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All Journal Tropical Medicine Journal Majalah Kedokteran Bandung The Indonesian Biomedical Journal Jurnal Respirologi Indonesia Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Widya Wasityastuti
Department Of Physiology, Faculty Of Medicine, Public Health, And Nursing, Universitas Gadjah Mada, Indonesia
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Stage 3 HIV Patient with Severe Dysfunctional APGAR Score: A Palliative Approach Prastiwi, Silvia Hari; Wasityastuti, Widya
Review of Primary Care Practice and Education Vol 8, No 1 (2025): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.91275

Abstract

Mr. D, a 45 years old patient was visited at home for his HIV stage 3.  The patient admitted that he had shortness of breath that was not affected by activity and there was no swelling in both legs. He also has a cough that produces sticky phlegm. He experiences diarrhea, even though it doesn’t happen every day. He was diagnosed with HIV since 2012 and admitted that did not comply with taking ARTs. He underwent the test two years after his wife was diagnosed with HIV; during this time, he also had persistent shortness of breath and lost weight due to a co-infection with tuberculosis. He acknowledged not taking ARTs on a regular basis for about ten years after receiving his diagnosis because he believed he had accepted his predicament. Since four years ago, his wife has been gone, leaving him with their children.He has two sons: the oldest, a 20-year-old who provides the family's foundation, and the younger, a 17-year-old who is still in school. The patient and their kids currently don't get along well because there isn't much communication between them and because the kids spend much of their time alone at home and don't say hello to each other. Because of the low economic status and the family's lack of concern for the patient's diet, the patient consumes the same foods every day, such as instant noodles or fried eggs.The patient's shortness of breath prevents him from working and interferes with his daily routines. He stated that because he was alone at home and was experiencing discomfort with his shortness of breath, he could only rest and lie down there. The patient was urged to be referred to Sardjito Hospital by the doctor at the Community Health Center (Puskesmas), but he was rejected on the grounds that he could not have a companion with him. 
Co-Authors Achmad Djunaidi Andika Dhamarjati Demianus Tafor Demianus Tafor Dwi Aris Agung Nugrahaningsih Eko Purnomo Eti Nurwening Sholikhah Etika Ratnasari Gandes Endah Pakarti I Gusti Bagus Budi Dharma Ihsana, Nuni Kurnia Putri Utami Marsetyawan HNE Soesatyo Marsetyawan HNE Soesatyo Mujur Mujur Nisrina Nafi’atul Huda Nur Arfian Nur Arfian, Nur Prastiwi, Silvia Hari Ronny Martien Setyo Purwono Siswanto Siswanto Sofyana, Meida Sri Hartini Tety Hartatik Yanri W Subronto Yayi Suryo Prabandari