Discuss the Care of one patient from a participating placement area that demonstrates establishing a therapeutic relationship in the short term setting including advocacy and the use of clinical science knowledge.

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Discuss the Care of one patient from a participating placement area that demonstrates establishing a therapeutic relationship in the short term setting including advocacy and the use of clinical science knowledge.

This assignment will revolve around a single episode of care provided to Mr. A, a recently diagnosed Human Immunodeficiency Virus (HIV) positive gentleman. As part of his ongoing care, he attends a Genito-Urinary Medicine department as an outpatient every 3 months in order to ascertain the progression of his disease. As part of this assessment, he undergoes a series of blood tests, including a count of his T-helper cells (colloquially known as a "CD4 count"). At the time, Mr. A was a Clinical Stage 1 asymptomatic patient, according to the World Health Organisation (WHO) HIV staging criteria (WHO, 2005), meaning that he was not currently receiving Highly Active Antiretroviral Therapy (HAART). The assignment will cover the pathophysiology of HIV, focusing specifically on the relationship of the CD4 count to disease progression. Communication strategies relating specifically to the short-term professional and therapeutic relationships developed with Mr. A will also be discussed. In line with guidelines published by the Nursing and Midwifery Council (NMC), specific names and places have been