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Nutritional Care of Patients with HIV/AIDS

Rachel Close, MS, RDN, LDN, CNSC
Edited by
Mary Ann Cockram, MS, RDN, LD
Wolf J. Rinke, PhD, RDN, CSP

C305
5 CPEUs
HARD COPY
$49.95
NEW
C305E
5 CPEUs
ELECTRONIC
$44.95
NEW

Manual with 1 reporting form 42 pgs.
This CPE program is designed to provide a medical overview of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) and specifics to consider to appropriately and effectively implement the Nutrition Care Process (NCP). People with HIV and AIDS are living longer and are requiring more specialized nutrition attention during their lifespan. Having qualified and up-to-date dietetic practitioners’ familiar with the intricacies of providing optimal, evidence-based nutritional care to this medically complex population from early diagnosis to the late stages of the disease process is essential. You will gain expertise in areas requiring your involvement during the HIV disease process including:

  • HIV-related wasting, malnutrition, and gastrointestinal intolerances,
  • lipodystrophy, insulin resistance, and hyperlipidemia,
  • alterations in bone health and food safety, and
  • social-environmental factors impacting nutritional optimization.

Meets licensure requirements for Florida and other states that require it.

For more information and customer comments, click here.
Approved by CDR, CBDM

For RDs/RDNs & DTRs/NDTRs for the Professional Development Portfolio:

SUGGESTED Learning Need Codes:
1040, 3000, 3005, 3020, 3030, 3060, 3070, 3090, 4000, 4010, 5000, 5010, 5020, 5030, 5040, 5090, 5250, 5280, 5440

SUGGESTED Performance Indicators (PIs):
1.1.3, 1.3.5, 1.3.6, 1.3.7, 1.3.8, 2.1.1, 2.1.2, 2.1.3, 2.2.2, 4.2.2, 8.1.1, 8.1.2, 8.1.3, 8.1.4, 8.1.5, 8.2.1, 8.2.2, 8.2.3, 8.3.1, 8.3.1, 8.3.2, 8.3.3, 8.3.4, 8.3.5, 8.3.6, 9.2.1, 9.3.3, 9.4.6, 10.1.1, 10.1.2, 10.1.3, 10.3.2, 10.2.1, 10.2.1, 10.2.3, 10.2.4, 10.2.5, 10.2.6, 10.2.7, 10.2.8, 10.2.9, 12.2.1, 12.2.2, 12.2.7, 12.4.1, 12.4.2, 12.4.3, 12.4.6

DON'T SEE your Performance Indicators or Code Listed here?
There are many Performance Indicators (PIs) that are applicable we can't list them all &
Per CDR you may use ANY PI or CODE as long as it relates to your Learning Plan.
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click here.

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To order an ADDITIONAL Reporting Form click below:

C305F
5 CPEUs
REPORTING FORM
$30.00

Nutritional Care of Patients with HIV/AIDS

Rachel Close, MS, RDN, LDN, CNSC
Edited by
Mary Ann Cockram, MS, RDN, LD
Wolf J. Rinke, PhD, RDN, CSP

©2018 Wolf Rinke Associates, Inc. All rights reserved for this self-directed, accredited learning program. Reproduction in whole or part without written permission from the publisher is prohibited.

