| Most AIDS patient requires complex long term | | | | person. |
| treatment with medication for infectious disease. This | | | | Doses also decline her efficiency and also affect on |
| treatment is often complicated by the development | | | | psychological status which also intervene in demeanor |
| of resistance in the disease organism. AIDS related | | | | and become cause of irritation, dementia (cognitive |
| malignancies in the central nervous system are usually | | | | and intellectual deterioration), where the affected |
| treated with radiation therapy. Accordingly, children | | | | person may be girdle expected under this ailment and |
| who are HIV/AIDS afflicted, orphaned children are | | | | status quo. What I fathom is the demeanor of her at |
| not only traumatized by the loss of parents (whose | | | | the time of nutritional ingestions. She is very |
| physical deterioration they may often have | | | | persnickety about her ingestion. This all is also the |
| witnessed). They may lack the necessary parental | | | | impact of her same consternation. |
| guidance through crucial life-stages of identity | | | | Treatment:- |
| formation and socialization into adulthood. | | | | AIDS is a dramatic aspect of human pathology. |
| Presenting the problem of the child: | | | | There is no doubt about HIV/AIDS is a dangerous |
| Sagrika (name changed) is a 14 year girl who is the | | | | disease. If one takes suitable precautions to keep him |
| HIV/AIDS afflicted child. Sagrika's father and mother | | | | / her away from this disease or takes suitable |
| both are not alive. And there is no enough | | | | medicines and nutritious food if affected, the death |
| information available about them. Girl is admitted by | | | | of a person can be delayed by two decades at least. |
| the neighbor in the NGO working in the arena of care | | | | This is not a disease similar to heart disease, cancer |
| of HIV/AIDS afflicted children and provides the | | | | or even TB. |
| residential facilities with proper care and medical | | | | Diagnosis of the children:- diagnostic blood testing in |
| facilities which is dire need of afflicted one. She was | | | | children older than 18 month is similar to adult testing, |
| admitted there when she was at the age of 9 year | | | | with ELISA screening confirmed by western blot. |
| old. By her nature she is very quiet and calm, reticent | | | | Younger infant can be diagnosed by direct culture of |
| only give to the point answer of any question | | | | the HIV virus, PCR testing and p24 antigen. |
| without any exaggeration. When I was observing her | | | | In terms of symptoms, children are less likely than |
| demeanor I observed that this child is quite peculiar | | | | adults to have an early acute syndrome. |
| from other children. Always like to remain in her own | | | | They are, however likely to have delayed growth, a |
| dream world, like to spend time alone in her activities | | | | history of frequent illness recurrent ear infections, a |
| whether it is drawing, homework, or any other things | | | | low blood cell count, failure to gained weight and |
| which she like to do with her own. She performed | | | | unexplained fever, children with AIDS are more likely |
| well in her academics also, but in despite of this at | | | | to develop bacterial infections, inflammations of the |
| the age of 14 still she is in the 5th standard because | | | | lungs and AIDS related brain disorder than are HIV |
| of the doses of ART, which decline the work | | | | positive adults. |
| efficiency of the child and it obviously affect the | | | | Treatment of opportunistic infections and |
| psychological status of the child. | | | | malignancies: |
| Medical history: She is very reticent sort of girl and | | | | Most AIDS patient requires complex long term |
| never exhumed her feeling in front of the strangers. | | | | treatment with medication for infectious disease. This |
| Because of this nature of her no one can easily | | | | treatment is often complicated by the development |
| predict that what exactly crawling in her mind. She is | | | | of resistance in the disease organism. AIDS related |
| on the 1st line of ART dose. These doses are given | | | | malignancies in the central nervous system are usually |
| to her at the fixed time (12 hour timely medicine). | | | | treated with radiation therapy. Accordingly, children |
| ART (anti-retroviral therapy or treatment) doses, | | | | who are HIV/AIDS afflicted, orphaned children are |
| which is a combination of three medicines also impact | | | | not only traumatized by the loss of parents (whose |
| on her physical and psychological status and also | | | | physical deterioration they may often have |
| cause of decline in her working efficiency. These | | | | witnessed). They may lack the necessary parental |
| drugs are work by interfering with the action of HIV | | | | guidance through crucial life-stages of identity |
| reverse transcriptase inside infected cells, thus ending | | | | formation and socialization into adulthood. |
| the virus replication process. These drug include | | | | Psychosocial effects will be worsened by |
| zidovudine (sometimes called azidothymidine or AZT), | | | | accompanying threats to the basic survival (good |
| didanosine (ddl), zalcitabine (ddc) stavudine (d4t), | | | | housing, education, and health care) and security |
| lamvivudine(3TC), and abacavir (ABC). Normally her | | | | (protection on from exploitation and abuses) |
| health is good and she intake the nutritional food | | | | frequently experienced by orphans. These sorts of |
| whatever is included in her schedule diet, which is | | | | children need an emotional support simultaneously |
| necessary to maintain her efficiency and good | | | | with a medical treatment. Counseling is a one way |
| immune system and high protein diet for immunity | | | | through which they get satiety towards their |
| increment and onset off puberty. | | | | innumerable inquisitiveness about their peculiarity. |
| Academic history: She is in 5th standard now. She got | | | | Sagrika also facing the same problem. And in the |
| admission here in the organization in second class at | | | | utter need of the same antidote or usage. |
| the age of 9 year, because of this still she is in 5th | | | | Follow up: |
| standard at the age of 14 year. Medicines also impact | | | | After sentinel in my notion, they need a more |
| on her psychological status and at that time affected | | | | supportive and therapeutic environment in which they |
| person not able to maintain the same efficiency alike | | | | can openly share and explore the stressors |
| the normal person which become the cause of | | | | associated with caring for the HIV/AIDS affected |
| decline in performance. But inspite of at this point | | | | children and family member and develop coping |
| where person's efficiency declined her academic | | | | strategies for managing stress. |
| background is excellent. | | | | Receiving regular follow up care while HIV infected |
| Diagnosis of the problem: | | | | children should access clinical staging and medical care |
| Main problem: Special observatory part of this case | | | | to increase their chances of survival through timely |
| that the girl child is very reticent and always remains | | | | initiation of anti-retroviral therapy. |
| in her own world. Not exactly a reclusive but there is | | | | All mental health services are based on an individual |
| no exaggeration in her colloquy. She is also like the | | | | treatment plan, developed after a client assessment |
| other children, like to do all mischief which other | | | | by the therapist. These treatment plans list goals, |
| children of her age like to do. But in front of the | | | | outcome indicators and service methods and are |
| strangers she is not feeling comfortable and not able | | | | updated quarterly by the therapist. As indicated in |
| to adjust with them easily. Problem is that no one | | | | the evaluation section, on a quarterly basis and at |
| can easily able to comprehend the exact situation of | | | | time of termination, therapist rate their client |
| her mind, whatever her point of view towards the | | | | progress towards these established goals. |