Know Menopause
Karen Roush

What Nurses Know Diabetes
Rita Girouard Mertig

What Nurses Know Multiple Sclerosis
Carol Saunders

What Nurses Know Gluten-Free Lifestyle
Sylvia Llewelyn Bower

What Nurses Know Chronic Fatigue Syndrome
Lorraine Steefel

What Nurses Know HIV and AIDS
Rose Farnan and Maithe Enriquez

What Nurses Know PTSD
Mary Muscari

I never thought in 1991 that 20 years later Id still be working as a nurse in HIV care. I have learned so much from the many men and women I have met over the years, all living with HIV and allowing me to share a small part of their lives. Their dignity and courage when facing some of the most difficult of lifes challenges have inspired me and, in turn, challenged me to continue in this field. I have also been guided and mentored by many phenomenal nurses, doctors, and case managers all dedicated to caring for people living with HIV, including my coauthor Maithe Enriquez. This book is dedicated to them and to all people living with HIV and the people who care for them, their families, friends, and healthcare workers.

Rose Farnan

I dedicate this book to three very important people in my HIV career. First, Mr. Karl Cropsey, a friend and later a patient, who made me promise that I would always take care of myself first, so Id have the energy to help my patients win their battle against HIV. Karl, a great man, lost his battle with HIV in 1995. Second, Dr. David McKinsey, an infectious diseases physician who has dedicated a significant portion of his career to bringing experimental and state-of-the-art HIV treatment to the people of our community. And finally, to my coauthor Ms. Rose Farnan, an outstanding role model for what nursing is all about.

Maithe Enriquez

Contents

Foreword

As the fourth decade of living with HIV/AIDS begins, there has been a continuing shift in focus. The trajectory of infection and the needs of those affected have shifted as well. Nurses continue to be in the forefront of this change as they have been since the beginning of the epidemic. Yet too many people are newly acquiring HIV infection in this country and in other parts of the world. Worldwide, approximately 2.5 million persons become HIV infected each year and about 33 million persons are currently living with HIV infection. Although the appropriate antiretroviral therapy is available for direct treatment that can also reduce transmission chances, economic choices and allocations and sociopolitical agendas continue to inuence treatment access and availability.

This entry in the series What Nurses Know