- 1 Material available at the Bill Robertson library
- 2 Articles
- 3 Recommended Reading
- 4 Research studies
- 5 Websites
- 6 Scenarios
- 6.1 Ethical and Legal Scenarios
- 6.2 Spiritual Scenarios
- 7 References
Material available at the Bill Robertson library
The Bill Robertson Library has a a range of services and information available. You might like to search the library catalogue or make a request for material as a remote student. You can do this via the remote student section on the library website. It is worthwhile having a read about the services they provide, and if you want to order something look for the Remote Request Form in the section called: How Do I Make a Request?
- 1. HIV/AIDS - three one hour films on one DVD and they are called:
- Valley of life or death - pros and cons of circumcision;
- Positive & pregnant;
- Hunt for an AIDS vaccine.
- 2. HIV/AIDS pathophysiology and overview of drug therapy - three parts to one video:
- i.Immunology, transmission and progression of HIV infection;
- ii.Symptoms of HIV infection and opportunistic infections;
- iii.Pharmacological treatment.
- Carpenito-Moyet, L. (2004). Handbook of nursing diagnosis. (10th ed.). Philadelphia: Lippincott Williams & Wilkins.
- Kirton, C., Talotta, D., & Zwolski, K. (2001). Handbook of HIV/AIDS nursing. St. Louis: Mosby.
- Farrell, M. (2005). Smeltzer & Bare’s textbook of medical-surgical nursing. Philadelphia: Lippincott, Wilkins and Williams.
- Perrin, R. (2007). Pocket guide to APA style. Boston: Indiana State University.
- Pratt, R. (2003). HIV & AIDS: A foundation for nursing. (5th ed.). London: Hodder Moa Beckett.
- Shaw, J., & Mahoney, E. (2003). HIV/AIDS nursing secrets. Philadelphia: Hanley & Belfus.
- Courtney, B. April Fools Day.
- Fleck, K. (2008). Finding the shadow in the mirror of experience: An ontological study of the global health worker. Unpublished Masters of Philosophy thesis. Auckland University of Technolgy. Available at http://aut.researchgateway.ac.nz/handle/10292/468
- Registered Nurse Kennethh Fleck worked in Malawi. In this thesis he reflects on his experience there. There is a lot of available information about HIV/AIDS particilarly in relation to stigma.
Resources just in
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- TV One News item on 11 May 2009 a short video clip (2.36 min) about increasing HIV infections in New Zealand.
- AIDS Epidemiology Group, Otago, New Zealand - information about the occurrence of HIV/AIDS in New Zealand - http://www.otago.ac.nz/aidsepigroup
- Ministry of Health: HIV and AIDS in New Zealand - http://www.moh.govt.nz/aids
- New Zealand AIDS Foundation - http://www.nzaf.org.nz/
Women and HIV
Information for women with HIV in New Zealand
UNAIDS: The United Nations Joint Programme on HIV/AIDS - http://www.unaids.org/en/
World Health Organisation and HIV/AIDS - http://www.who.int/hiv/en/
Centers for Disease Control and Prevention HIV/AIDS - http://www.cdc.gov/hiv/default.htm
Information about AIDS on Wikipedia.
Aidsmap | Information on HIV and AIDS - http://www.aidsmap.com/default.asp
http://www.nursesinaidscare.org/i4a/pages/index.cfm?pageid=1 (Association for nurses in AIDS care)
http://www.aidsquilt.org/index.htm (AIDS memorial quilts)
AntiHIV drug database - http://www.coreynahman.com/antiHIVdrugdatabase61499.html
AIDS Meds - http://www.aidsmeds.com/
- AIDS Images library - http://www.aids-images.ch/
- Films - Yesterday (2004). D. Roodt (Director). USA: HBO Films - Philadelphia (1993). USA: Columbia Movies.
