Nutrition and HIV/AIDS: A Training Manual - Linkages Project

• Her pre-pregnancy weight, if available• Adequacy of the gestational weight she has gained• Her dietary intake and food habits• Medications or dietary or herbal supplements she is taking• Problems affecting her food intake• Support systems at home or at work• Any other concurrent medical problems, e.g., diabetes, hypertension, fever,or malaria• Her feelings on the interventions and which ones she thinks that she can andcannot doTASK 2: Ask students to role-play the following case study illustrating nutritionalcare and support of an HIV-positive adolescent. One student should take the role ofthe pregnant adolescent and another the role of the nutritional counselor.Jennifer is a 15-year-old girl who just learned that she is HIV positive during her visitto the antenatal clinic. Her parents are aware of her pregnancy, but she has not toldthem that she is HIV positive. Jennifer was attending school but recently had to dropout because she was not feeling well. Her parents have three younger children, andtheir combined income is just enough to cover the families’ needs. Jennifer does notknow how much support her parents will give her to take care of the baby. She is inher first trimester of pregnancy when she comes to see you and admits to feelingfrightened, alone, and depressed. She tells you that she smokes, has little appetite,and feels nauseated.Students should discuss the following questions about the appropriate counseling forJennifer. Answers are provided.1. What nutritional care and support issues should you focus on for Jennifer?174