Continuing maintenance consultations

Provide appropriate support, encouragement and counselling. Frequency depends on CD4 cell count (e.g. 3 to 6 monthly).


o Check general condition, temperature and weight.

o Look for unusual lung infection, diarrhoea, skin lesions, tongue and oropharynx, fevers, wasting and neurological signs. o Examine for signs of cytomegalovirus retinitis. o Look for early signs of AIDS-related dementia. Tests o CD4 cell count and syphilis serology o viral load test o chest X-ray and induced sputum (if cough, SOB), faeces microculture if diarrhoea persists, Candida mouth swabs and herpes swabs appropriately Treat intercurrent illness (Table 24.6).

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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