HIV in Elderly Patient

https://doi.org/10.22146/rpcpe.93047

Galuh Dyah Fatmala(1*), Mora Claramita(2), Nurwestu Rusetiyanti(3)

(1) Academic Hospital; Universitas Gajah Mada; Indonesia
(2) Department of Medical Education and Bioethic; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(3) Academic Hospital; Universitas Gajah Mada; Indonesia
(*) Corresponding Author

Abstract


The patient is 66-year-old men from a small village in the foot of the Merapi volcano, Java Island, Indonesia. He is a husband and a father of three children with three granddaughters. He describes his life as a happy snack fruit farmer, adores living with his caring wife and enjoying role as a mosque priest in his village. But all are disrupted as his health condition has worsened in the past year. Previously, he has been hospitalized twice with the final diagnosis of chronic obstructive pulmonary disease; the tuberculosis has been ruled out by acid fast bacillus test since he also presenting with significant weight loss. Otherwise, he also has multiple visits to dermatologist due to itchy all over his body which is not improving with primary health center (puskesmas) medication. For his blurry eyes, he has been referred by his general practitioner to the ophthalmologist to be suspected with glaucoma and have lanatoprost medication for his eyes daily. He is also having diagnosis of lumbago with sciatica by neurologist since both of his legs are always sore and tingling. All of his outpatient visits and hospitalizations are covered by government health coverage in the same hospital as he has been referred by puskesmas.


Keywords


HIV; elderly; patient; puskesmas



References

  1. Tudor M, Al Aboud A, Leslie S. Syphilis. Treasure Island (FL): StatPearls. Published 30 05 23. Accessed January 11, 2023. https://www.ncbi.nlm.nih.gov/books/NBK534780/
  2. Kang, S. Fitzpatrick's dermatology. 2019.
  3. Lytvyn Y, Qazi MA, eds. Essential Med Notes 2022: Clinical complement and resource for medical trainees. 38th Edition. Toronto Notes for Medical Students, Inc. 2022.
  4. Regulation of the president of the Republic of Indonesia number 88 of 2021.
  5. Bappenas. Indonesian population projection 2015-2045 SUPAS results 2015. BPS-Statistics Indonesia. 2018.
  6. Ministry of Health Republic Indonesia. Annual report HIV AIDS 2022. Accessed September 7, 2023. http://p2p.kemkes.go.id/wp-content/uploads/2023/06/FINAL_6072023_Layout_HIVAIDS-1.pdf
  7. CDC. HIV surveillance report 2019. 2019;32. Accessed July 9, 2023. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html
  8. WHO. HIV: Global situation and trends. Accessed September 7, 2023. https://www.who.int/data/gho/data/themes/hiv-aids
  9. Johnson, L. F., Mulongeni, P., Marr, A., & Lane, T. (2018). Age bias in survey sampling and implications for estimating HIV prevalence in men who have sex with men: insights from mathematical modelling. Epidemiology & Infection. 2018;146(8):1036-1042
  10. Sharma B. HIV-AIDS and aging: Challenges and management. J Hum Virol Retrovirology. 2016;3(5). doi:10.15406/jhvrv.2016.03.00109
  11. UNAIDS. Impact of AIDS on older populations. Published online 2002. https://data.unaids.org/publications/fact-sheets02/fs_older_en.pdf
  12. Suseno FM. Javanese ethics: A philosophical analysis of Javanese life wisdom. Gramedia. 1984.
  13. Geertz C. Ritual and social change: A Javanese Example. Am Anthropol. 1957;59(1):32-54. https://www.jstor.org/stable/666528
  14. Fauk NK, Ward PR, Hawke K, Mwanri L. Cultural and religious determinants of HIV transmission: A qualitative study with people living with HIV in Belu and Yogyakarta, Indonesia. Telfair J, ed. PLOS ONE. 2021;16(11):e0257906. doi:10.1371/journal.pone.0257906
  15. Boellstorff T. Between religion and desire: being muslim and gay in Indonesia. Am Anthropol. 2005;107(4):575-585. doi:10.1525/aa.2005.107.4.575



DOI: https://doi.org/10.22146/rpcpe.93047

Article Metrics

Abstract views : 62

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Galuh Dyah Fatmala, Mora Claramita, Nurwestu Rusetiyanti

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View My Stats