HIV Testing and counseling : Antiretroviral therapy

HIV Testing and counseling : Antiretroviral therapy 150 150 Tony Guo
  • HIV Testing and counseling
    • Testing is the only sure method of determining HIV infection
      • CDC recommends universal, voluntary testing as part of routine medical care
      • An estimated 14% of people living with HIV are not aware they are infected
    • Acute intervention
      • Early intervention promotes health and delays disability
      • Reactions to positive HIV test
        • Similar to any life-threatening, chronic illness
          • Panic, anxiety, fear, guilt, depression, denial, anger, hopelessness
  • Antiretroviral therapy
    • ART can significantly slow HIV progression, but it
      • Is complex
      • Has side effects
      • Does not work for everyone
      • Is expensive
    • Adherence to drug regimens is critical to prevent
      • Disease progression
      • Opportunistic disease
      • Viral drug resistance
    • An individualized approach is best
  • Delaying disease progression
    • Supporting a healthy immune system
      • Adequate nutrition
      • Current vaccinations
      • Health habits
      • Avoiding risky behaviors
      • Supportive relationships
    • Acute exacerbations of recurring problems. Infections, cancers, debility, and psychosocial or economic issues may interact to overwhelm the patient’s ability to cope. They need to understand that:-
      • Has no cure
      • Continues for life
      • Causes physical disability
      • Impairs social, emotional, economic, and spiritual wellbeing
      • Ultimately leads to death
  • Ambulatory care
    • Stigma can lead to discrimination and result in social isolation, dependence, frustration, low self-image, loss of control, and economic pressures
      • This, in turn, could lead to further involvement in risky behaviors
    • Disease and Drug side effects
      • Common physical problems
        • Anxiety, fear, depression
        • Diarrhea
        • Peripheral neuropathy
        • Pain
        • Nausea/vomiting
        • Fatigue

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