It takes time, but ...

It takes time, but in return you get a higher level of trust between doctor and patient. This confidence and active involvement of the patient can facilitate the adoption of many difficult decisions that need often arises in the course of HIV-infected patients. In discussing the diagnosis should begin with an assessment of patient awareness and the degree of concern. Many people at high risk of infection, are already aware of cases of HIV infection and death caused by this infection, among friends and acquaintances. Thus, this disease may be familiar to them. Yet they need information relevant to their particular case. The physician must submit the required information. carefully selecting an expression. appropriate medical knowledge the patient, not forgetting about how emotionally vulnerable is the patient at this time. The first discussion of the diagnosis to be frank, with unprofessional terminology, and brief physician must understand that the patient does not "hear" a detailed description of various options for treatment of the disease. This should be deferred until the next visit, scheduled for the next few days if the patient is not hospitalized. If a patient has a close friend or family member should be invited to participate in the discussion of the diagnosis, as he, having no direct relation to what is happening, can hold more data in memory in order to inform and support the patient after the visit to the doctor. Medical information for patients with newly diagnosed HIV infection should include the exact wording of a medical diagnosis of HIV-related (eg, PCP), as well as a simple description of the disease. The doctor should explain in accessible language the relationship with a specific diagnosis of HIV infection (for example, "Available pneumonia indicates that you have AIDS, an advanced stage of HIV infection"), without an accent on the word "AIDS". Doctor should tell the patient that HIV infection is a progressive chronic process on the availability of various treatment options at different stages of infection. Necessary to emphasize the need for urgent action to address the clinical problems. The physician should not try to downplay the importance of HIV infection, but at the same time, we should not indulge in arguments about the prognosis for the future, especially not need to count the remaining time of life. Realistic optimism Although prognosis of HIV infection generally unfavorable, it is not universal. Patients with newly diagnosed sure it should be emphasized that the statistics on the probability of death can not be directly transferred to a specific case. It is also important to explain to the patient that the amount of knowledge about HIV and its attendant diseases is increasing rapidly, there is an intensive development and testing of drugs in the future be able to stop the destructive action of the virus. One could also mention that the treatment of cancer and infections associated with HIV are also improving.