Figure 2-15: Factors Hindering Food Consumption in HIV-Infected Clients

Figure 2-15
Factors Hindering Food Consumption in HIV-Infected Clients
Problem Intervention
Anorexia (poor appetite)Small, frequent meals; calorie- and protein-dense foods; relaxation techniques before meals; appetite stimulants (e.g., Megestrol acetate). Must investigate HIV medications as a potential cause of anorexia (e.g., ritonavir).
NauseaCold, bland, dry foods. Investigate HIV medications as a possible cause.
VomitingLiquid diet (temporarily). Eat when asymptomatic; antiemetics as needed.
DiarrheaUse of bulking agents; fluid replacement.
Early satietySmall, frequent meals.
Dysphagia (difficulty swallowing)Evaluate for oral diseases, opportunistic infection, and CNS disease. Soft, blenderized or pureed foods or baby foods as tolerated; calorie- and protein-dense supplements.
Odynophagia (pain when swallowing)Same as for dysphagia, plus avoidance of foods that cause pain (soda bubbles or citrus, spicy, or rough-textured foods).
Difficult or painful chewingSame as for dysphagia and odynophagia, plus sucralfate slurry or viscous lidocaine swish before meals.
WIDTH="60%"Source: New York State Department of Health AIDS Institute; adapted from Rakower and Galvin, 1989.

From: Chapter 2—Medical Assessment and Treatment

Cover of Substance Abuse Treatment for Persons with HIV/AIDS
Substance Abuse Treatment for Persons with HIV/AIDS.
Treatment Improvement Protocol (TIP) Series, No. 37.
Center for Substance Abuse Treatment.

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