INTRODUCTION AND OVERVIEW

With human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) now classifying as a chronic illness and no longer an acute illness, people with HIV and AIDS are living longer and are requiring more specialized nutrition attention during their lifespan. The link between optimal nutrition and HIV disease progression is irrefutable. Unfortunately, there remains a high prevalence of impaired nutritional status in this population. Having qualified and up-to-date dietetic practitioners familiar with the intricacies of providing optimal, evidence-based nutritional care to this medically complex population from early diagnosis to the late stages of the disease process is essential. Common areas requiring involvement of a dietetic practitioner during the HIV disease process includes HIV-related wasting, malnutrition, gastrointestinal intolerances, lipodystrophy, insulin resistance, hyperlipidemia, alterations in bone health, food safety, and social-environmental factors impacting nutritional optimization. This continuing professional education program is designed to provide a medical overview of the disease and specifics to consider to appropriately and effectively implement the Nutrition Care Process (NCP).
This program is a level 2 Continuing Professional Education (CPE) program approved for five (5) continuing professional education units (CPEUs). That means that the reader has general knowledge of the literature and professional practice in the area covered. The focus of the program is to enhance knowledge and application.
To get the most benefit from this program, we suggest you adhere to the following steps:
Step 1: Review the objectives for the CPE program.
Step 2: Study the program and as you read, think of how you can apply what is being discussed in your own area of practice.
Step 3: Assess what you have learned by answering the self-assessment questions and compare your answers to the answer key at the end of this program. Once you scored at least 80% correct go to our website http://www.easycpecredits.com to submit your Continuing Professional Education Reporting Form. You must do this before your course expires (one year from the date of your purchase). Click on the link "Submit CPE Reporting Form" and type in Your Receipt Order Number in the “Course Registration Number” field. You will find that number in the email confirmation you received when you purchased your course. Fill out the rest of the information on this form and click the submit button at the bottom of the form...it's that simple. You will get an immediate confirmation that we received your form and your certificate will be emailed to you within 2-5 days to the email you provided on the reporting form.

To ensure that our emails are delivered to your inbox (instead of your junk/spam folders), please add cpesupport@wolfrinke.com to your Address Book or Safe List of allowed email senders. Also, be sure to allow attachments from this email address.

OBJECTIVES

Upon completion of this accredited, self-directed learning program you should be able to:

  • Discuss prevalence of HIV and AIDS globally and within the United States.
  • Explain common comorbidities and opportunistic infections found commonly in the HIV and AIDS population.
  • Assess the complex relationship between nutritional status and HIV disease progression.
  • Apply appropriate, evidence-based medical nutrition therapy for the management and treatment of HIV-related complications including: wasting syndrome, gastrointestinal intolerances, lipodystrophy, and alterations in bone health.
  • Evaluate prevalent drug-nutrient interactions of common antiretroviral therapy medications and identify potentially harmful complementary and alternative medicine practices that may interfere with appropriate HIV disease control.
  • Assess areas of concern surrounding food safety for those with a compromised immune system.
  • Recognize the role of food insecurity in the potential progression of HIV.
  • Implement an interdisciplinary, nonjudgmental approach for providing optimal nutritional care to those with HIV and AIDS.
  • Apply the appropriate steps and individual components involved in the NCP for individuals with HIV or AIDS.

TABLE OF CONTENTS

OVERVIEW
Definition and Pathogenesis
Prevalence and Prognosis
Diagnosis and Treatment
Common Medical Complications
Opportunistic Infections (OIs
AIDS-Related Cancers
Hepatitis C Co-infection
COMMON NUTRITIONAL COMPLICATIONS
Weight Loss and Wasting
Overview
Nutritional Management of Weight Loss and Wasting
Use of Nutrition Support Therapy
Appetite Stimulants
Anabolic-Androgenic Agents
Gastrointestinal Intolerances/Dysfunction
Overview
Nutritional Management
Oral Rehydration Solutions
Lipodystrophy
Overview
Prevention
Nutritional Interventions
Use of Physical Activity
Drug-Nutrient Interactions
Bone Health
Food Safety
NUTRITION CARE PROCESS IN HIV/AIDS
Overview
Nutrition Screening
Nutrition Assessment
Overview
Anthropometric Data
Client Medical History
Food and Nutrition-Related History
Nutrition Focused Physical Exam (NFPE
Biochemical Data
Nutrient Requirements
Nutrition Diagnosis
Nutrition Intervention
Nutrition Monitoring and Evaluation
FUTURE RESEARCH FOR NUTRITION IN HIV/AIDS
CONCLUSION
REFERENCES
LIST OF ABBREVIATIONS
SELF-ASSESSMENT QUESTIONS
ANSWER KEY
EXPLANATION TO QUESTIONS
ABOUT THE AUTHOR
ABOUT THE EDITORS

