HIV-infected client care: case management and the HIV team.

No one discipline can meet the complex needs of the HIV-infected client. Because of the diverse nature of disease manifestations, an HIV Team concept is promoted. The clinical nurse specialist (CNS) is uniquely prepared to initiate the team and support holistic client care through case management. Current HIV statistics with implications for the rural community are provided, and reasons for the lack of community involvement with HIV care are suggested. The case study illustrates complex needs of an HIV-infected woman, as well as issues that evolve during HIV-infected client care. Interventions that promote care for persons living with HIV in addition to support of involved health care workers are addressed. Practical suggestions for initiating this process are included.