Document Detail


An assessment of the need for a dietitian in an out-patient HIV clinic.
MedLine Citation:
PMID:  10130857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
People suffering from the acquired immunodeficiency syndrome (AIDS) often experience involuntary weight loss and malnutrition. Altered body composition, recurrent opportunistic infection and a decline in immune function are associated with the progression of the human immunodeficiency virus (HIV) infection to AIDS. The factors that might affect nutritional status in AIDS are numerous and include a reduced food intake, increased metabolism, malabsorption and the acute phase response to infection. It is not clear what difference nutritional intervention can make to the progression of the disease. However, there is a consensus that it has an important role to play during the course of the disease. A report was compiled to assess the requirement for a dietitian in an HIV Clinic (the Southern Alberta Clinic) and the role of the dietitian in that position. Nutritional and anthropometric data were collected from medical records. In addition, Clinic physicians were sent a questionnaire. It was found that clients, when seen by the dietitian, had lost weight and had more gastrointestinal symptoms and a lower CD4+ lymphocyte count than the average Clinic patient at their initial Clinic visit. The report recommended that all Clinic staff use body mass index as a screening tool for referral to the dietitian and that good nutrition be promoted by the Clinic as an important part of the care of the HIV infected person. The assessment recommended a 0.4 full-time equivalent position within the Southern Alberta Clinic.
Authors:
S J Sharkey
Related Documents :
2179917 - Morphologic findings in children with acquired immune deficiency syndrome: pathogenesis...
20348287 - Management of the metabolic syndrome in patients with human immunodeficiency virus.
8422087 - Manic syndrome early and late in the course of hiv.
10025867 - Disseminated sporotrichosis with extensive cutaneous involvement in a patient with aids.
17276367 - Is human herpesvirus-6 a trigger for chronic fatigue syndrome?
19211827 - Hepatic fatty acid composition differs between chronic hepatitis c patients with and wi...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Canadian Dietetic Association     Volume:  54     ISSN:  0008-3399     ISO Abbreviation:  J Can Diet Assoc     Publication Date:  1993  
Date Detail:
Created Date:  1994-02-09     Completed Date:  1994-02-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0415554     Medline TA:  J Can Diet Assoc     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  202-7     Citation Subset:  H; X    
Affiliation:
Southern Alberta Clinic, Foothills Hospital, Calgary.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acquired Immunodeficiency Syndrome / complications,  diet therapy*
Alberta
Counseling
Dietetics*
Health Services Needs and Demand
Humans
Nutrition Assessment*
Outpatient Clinics, Hospital / manpower*
Patient Care Team*
Physicians
Questionnaires
Referral and Consultation / statistics & numerical data
Weight Loss

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Early postoperative feeding--results of a North American survey.
Next Document:  Focus on: The Methodist Hospital, Houston, Texas, Biomedical Instrumentation Department.