ABOUT THE AUTHOR

Rachel Close, MS, RDN, LDN, CNSC is a registered dietitian with a Bachelor of Science degree in dietetics from Syracuse University and a Master of Science degree in nutritional sciences from the University of Wisconsin-Madison after which she completed her clinically focused dietetic internship at the Brigham and Women’s Hospital. She has extensive experience in clinical nutrition and nutrition support. She is currently a team leader dietitian specialist specializing in critical care nutrition within the Nutrition Support Service, medical intensive care unit, and neurological/neurosurgical intensive care units at the Brigham and Women’s Hospital in Boston, Massachusetts. She also teaches medical nutrition therapy at the undergraduate level at the American University of Beirut in Beirut, Lebanon.

ABOUT THE EDITORS

Mary Ann Cockram, MS, RDN, LD is a Research Scientist in the Scientific and Medical Affairs group at Abbott Nutrition where she provides clinical nutrition education and brand support internally to Sales and Marketing and externally to clinicians and consumers for Abbott’s critical care and surgical products. Her area of interest is enteral feeding.
Mary Ann received a Bachelor of Science degree in Home Economics from Valparaiso University in Valparaiso, IN, and a Master of Science degree in Clinical Nutrition from Rush University in Chicago.
She is a member of the American Society for Parenteral and Enteral Nutrition (ASPEN) and the Society of Critical Care Medicine. Mary Ann has served as chair of the Medical Nutrition Practice Group, and as the assistant editor and editor of Medical Nutrition Matters, the newsletter of this practice group. Mary Ann continues to write continuing professional education test questions for the articles in Medical Nutrition Matters. She participated as an evidence analyst on the Evidence Analysis Team for Adult Weight Management for the Academy of Nutrition and Dietetics, and she attended the test item writer workshop sponsored by the Commission on Dietetic Registration.

Wolf J. Rinke, PhD, RDN, CSP is the president and founder of Wolf Rinke Associates, Inc., a company that has provided high quality CPE programs to nutrition professionals since 1990.
He earned a BS at Drexel University, a MS at Iowa State University, a PhD in Continuing and Vocational Education (Adult Ed) at the University of Wisconsin, and interned at Walter Reed Army Medical Center. He participated in a test item writer workshop sponsored by the Commission on Dietetic Registration (CDR).
Wolf is a past Adjunct Associate Professor, Graduate School of Management & Technology, University of Maryland, and a former Adjunct Faculty Member, School of Continuing Studies, The Johns Hopkins University.
He is the past president of the DC Dietetic Association and has been honored by the Academy with the Award for Excellence in the Practice of Management; the Outstanding Dietitian of the Year Award; the Outstanding Service Award; and has delivered the Lenna Frances Cooper Lecture.
At the Academy he has served in numerous leadership roles including Chair, Scholarship Committee, DBC; Chair, Communication Committee, CDR; Chair, Area Coordinating Committee, COE; Chair, COE, and member of the Resource for Education Programs Committee; Honors Committee; CDR, Licensure Panel and Ethical Practices Task Force; CDR; House of Delegates and Board of Directors.
He is the author of more than 500 articles, numerous CPE self-study programs, and several popular books including Make It a Winning Life: Success Strategies for Life, Love and Business; Winning Management: 6 Fail-Safe Strategies for Building High-Performance Organizations; and Don’t Oil the Squeaky Wheel and 19 Other Contrarian Ways to Improve Your Leadership Effectiveness.

ACKNOWLEDGMENTS

Special thanks to the following individuals for their review.

Janet Kolmer Grommet, PhD, RDN, FAND
Associate Professor of Nutrition
Department of Health and Nutrition Sciences
Brooklyn College, City University of New York
Brooklyn, NY

Kris M. Mogensen, MS, RD-AP, LDN, CNSC
Team Leader Dietitian Specialist
Brigham & Women’s Hospital
Boston, MA

Patti Welch, MPH, RDN, LD, CNSC
Social & Behavior Change Consultant
Population Services International (PSI)
Washington, DC

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