Counseling Case Report:

Nutritional Management of
AIDS Wasting Syndrome

By: Mabel Wu, Dietetic Intern

November 2017
 Chronic Disease Description - AIDS
—  Acquired Immune Deficiency
Syndrome (AIDS)
—  Referred to as advanced
HIV infection with a
particular set of symptoms
—  Main Cause à poor
adherence to Antiretroviral
Therapy

—  Diagnosis
—  CD4 count <200
—  Viral load is detectable
(>40-75 copies/ml)
—  Number of HIV virus
particles in a milliliter
of the blood
Source: https://www.hiv.gov/
https://aidsinfo.nih.gov/understanding-hiv-aids/fact-sheets/19/46/the-stages-of-hiv-infection
 AIDS - Symptoms
—  Immune system is too weak to fight off infections

—  AIDS-Defining Symptoms
—  Rapid weight loss
—  Chronic diarrhea (>1 week)
—  Night sweats/fever
—  Extreme tiredness
—  Persistent cough
—  Sores of the mouth, anus, or genitals
—  Prolonged swelling of the lymph
glands in armpits, groin, or neck

https://www.hiv.gov/hiv-basics/overview/about-hiv-and-aids/symptoms-of-hiv
 Wasting Syndrome
—  AIDS Wasting Syndrome – involuntary loss of >10% of
body weight with symptoms of diarrhea, or weakness and
fever for more than 30 days.

—  Factors that contribute to wasting:

—  Low food intake
—  Poor nutrient absorption
—  Altered metabolism
 Comorbidities
—  Prediabetes
—  Risk factor for future type II diabetes and cardiovascular
disease
—  A1C: 5.7%-6.4%

—  High Triglycerides
—  Increased risk of heart disease
Case Presentation
NCP: Anthropometric Measurements
Height
Current Weight
IBW/IBW% (Hamwi Formula)

BMI
Wt Trend
 NCP: Biochemical Data
Lab Value Client’s Lab Value Lab Range
NCP: Nutritional Diagnoses
 NCP: Intervention
—  Education – Content (E-1); Nutrition
relationship to health/disease (E-1.4)
—  Counseling – Strategy (C-2); Motivational
Interviewing (C-2.1)
—  Open-Ended Questions
—  Non-Judgmental Tone
—  Summarizing
—  Listening Reflectively
NCP: Medical Intervention
NCP: Monitoring
—  Food intake (FH-1.2.2.1)
—  Oral nutrition supplements (FH-1.2.1.3)
—  Weight change (AD-1.1.4)
—  Medical treatment (CH-2.2.1)
—  Participation in community programs (FH-6.1.4)
S.M.A.R.T. Goals
Any Questions?