For a patient diagnosed with
HIV wasting syndrome it is very difficult to maintain advised nutritional
intake. First of all because of repetitive nausea and diarrhea one may feel
better not to eat at all than suffer such outcomes, also many medications and
treatments are really strict about the times and portions a patient may eat. Some
drugs may react with the food causing undesirable side effects, thus the
patients must be educated about exact times they may eat and certain types of
foods to avoid.
According to New York
State Department of Health AIDS Institute the advised (2004) “proportion of
macronutrients should approximate 50% to 55% carbohydrates, 15% to 20% protein, and 30% fat.” If comparing
to a non-HIV patient recommended American diet the protein proportion is higher
because of the lean body mass loss the patients with HIV Wasting Syndrome
suffer from.
Also “clinicians should recommend the use of “once
daily” multivitamin supplements containing selenium (20-40 mcg) for all
HIV-infected patients experiencing weight loss” (New York State Department
of Health AIDS Institute the advised, 2004).
Patients diagnosed with
wasting syndrome of HIV should eat multiple small portions throughout the day. Due
to vomiting and diarrhea associated to wasting syndrome, patients are
recommended to maintain high caloric diet with more protein than a healthy
person would need. Reasons to that are because of diarrhea and vomiting the
body isn’t able to absorb the amount of nutrients needed resulting in
malnutrition. The consequences are also one will not absorb enough vitamins
needed to keep the body in good working condition.
In summary, patients with
Wasting Syndrome of HIV should maintain their high caloric intake by eating
small meals throughout the day. They should eat more protein then healthy
people are recommended, and take multivitamins.
References
New
York State Department of Health AIDS Institute. (2004). General Nutrition,
Weight Loss, and Wasting Syndrome. HIV
Clinical Resource. Retrieved from http://www.hivguidelines.org/clinical-guidelines/adults/general-nutrition-weight-loss-and-wasting-syndrome/
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