MSN-FP6011 Concept Map Template Nursing Diagnosis 2: Social isolation. Rogers has separated from his family and lives at a friend's (Nick) house. He lacks resources to support his HIV situation and does not want to depend on his father's health insurance as it will deplete the family's financial resources. Most Urgent Nursing Diagnosis: Fear and anxiety caused by the separation from the family, and living with a friend’s family. Keith is afraid to go back home and share the same bathroom with his parents and two sisters. He believes that everyone is afraid to be infected by HIV. Patient Info: Name: Keith Rogers. Age: 18 years Sex: male Despite having 500 dollars in the bank account, he knows that it is not enough to support his medication. He feels isolated, lonely, and afraid because he doesn't know how he will get through it. He fears to be thrown out of Nick's place if the parents know his health status and does not talk about it completely. He is afraid that someone might bust-up at the house and finds them using meth, though he doesn't care anymore. Situation: HIV positive for some time now, without receiving treatment. Treatment: Keith can be placed under Antiretroviral restricted regimes (ARVs). Monitored on the reaction of the ARV in the body Outcomes: Reduced symptoms, minimal stress levels, and reducing risks of opportunistic infection Other treatment: He should stop using methamphetamine. Take ARV daily for a month, and measure the CD4 lymphocyte cell count. makeKeith doesn’t have Nursing Diagnosis 3: Knowledge deficit. adequate information about HIV prevention, treatment, and protection. He is advised to use methamphetamine as a control method but doesn't know whether it works or not. He knows that meth is illegal and won’t be prescribed by doctors, but uses it, resulting in increased heart rates. He knows HIV drugs cost more, and the cash in the bank cannot support his medication charges. He doesn’t want to hurt the family into bankruptcy. Treatment: Proper education on preventive measures, protection methods, and treatment. Eating healthy, exercising, and stop using illegal substances like meth. Outcomes: People will donate money to help out, get a healthy lifestyle, and will get rightful information about Alternative treatment methods: Telling people about your condition, getting support from health practitioners, and seeking financial support for treatment purposes. Treatment: Ask for help from family members, use the available free-services in the community for Infected people. Join local groups championing for HIV. Outcomes: Robust mental and emotional growth, fewer anxieties and stress, improved health. Close friendships, family reunion, and better living conditions. Alternative ways: regular contact with medical teams, develop good relations with HIV specialists and finding local support groups to offer guidance.