Introduction
Preface
Acknowledgments
About the Editors
Contributing Authors
Section I: HIV Infection, Transmission and Prevention
Jo Anne Bennett, RN, PhD, CS, ACRN
1.1 Historical Overview of the HIV Pandemic
Jo Anne Bennett, RN, PhD, CS, ACRN
1.2 Epidemiology of HIV Infection and AIDS
Valery Hughes, RN, MS, FNP
1.3 Prevention of HIV Infection
Joseph P. Colagreco, MS, APRN, BC, NP-C
1.4 Pathophysiology of HIV Infection
Jane Schulz, MPH, RN, CNP, ACRN
1.5 HIV Testing
Section II: Clinical Management of the HIV-Infected Adolescent and Adult
Thomas P. Young, MS, RN, APRN, BC, ACRN
2.1 Baseline Assessment
Carl A. Kirton, MA, RN, APRN, BC
2.2 Immunizations
Valery Hughes, RN, MS, FNP
2.3 Teaching for Health Promotion, Wellness, and Prevention of Transmission
Kristin Grage, MA, RN, CNP, ACRN
2.4 Health Care Follow-Up
Brian K. Goodroad, PhD, CNP, ACRN
2.5 Managing Antiretroviral Therapy
Section III: Symptomatic Conditions in Adolescents and Adults With Advancing Disease
A. Symptomatic Conditions in Advanced Disease
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.1 Bartonellosis
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.2 Herpes Zoster
Doris Carroll, BSN, RN, CCRC & Pamela Dole, EdD, MPH, MSN, FNP, ACRN
3.3 Human Papillomavirus Infection
Kristin K. Ownby, PhD, RN, ACRN, AOCN, CHPN
3.4 Idiopathic Thrombocytopenia Purpura
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.5 Listeriosis
Joyce Keithley, DNSc, RN, FAAN
3.6 Oral Hairy Leukoplakia
Janice M. Zeller PhD, RN, FAAN & Young-Me Lee MSN, RN, DNSc (c)
3.7 Peripheral Neuropathy
B. AIDS Indicator Diseases
Bacterial Infections
Kelly Fugate, ND, RN
3.8 Bacterial Pneumonia
Demetrius Porche, DNS, RN, FNP, CS
3.9 Mycobaterium Avium Complex (MAC)
Demetrius Porche, DNS, RN, FNP, CS
3.10 Mycobacterium Tuberculosis
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.11 Salmonellosis
Patrick Robinson, PhD, RN, ACRN
3.12 Candidiasis
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.13 Coccidioidomycosis
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS
3.14 Cryptococcosis
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.15 Histoplasmosis
Kristin K. Ownby, PhD, RN, ACRN, AOCN, CHPN
3.16 Cryptosporidiosis
Kristin K. Ownby, PhD, RN, ACRN, AOCN, CHPN
3.17 Isosporiasis
Kelly Fugate, ND, RN
3.18 Pneumocyctosis
Hopkins D. Stanley, RN, MS, ACRN, CNS & Lawrence Marsco, RN, BSN & Ian R. McNicholl, Pharm.D., BCPS (I.D.)
