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Hiv Advocacy

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HIV/AIDS Advocacy
The scenario of Lena as a community health nurse finding out her sister’s boyfriend is HIV positive is a difficult one. There are many moral, legal, and ethical implications in a situation like this. While it is easy to want to jump to one decision concerning this issue, there are many things to consider before making a decision.
Patient’s Rights
First and foremost, the patient’s rights and privacy needs to be the first thing reviewed. HIV/AIDS status is considered “superconfidential” in a patient’s medical record, and any unjust disclosure can lead to very severe consequences. Under Florida’s Omnibus AIDS Act, releasing HIV status without the patient’s consent or knowledge is a first degree misdemeanor and can result in disciplinary action from the providers licensing board (Hartog, 2009, p. 38). Before deciding to do anything, review the patients’ rights and the nursing code of ethics. Many ethical terms come into play here. Autonomy ensures that the patient is allowed to make their own decision about their health care. There are some specific legal implications regarding an HIV diagnosis, but that will be discussed later. Under the nurse’s code of ethics, nurses need to respect a patient’s autonomy and right to choose their care (“Ethics”).
Reviewing the Diagnosis
The first action to be taken would be to schedule an appointment with the boyfriend and inform him of his HIV status, if that has not already been done. Florida specifically offers various types of counseling to newly diagnosed HIV patient and there is push for educating the newly diagnosed patient. The patient would also need to be informed that Florida law obligates the provider to notify the county health department of the patients HIV status ("Protocol," 2010). At this time, it’s very important to discuss with the patient the necessity of contacting all previous and

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