Biomaterial Database

Tuberculosis in AIDS patients: an ethical dilemma for discharge planning. 1994

H Osman

Tampa General Healthcare, FL.

Discharge planning with AIDS patients has become more complex since the resurgence of tuberculosis in this group. Such psychosocial problems as drug use, homelessness, and poverty have also contributed to the difficulty in discharge planning because of issues of noncompliance with medical regimens and the subsequent development of drug-resistant strains of TB. Ethical conflicts, resulting from balancing respect for patient autonomy with the obligation to cause no harm to society, arise for the health care professional who coordinates the discharge plan. Every effort to decrease the incidence of rehospitalization, especially through the emergency department, should be taken to control the cost of inpatient care. These efforts should focus on arranging for directly observed therapy and placing the homeless in shelters that promote outpatient treatment.

UI	MeSH Term	Description	Entries
D010349	Patient Compliance	Voluntary cooperation of the patient in following a prescribed regimen.	Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D010351	Patient Discharge	The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities.	Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D003140	Communicable Disease Control	Programs of surveillance designed to prevent the transmission of disease by any means from person to person or from animal to man.	Flatten the Curve of Epidemic,Flattening the Curve, Communicable Disease Control,Parasite Control,Control, Communicable Disease,Control, Parasite
D004991	Ethics, Institutional	The moral and ethical obligations or responsibilities of institutions.	Ethics, Health Facility,Ethics, Hospital,Ethics, Organizational,Organizational Ethics,Health Facility Ethics,Hospital Ethics,Institutional Ethics,Institutional Obligations,Ethic, Health Facility,Ethic, Hospital,Ethic, Institutional,Ethic, Organizational,Facility Ethic, Health,Facility Ethics, Health,Health Facility Ethic,Hospital Ethic,Institutional Ethic,Institutional Obligation,Obligation, Institutional,Obligations, Institutional,Organizational Ethic
D006703	Ill-Housed Persons	Persons without adequate housing or without permanent residence. The concept excludes nomadic peoples.	Homeless Persons,Homeless Shelters,Shelterless Persons,Shelters for Homeless Persons,Street People,Unhoused Persons,Homelessness,Homeless Person,Homeless Shelter,Ill Housed Persons,Ill-Housed Person,People, Street,Person, Homeless,Person, Ill-Housed,Person, Shelterless,Person, Unhoused,Persons, Homeless,Persons, Ill-Housed,Persons, Shelterless,Persons, Unhoused,Shelter, Homeless,Shelterless Person,Shelters, Homeless,Unhoused Person
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000163	Acquired Immunodeficiency Syndrome	An acquired defect of cellular immunity associated with infection by the human immunodeficiency virus (HIV), a CD4-positive T-lymphocyte count under 200 cells/microliter or less than 14% of total lymphocytes, and increased susceptibility to opportunistic infections and malignant neoplasms. Clinical manifestations also include emaciation (wasting) and dementia. These elements reflect criteria for AIDS as defined by the CDC in 1993.	AIDS,Immunodeficiency Syndrome, Acquired,Immunologic Deficiency Syndrome, Acquired,Acquired Immune Deficiency Syndrome,Acquired Immuno-Deficiency Syndrome,Acquired Immuno Deficiency Syndrome,Acquired Immuno-Deficiency Syndromes,Acquired Immunodeficiency Syndromes,Immuno-Deficiency Syndrome, Acquired,Immuno-Deficiency Syndromes, Acquired,Immunodeficiency Syndromes, Acquired,Syndrome, Acquired Immuno-Deficiency,Syndrome, Acquired Immunodeficiency,Syndromes, Acquired Immuno-Deficiency,Syndromes, Acquired Immunodeficiency
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D017007	Duty to Warn	A health professional's obligation to breach patient CONFIDENTIALITY to warn third parties of the danger of their being assaulted or of contracting a serious infection.	Warn, Duty to,to Warn, Duty
D017048	Health Care Costs	The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.	Medical Care Costs,Treatment Costs,Costs, Medical Care,Health Costs,Healthcare Costs,Cost, Health,Cost, Health Care,Cost, Healthcare,Cost, Medical Care,Cost, Treatment,Costs, Health,Costs, Health Care,Costs, Healthcare,Costs, Treatment,Health Care Cost,Health Cost,Healthcare Cost,Medical Care Cost,Treatment Cost