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             Health maintenance is a guiding principle in medicine that promotes good health and the prevention of diseases instead of managing symptoms. Health maintenances include measures such as screening, counseling, including other activities to ensure that conditions are prevented or identified at an early stage (Baill & Castiglioni, 2017). This practice aims at ensuring that the physical, mental and emotional health is maintained throughout the whole natural life cycle of an individual. The organization of medical care has promoted this principle by eliminating financial barriers to obtaining health promotion and disease prevention services. They have also allowed the use of media for health education and the promotion of health policy that helps reduce the risk of injuries.

Clinical pearls are tiny bits of free-standing, essential information that is based on experience or observation. They are part of the vast sphere of crucial and experience-based medical information, and it can help answer complicated medical queries that the present data do not have answers. If there are no standard criteria for assessing clinical pearls, proper guidelines are proposed for both (Gosselin et al., 2018). Pearls are essential in medicine and nursing because they provide clues about a patient and are sayings worded to mean something complete.

Clinical judgment is a well-thought opinion that a nurse or clinician makes based on their observation, reflection, and analysis based on obtained information or data from a test. Differential diagnosis is the generating of a list of possible diseases that might display the observable signs and symptoms of a patient (Smith et al., 2019). This is an important technique because it enables appropriate testing and ruling out to be able to come out with the final and confirmed diagnosis. Study shows that between 13and, 49% of HIV+ patients have hypertension. Factors that lead to this outcome are age, low immunity, and the use of ARVs. Also, several studies have shown that most patients with HIV have cardiovascular diseases with hypertension as a significant contributor to this phenomenon.

 References

Baill, I. C., & Castiglioni, A. (2017). Health maintenance in postmenopausal women. American family physician95(9), 561-570. Retrieved from 

https://www.aafp.org/afp/2017/0501/p561.html

Gosselin, R. C., Douxfils, J., & Adcock, D. (2018). Clinical pearls: Laboratory assessments of direct oral anticoagulants (DOACS). Phlebologie47(04), 215-221. Retrieved from

https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0038-1667872

Smith, H. Z., Paguia, R., Horne, J., & Velagapudi, M. (2019). A Case Report of Human Herpesvirus-6 (HHV-6) Meningitis Masquerading as Idiopathic Intracranial Hypertension in an Immunocompetent Patient. Cureus11(5). Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6623995/

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