Ethical and Legal Scenarios
Scenario one - trauma surgeon
A trauma surgeon is diagnosed with HIV. Trauma surgeries are usually done in an emergency and the surgical field could be quite bloody leading to increased risk of a needlestick injury for any assisting with the operation. A needlestick injury to the trauma surgeon will put the patient, assisting surgeons and nurses at risk. The risk is highest to the patient.
a) Is the trauma surgeon obliged to disclose his HIV disease to every patient (who may be unconscious on arrival to hospital), to the other surgeons, registrars and theatre nurses?
b) Should he be allowed to continue to work as a trauma surgeon?
Scenario two - parents and child
A couple with newly diagnosed HIV disease refuse to have their three-year-old son tested for HIV. It is unclear when the couple contracted their disease. The son is currently healthy. The couple explain that they would rather not know, as they are afraid that their son will be stigmatised if he is infected and this may impair his growth and development. They are willing to take their chances.
Case history one - terminally ill patient
Murray is in the terminal phase of AIDS. He is aware that he only has weeks rather than months left to live. As you administer Murray’s bed sponge this morning he begins to weep. He shares his pain and distress at not being able to receive the blessings of his Church before he dies. Because he is a homosexual he has felt unacceptable. He cannot confess that his homosexuality is sinful because he does not believe that being gay is a sin. How will you help Murray?
James is 47 years of age and has AIDS. He has been admitted into the local Hospice for social relief. On admission he looks very anxious and withdrawn. He communicates with staff as a matter of courtesy but does not identify or relate to any other patients on the unit. James uses one-word answers and does not disclose much about himself or the recent problems that he has been experiencing. James has been in a partnership with Keith for 20 years and Keith cannot comprehend the change in personality that James is displaying. Several months earlier they had a loving and open relationship. Keith wants to be there for James, but it is almost as if James doesn’t want him around anymore. Keith himself was diagnosed as HIV positive three months ago.
Case history three - self-care
You are a district nurse and have been visiting Stuart weekly for three weeks now following his admission to hospital for stabilization of a new medication regime. You have become aware that Stuart is totally unmotivated to attempt any sort of self-care without your prompting. You decide that you need to address this problem with Stuart. How would you approach this?
Case history four - infidelity
Jenny has just learned that she is HIV positive. Her husband confessed to her years of infidelity with other men, which is why she had the test. She is devastated and comes to see you in your capacity as practice nurse at the local Health Centre. Jenny states, “Why has God let this happen to me?”
Case history five - dependency
Neil has been admitted to your ward because of an exacerbation of diarrhoea, the result of a side-effect of a new medication. He is confined to bed and totally dependent on the nursing staff for all basic care. During the administration of Neil’s morning care he blurts out angrily, “What is the point nurse? I can’t stand this anymore. If I were a dog someone would shoot me. Please give me something to put me out of my misery.”
Case history six - Hospice patient
You are on night duty in the Hospice where Liam is a patient having been admitted in the terminal stages of AIDS. He has been restless and unsettled tonight and despite a cup of Milo, several changes of position he cannot go to sleep. He refuses night sedation. You decide to place some lavender oil on his pillow and as you gently rub his back he says, “Do you believe in God nurse?” How will you respond?
Case history seven - ostracization
You are going over discharge planning with Maria when she starts to cry. The nurses on the ward have mentioned that Maria appears very reluctant to go home. You ask Maria how she feels about going home when she tells you about the hate mail she has been receiving through her letterbox recently. She thinks that her neighbours have become aware that she is HIV positive because when they see her, they cross the street and hurl obscenities at her. How will you help Maria?
Carpenito-Moyet, L. (2004). Handbook of Nursing Diagnosis (10th ed.). Philadelphia: Lippincott Williams & Wilkins.
Kirton, C., Talotta, D., & Zwolski, K. (2001). Handbook of HIV/AIDS nursing. St. Louis: Mosby.
Farrell, M. (2005). Smeltzer & Bare’s textbook of Medical-Surgical Nursing. Philadelphia: Lippincott, Wilkins and Williams.
Pratt, R. (2003). HIV & AIDS: A foundation for nursing. (5th ed.). London: Hodder Moa Beckett.
Shaw, J., & Mahoney, E. (2003). HIV/AIDS nursing secrets. Philadelphia: Hanley & Belfus.