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An 18-year-old patient named loly was hospitalized since 4 days ago, complaining of
prolonged diarrhea, weight dropped dramatically and there were white lesions in the patient's
mouth area. The patient was accompanied by a male friend named Satria. The patient said
that he and his friends often came to nightclubs and dated with different men each patient
came to the club. The patient explained to the nurse what happened to him and the nurse
performed a blood examination of the patient to determine the diagnosis of the case above.
After the results come out, the nurse tells them that the patient has HIV. The patient does not
believe the results that come out, the nurse tries to explain about the illness to the patient and
the patient's family.
Pre-orientation stage
Orientation stage
Nurse: Ok, I am nuri, on duty this morning from 8:00 a.m. to 12:00 p.m., here I will check the
vital signs and draw blood for your examination, about 15 minutes, do you agree?
Patient: Yes, i agree
Satria: Sorry nurse, I want to ask what disease my friend is suffering from?
Nurse: Our medical team will first check the condition of your friends, then we will find out
what diseases are experienced
Working stage
Nurse: (Perform a blood pressure check), oke loly, your blood pressure is 120/80 mmHg
Patient: Yes
Patient: Okay
Nurse: (stabs the patient's hand and takes the blood, after that the nurse gives it to labor),
well, i have taken the blood, tomorrow i will come back again.
Nurse: The results will come out tomorrow, the doctor and i will explain the results
After that, the blood is carried by the laboratory, and the results are out, the nurse and
doctor immediately explain to the patient and tell the patient about the disease
Nurse: Excuse me
Patient: Sat, I never imagined what would happen to me later. (Saying with a face looking
very sad)
Nurse: Yes, I understand, I will explain that this HIV disease seems to have no symptoms in
recent years, it will cause symptoms for 3 years or more.
Nurse: Loly, the disease you experience is caused by HIV, a virus that attacks the immune
system
Patient: How can the virus be transmitted? (Saying to face looks very disappointed and sad)
Nurse: HIV virus can be transmitted through free sex, the use of alternating needles, and
blood contact
Satria: You have to be strong loly. Don't think about what other people say. I will always
accompany you here
Patient: What if everyone stays away from me sat? And my family must be very disappointed
with what they will know
Satria: You don't need to worry I won't stay away. And the nurse will explain everything well
to your family until they understand and will not hate you
Patient: (His face looks nervous), I believe what you say Satria. Nurse, can this disease be
cured?
Perawat: Hingga saat ini belum ada obat untuk penyakitnya, tetapi hanya obat untuk
mengurangi gejalanya.
Perawat: Saya permisi dulu. jika Anda perlu sesuatu hubungi saya di ruang perawatan
Termination stage
At the previous meeting and the nurse saw the concern that happened to the patient.
the nurse performs one role, namely as an advisor, and plans to interview and provide
knowledge about the disease
Nurse: Alright. i am nurse nuri, i will help you to overcome this problem and provide
information about your illnes, do you agree?
Patient: Yes
Nurse: Have you ever lived with your male friend and used used medicine?
Patient: Does it have impact to do my illnes?
Patient: Alright, Nurse, I just realized that what I did in the past greatly destroyed my life
Patient: I was afraid to die, because I heard this disease made us die
Nurse: Yes, But we can minimize the severity. You must diligently seek treatment and check
Patient: OK
Nurse: OK, i will go first. if anyone wants to be asked or discussed we can meet
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