3.19 Toxoplasmosis
Demetrius Porche, DNS, RN, FNP, CS
3.20 Cytomegalovirus (CMV)
Patrick Robinson, PhD, RN, ACRN
3.21 Herpes Simplex Virus (HSV)
Craig R. Sellers, MS, RN, CS-ANP, ACRN
3.22 Progressive Multifocal Leukoencephalopathy (PML)
Theresa Moran, RN, MS, FNP & Pamela Dole, EdD, MPH, MSN, FNP, ACRN
3.23 Cervical Neoplasia
Theresa Moran, RN, MS, FNP
3.24 Kaposi's Sarcoma (KS)
Theresa Moran, RN, MS, FNP
3.25 Non-Hodgkin's Lymphoma
Joyce Keithley, DNSc, RN, FAAN & S. K. Glenda Winson, MS, RN, ACRN
3.26 HIV-Wasting Related Syndrome
Janice M. Zeller PhD, RN, FAAN & Young-Me Lee MSN, RN, DNSc (c)
3.27 HIV Encephalopathy
C. Comorbid Complications
Joyce Keithley, DNSc, RN, FAAN & S. K. Glenda Winson, MS, RN, ACRN
3.28 Fat Redistribution Syndrome
Debra E. Lyon PhD, RN
3.29 Impaired Glucose Intolerance (IGT)
Debra E. Lyon PhD, RN
3.30 Dyslipidemia
Richard Ferri, PhD, ANP, ACRN, FAAN
3.31 Anemia
Barbara Swanson, DNSc, RN, ACRN
3.32 Leukopenia
Kristin K. Ownby, PhD, RN, ACRN, AOCN, CHPN
3.33 Thrombocytopenia
Carl A. Kirton, MA, RN, APRN, BC
3.34 Cardiomyopathy
Michelle Agnoli, BSN, RN, ACRN
3.35 Psoriasis
Michelle Agnoli, BSN, RN, ACRN
3.36 Arthritis, Reiter's Syndrome
Barbara Swanson, DNSc, RN, ACRN
3.37 Osteopenia, Osteoporosis, Avascular Necrosis
Wade Leon, RN, MA, ANP-CS, CRRN
3.38 Nephropathy
Barbara Swanson, DNSc, RN, ACRN
3.39 Lactic Acidosis
Kathleen Barrett MSN, RN
3.40 Hepatitis A
Kathleen Barrett MSN, RN
3.41 Hepatitis B
Kathleen Barrett MSN, RN
3.42 Hepatitis C
Section IV: Symptom Management of the HIV-Infected Adolescent and Adult
Joyce Keithley, DNSc, RN, FAAN
4.1 Anorexia and Weight Loss
Debra Topham, PhD, RN, CNS, ACRN
4.2 Cognitive Impairment
Kelly Fugate, ND, RN
4.3 Cough
Kelly Fugate, ND, RN
4.4 Dyspnea
Joyce Keithley, DNSc, RN, FAAN
4.5 Dysphagia and Odonophagia
Barbara Swanson, DNSc, RN, ACRN
4.6 Oral Lesions
Julie Barroso, PhD, ANP, CS
4.7 Fatigue
Barbara Holtzclaw, PhD, RN, FAAN
4.8 Fever
Kathleen M. Nokes, PhD, RN, FAAN
4.9 Sleep Disturbances
Tracy A. Riley, PhD, RN, CS & Yvonne Smith, MSN, RN, CNS
4.10 Mobility Impairment
Bernadette Capili, NP-C, APRN, DNSc
4.11 Nausea and Vomiting
S. K. Glenda Winson, MS, RN, ACRN
4.12 Diarrhea
Gail Newshan, PhD, RN, NP
4.13 Pain
Rebekah Shephard, MS, RN, ANP
4.14 Female Sexual Dysfunction
Rebekah Shephard, MS, RN, ANP
4.15 Male Sexual Dysfunction
Tracy A. Riley, PhD, RN, CS & Yvonne Smith, MSN, RN, CNS
4.16 Vision Loss
Section V: Psychosocial Concerns of the HIV-Infected Adolescent and Adult and Their Significant Others
A. Responses to HIV Diagnosis
Rebekah Shephard, MS, RN, ANP
5.1 Response to an HIV Diagnosis: Infected Person
Rebekah Shephard, MS, RN, ANP
5.2 Response to HIV Diagnosis: Family and Significant Other
Rebekah Shephard, MS, RN, ANP
5.3 Caregiver Burden/Strain
Patricia M. O'Kane, MA, RN
5.4 Spiritual and Religious Concerns of HIV Infected Persons
B. Selected Psychiatric Disorders in HIV Disease
Wade Leon, RN, MA, ANP-CS, CRRN & Pamela Dole, EdD, MPH, MSN, FNP, ACRN
5.5 Depression
