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Cancer Remediation

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Kristina Davila
Remediation Assignment/Case Study (Mr.Thomas)

1. HIV can be transmitted from an infected person to another through blood (including menstrual blood), semen, vaginal secretions and/or breast milk. The mode of transmission can be unprotected sexual contact, direct blood contact, including injection drug needles, blood transfusions, accidents in health care settings or certain blood products, and/or mother to baby (before or during birth, or through breast milk). It is not transmitted by saliva, tears, sweat, feces and/or urine. Mr. Thomas can prevent the transmission to his wife or others by either abstaining from sex or wearing a condom. 2. HIV is the name of the virus which infects our immune system and damages it severely over a period of time. Over time, HIV disease infects and kills white blood cells called CD4 lymphocytes (or “T cells”) and can leave the body unable to fight off certain kinds of infections and cancers. When the CD4 count drops below 200, a person's immune system is severely weakened, and that person is then diagnosed with AIDS, even if he or she has not become sick from other infections. 3. The ethical dilemmas in this case are that first, Mr. Thomas had an affair and never told his wife. This affair happened 3 years ago, and he could have infected his wife by not protecting himself. Another dilemma is that he does not want his wife to know he is HIV positive unless she herself begins to present symptoms. 4. The health care professional has a legal obligation to report that Mr. Thomas is HIV positive to state Department of Health. It is important to reassure the patient that the report will be kept strictly confidential and explain the purposes of reporting. Explain that participation in partner notification is voluntary and the benefits to the partner in learning their HIV status. 5. Kubler-Ross 5 stages

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