Case studies have been provided to demonstrate the role for rehabilitation interventions in the support of people living with HIV.
Table of Acronyms
Acronym | Description |
---|---|
ADL | Activities of Daily Living |
ART | Antiretroviral Treatment |
BAD | Bipolar Affective Disorder |
BMD | Bone Mineral Density |
CAD | Coronary Artery Disease |
CBHO | Community-based HIV Organization |
COPD | Chronic Obstructive Pulmonary Disease |
CP | Cerebral Palsy |
CVA | Cerebrovascular Accident |
CXR | Chest X-Ray |
DAT | Diet as Tolerated |
EDEN | Episodic Disabilities Employment Network |
ER | Emergency Room |
HAND | HIV-Associated Neurocognitive Disorder |
HA-MND | HIV-Associated Mild Neurocognitive Disorder |
HIV + | HIV Positive |
FITT | Frequency, Intensity, Time, Type |
IADL | Instrumental Activities of Daily Living |
ICF | International Classification of Functioning |
ICU | Intensive Care Unit |
IPPA | Inspection, Palpation, Percussion, Auscultation |
MI | Myocardial Infarction |
MoCA | Montreal Cognitive Assessment |
MSM | Man who has Sex with Men |
OT | Occupational Therapist or Therapy |
POA | Power of Attorney |
PCP | Pneumocystis pneumonia |
PRN | As required |
PT | Physical Therapist or Therapy |
ROM | Range of Motion |
SDM | Substitute Decision Maker |
SLP | Speech-Language Pathologist or Therapy |
SMART principle | Specific, Measurable, Achievable, Relevant and Time-Bound |
VAS | Visual Analogue Scale |
WBAT | Weight Bearing as Tolerated |
WSM | Woman who has Sex with Men |
Organization of the cases using the SOAP format:
The SOAP note (an acronym for subjective, objective, assessment, and plan) is a method of documentation employed by healthcare providers to write out notes in a patient’s chart, along with other common formats, such as the admission note.
Subjective Component: Is the patient’s chief complaint. This is a very brief statement of the patient (quoted) as to the purpose of the office visit or hospitalization.
Objective Component: Includes information that the healthcare provider observes or measures from the patient’s current presentation.
Assessment: A medical diagnosis for the purpose of the medical visit on the given date of the note written is a quick summary of the patient with main symptoms/diagnosis including a differential diagnosis and a list of other possible diagnoses.
Plan: The plan is what the healthcare provider will do to treat the patient’s concerns – such as ordering further labs, referrals given, procedures performed and education provided. The plan will also include goals of therapy and patient-specific disease-state monitoring parameters.
Wikipedia.com SOAP note.
A note on stereotyping:
We have given our cases a variety of gender, cultural and social identities for illustration purposes only. The reader should not use these examples to profile how HIV might present itself in one’s own region or community. Consult your local HIV prevalence reports or local Community-based HIV Organization to get a more specific overview.
Reference:
Realize. E-Module for Evidence Informed HIV Rehabilitation. Final update: 2020.
Case #1 – Acute Care, Cardiorespiratory and Neurological
Case #1 – Sonia Part 1: Presenting Problem / Background Sonia is a 35-year-old Indigenous woman who presents to the emergency room (ER) at a downtown urban hospital with fever…
Case #2 – Musculoskeletal – Knee Pain
Case #2 – Geoff Presenting Problem / Background Geoff is a 42-year-old Asian individual who is gender fluid and uses the pronouns they/them. Geoff works for a large hotel chain…
Case #3 – Aging, Cognition, Community, Stroke
Case #3 – Louis Part 1: Presenting Problem / Background Louis is a 63-year-old Caucasian male living with HIV who presents with failure to thrive in the community. He has…
Case #4 – Complex Case – Musculoskeletal, Episodic, Cardiorespiratory
Case #4 – Stella Part 1: Presenting Problem / Background Stella is a 58-year-old female living with HIV. Stella and her daughter immigrated to Canada from an HIV endemic country…
Case #5 – Diabetes, Neuropathy, Substance Use
Case #5 – John Presenting Problem / Background John, a 46-year-old Caucasian male who is living with HIV, is admitted to the acute care hospital after a community health nurse…
Case #6 – Transition from Paediatric to Adult Care
Case #6 – Natasha Presenting Problem / Background Natasha is a 17-year-old Caucasian female living with cerebral palsy (CP) and HIV who presents to her paediatric rehabilitation facility to commence…
Supplemental Case Studies without Leading Questions
Need more practice? Julie Phillips, HIV Advanced Practice Nurse at Sunnybrook Health Sciences Centre, Toronto, Canada, developed these supplemental cases. Please help us! If you are interested to participate in…