Pamela Dole, EdD, MPH, MSN, FNP, ACRN & Wade Leon, RN, MA, ANP-CS, CRRN
5.6 Primary Anxiety-Spectrum Disorders
Rebekah Shephard, MS, RN, ANP & Pamela Dole, EdD, MPH, MSN, FNP, ACRN
5.7 Delirium
Carl A. Kirton, MA, RN, APRN, BC
5.8 Mental Illness and Substance Use
Section VI: Concerns of Special Populations
Mary Geiger, MPH, RN
6.1 Adolescents
Nora Merriam, RN, MSN, MPH
6.2 The Blind and Visually Impaired Community
Margaret Dykeman, RN, PhD, FNP, APRN, BC, ACRN
6.3 Commercial Sex Workers
R. Kevin Mallinson, PhD, RN, ACRN
6.4 Gay and Bisexual Men
Craig E. Nielsen, MS, NP, BC, ACRN
6.5 HIV-Infected Health Care Workers
R. Kevin Mallinson, PhD, RN, ACRN
6.6 The Deaf and Hearing Impaired Community
Beverly Christie, RN, BSN
6.7 People With Hemophilia
Margaret Dykeman, RN, PhD, FNP, APRN, BC, ACRN
6.8 Homeless Persons
Pamela Dole, EdD, MPH, MSN, FNP, ACRN
6.9 Incarcerated Persons
Christine A. Balt, MS, RN, ACRN, APRN, BC
6.10 Lesbians and Bisexual Women
Susan Gaskin, MPH, DSN, ACRN
6.11 Migrant and Seasonal Farm Workers
Kathleen M. Nokes, PhD, RN, FAAN
6.12 Older Persons
Susan Gaskin, MPH, DSN, ACRN
6.13 Rural Communities
Carl A. Kirton, MA, RN, APRN, BC
6.14 The African American Community
Pamela Dole, EdD, MPH, MSN, FNP, ACRN
6.15 Pregnant Women
Susanne Rendiro, MSN, FNP, BC
6.16 Recent Immigrants
Donna Taliaferro, RN, PhD & Gail B. Williams, RN, PhD
6.17 Substance Users
Eric G. Leach, MSN, RN, NP
6.18 Transgender/Transsexual Persons
Pamela Dole, EdD, MPH, MSN, FNP, ACRN
6.19 Women
Section VII: Clinical Management of the HIV-Infected Infant and Child
Carolyn Keith Burr, EdD, RN & Dawn D'Orlando, RN, MSN, MPH
7.1 Perinatal Transmission of HIV Infection
Carolyn Keith Burr, EdD, RN & Dawn D'Orlando, RN, MSN, MPH
7.2 Clinical Manifestations and Management of the HIV-Infected Infant and Child
Carolyn Keith Burr, EdD, RN & Dawn D'Orlando, RN, MSN, MPH
7.3 Managing Antiretroviral Therapy in HIV-Infected Infants and Children
Elaine Gross, RN, MS, CNS-C
7.4 Adherence to Medical Regimens
Section VIII: Symptomatic Conditions in Infants and Children With Advancing Disease
A. Symptomatic Conditions in HIV Disease
Dawn D'Orlando, RN, MSN, MPH
8.1 Anemia
Dawn D'Orlando, RN, MSN, MPH
8.2 Cardiomyopathy
Dawn D'Orlando, RN, MSN, MPH
8.3 Dermatitis
Dawn D'Orlando, RN, MSN, MPH
8.4 Diarrhea, Recurrent or Chronic
Dawn D'Orlando, RN, MSN, MPH
8.5 Hepatitis
Dawn D'Orlando, RN, MSN, MPH
8.6 Hepatomegaly
Dawn D'Orlando, RN, MSN, MPH
8.7 Herpes Virus
Dawn D'Orlando, RN, MSN, MPH
8.8 Leiomyosarcoma
Dawn D'Orlando, RN, MSN, MPH
8.9 Lymphadenopathy
Dawn D'Orlando, RN, MSN, MPH
8.10 Lymphoid Interstitial Pneumonitis (LIP)
Dawn D'Orlando, RN, MSN, MPH
8.11 Nephropathy
Dawn D'Orlando, RN, MSN, MPH
8.12 Neutropenia
Dawn D'Orlando, RN, MSN, MPH
8.13 Nocardiosis
Dawn D'Orlando, RN, MSN, MPH
8.14 Otitis Media, Recurrent
Dawn D'Orlando, RN, MSN, MPH
8.15 Parotitis
Dawn D'Orlando, RN, MSN, MPH
8.16 Sinusitis, Recurrent
Dawn D'Orlando, RN, MSN, MPH
8.17 Splenomegaly
Dawn D'Orlando, RN, MSN, MPH
8.18 Thrombocytopenia
