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Case Studies:
Substance Use and Abuse

Case studies that deal with substance use and/or abuse show cultural gaps in gender, age, health literacy, trust and other socio-ethnic barriers. Cases also cover intra-ethnic variations among those using or abusing substances and the need to avoid stereotyping in one's approach to care and treatment. 
   
The following are chosen from the AETC-NMC collection of case studies and focus on scenarios involving substance use and abuse:
Case Study 2 James Smith, a 32-year-old patient of African descent diagnosed with AIDS, presents to an outpatient clinic for management of his condition. Mr. Smith, who prefers to be called “Jimmy,” was initially seen by a social worker. Read more...
Case Study 17

Kerry, a 32-year-old Native American woman from a small reservation in Montana presented to a large urban clinic in the Northwest for care. She was married at age 17 and had contracted HIV from prior IVDU. Read more...

Case Study 25

Joe, a 35-year-old homeless Iroquois veteran, with no recent family contact and a history of alcohol abuse, receives care in a large urban clinic in the Pacific Northwest. Joe was diagnosed with HIV four years ago. Read more...

Case Study 29

Eddie is a 28 year-old African American male, who was a former businessman and college graduate who fell on hard times. He was diagnosed with HIV five years ago at a mobile van. Due to denial, Eddie did not seek treatment at that time. Read more...

Case Study 30

Emma is a homeless 35 year-old African American mother of 4 children between the age of 4 - 10, diagnosed with HIV three months ago. Her HIV last test was five years ago, and she did not return for the results. Read more...

Case Study 31

Maria is a 26 year old Latina male to female transgender who was diagnosed with HIV one month ago. She has been working at a restaurant for the past 6 months and lives with her parents. Read more...

Case Study 32

Peter is a 48 year-old African American male diagnosed with HIV 17 years ago. He has a history of intravenous drug abuse and consistently adhered to antiretroviral therapy (ARTs) while incarcerated for vehicular manslaughter due to a drunk driving accident. Read more...

Case Study 33

Joseph is a 58 year old African American man diagnosed with HIV five years ago and was newer prescribed antiretroviral medication (ARVs). He has no history of opportunistic infections but is diagnosed with hypertension, hyperlipidemia, and obesity.   Read more...

Case Study 34

Ms. Turner, an African American woman, has a triple diagnosis: HIV+, paranoid schizophrenia, and alcoholism. She was referred to you, the primary care physician, by her social worker. Read more...

Case Study 39

The Infectious Disease (ID) team is called to do a consult on the Pediatric floor for an 18 year old Latino male, Juan, who tested positive for HIV, 2 days after his 18th birthday. Juan was admitted to the hospital 3 days prior for a heroin overdose. Read more...

Case Study 41

Angela is a 22 year old Chinese transgender male to female person. She seems nervous and does not make eye contact. English is not her first language. She is currently going through estrogen hormone therapy. Read more...

 


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