Blood Borne And Infectious Diseases: Hepatitis C

3169 words - 13 pages

This assignment is based on a case study selected from HIV/Viral Hepatitis a Guide for Primary Care (Dore et al. 2001).For the purpose of this case study I will identify the patient discussed by the name of Mariah. This is a fabricated name allowing confidentiality to be maintained.This case study will explore a clear and accurate description of Mariah and her problem. Pre and post testing will be the main focus of this assessment, concentrating primarily on the following:- Risk assessment: what tests are to be performed and the reason for testing- The natural history of hepatitis C- Assessment of lifestyle- Advice on how to minimise impaired health from hepatitis C- How to reduce the transmission risk- What a positive result means in regard to: medical and psychological aspects- The reliability of results and the window period- Explanation on support availableMariah is a twenty nine year old married female. Mariah and her husband of 2 years reside in the northern suburbs of Adelaide, South Australia. Mariah is four months pregnant. She and her husband are very excited about being parents for the first time. Mariah and her husband have a close relationship and enjoy an active social life together with family and friends. She is employed as a full-time solicitor where she has worked for six years within a successful metropolitan firm. Mariah values the rapport she has established with her co-workers. Mariah plans to decrease her working hours and responsibilities to part time as her delivery date draws closer.Mariah admits to experimenting with injecting amphetamines when she was nineteen years of age. She stated that she had only injected on 'one or two' occasions and this occurred while she was studying her accounting degree at university. Hamilton, Kellehear and Rumbold (2001) believe that peer influences are the strongest predictors of substance abuse. It is possible that Mariah felt pressured into experimenting with drugs by her peers at university to gain social approval. A particular concern of intravenous drug use is the sharing and reusing of injecting equipment. (Hepatitis C Council of SA 2000) Mariah disclosed that she allowed a friend to inject her. Mariah also indicates that she was under the influence of alcohol while the injecting occurred and that her memories of these events are quite 'hazy.' This dangerous practice of mixing amphetamines with alcohol could have serious consequences. Although Mariah may not have felt intoxicated because of the effects of the stimulants, high blood levels could have caused problems with her coordination and judgement. (Hamilton, Kellehear & Rumbold 2001)Mariah reveals that she has never discussed her history of drug use with her husband. She fears her husband would not understand her experimentation with drugs. The risk of hepatitis C carries a lot of stigma due to the association with injecting drug use. Therefore people who are infected will quite often not tell anyone because they fear that...

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