Dawn D'Orlando, RN, MSN, MPH
8.19 Upper Respiratory Infection, Recurrent
Dawn D'Orlando, RN, MSN, MPH
8.20 Varicella, Disseminated (Complicated Chickenpox)
B. AIDS-Defining Conditions in Children With HIV Infection
Dawn D'Orlando, RN, MSN, MPH
8.21 Bacterial Infections, Recurrent
Dawn D'Orlando, RN, MSN, MPH
8.22 Mycobacterial Avium Complex (MAC)
Dawn D'Orlando, RN, MSN, MPH
8.23 Mycobacterial Tuberculosis
Dawn D'Orlando, RN, MSN, MPH
8.24 Salmonellosis
Dawn D'Orlando, RN, MSN, MPH
8.25 Candidiasis
Dawn D'Orlando, RN, MSN, MPH
8.26 Coccidiodomycosis
Dawn D'Orlando, RN, MSN, MPH
8.27 Crytpococcosis
Dawn D'Orlando, RN, MSN, MPH
8.28 Histoplasmosis
Dawn D'Orlando, RN, MSN, MPH
8.29 Cryptosporidiosis
Dawn D'Orlando, RN, MSN, MPH
8.30 Isosporiasis
Dawn D'Orlando, RN, MSN, MPH
8.31 Pneumocystis Carinii Pneumonia (PCP)
Dawn D'Orlando, RN, MSN, MPH
Viral Infections
Dawn D'Orlando, RN, MSN, MPH
8.33 Cytomegalovirus Disease (CMV)
Dawn D'Orlando, RN, MSN, MPH
8.34 Progressive Muitifocal Leukoencephalopathy (PML)
Dawn D'Orlando, RN, MSN, MPH
8.35 Malignancies
Dawn D'Orlando, RN, MSN, MPH
8.36 HIV-Related Wasting Syndrome
Dawn D'Orlando, RN, MSN, MPH
8.37 HIV-Related Encephalopathy
Section IX: Symptom Management of the HIV-Infected Infant and Child
Lynn Czarniecki, RNC, MSN, CNS- C
9.1 Pain
Rachel Davis, RN, ACRN
9.2 Anorexia
Rachel Davis, RN, ACRN
9.3 Weight Loss
Pamela J. Bachanas, Ph.D., RN, MSN, ARNP
9.4 Cognitive Impairment and Developmental Delay
David J. Sterken, MN, CNS, CPNP
9.5 Fever
David J. Sterken, MN, CNS, CPNP
9.6 Skin Lesions
Section X: Psychosocial Concerns of the HIV-Infected infant and child and their significant others
Lisa Perry, MSW, LCSW & Catherine R. Bataille, MSW, LCSW
10.1 Decision Making and Family Autonomy
David J. Sterken, MN, CNS, CPNP & Rhys VanDemark, BA, CCLS & Brooke Vanburen-Hay, Ph.D.
10.2 Stress Reduction Pediatric HIV Infection
Barbara E. Berger, PhD, RN, ACRN
10.3 Isolation and Stigmatization
Catherine R. Bataille, MSW, LCSW
10.4 Surrogate Caregivers
Marion Donohoe, RN, MSN, CPNP
10.5 Disclosure to the Child
Lisa Perry, MSW, LCSW
10.6 Multiple Hospitalizations
Marion Donohoe, RN, MSN, CPNP
10.7 Community-Based Care Issues
Heidi J. Haiken, MSW, MPH
10.8 End of Life Issues
Section: XI: Nursing Management Issues
Tom Emanuele, BSN, RNC, ACRN & Connie Highsmith, RN, BSN, ACRN
11.1 Case Management
Craig R. Sellers, MS, RN, CS-ANP, ACRN & Richard MacIntyre, RN, PhD
11.2 Ethical and Legal Concerns
Leslie Schor, RN, MSN, ACRN
11.3 Preventing Transmission of HIV in Patient Care Settings
Appendixes
Appendix A: Public Health Service Revised Classification System for HIV Infection (Adolescents & Adults), 1993 Revised
Martin Lewis, M.Ed, MSN, ANP, ACRN
Appendix B: Selected Laboratory Values
New Jersey Medical School National Tuberculosis Center
Appendix C: Treatment of Tuberculosis [TB in Adult and Adolescent Patients Coinfected With the Human Immunodeficiency Virus (HIV)]
Sande Gracia Jones, PhD, ARNP, ACRN, C, CS
Appendix D: Medications
Index