HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Adherence support

Adherence support

Danielle Collins: HIV nurse practitioner, Victorian HIV Service, Infectious Diseases Department, Alfred Hospital  Acknowledgments  Elizabeth Crock: Bolton Clarke HIV Program, Melbourne, was co-author on previous editions Oscar Morata Ramirez: Royal District Nursing Service HIV Program, Melbourne was co-author on the first edition.  Summary  In this section, the author discusses the important issue of adherence to antiretroviral …

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The importance of adherence to antiretroviral therapy  

Adherence to a medication regimen can be defined as ‘the extent to which patients take medication as prescribed by health care providers’.(1) Continuous adherence to combination antiretroviral therapy (ART) is paramount to its success in effectively treating human immunodeficiency virus (HIV), achieving virological suppression, preserving immune function, avoiding drug resistance and preventing opportunistic infections.(2) More …

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Factors affecting adherence and nursing interventions used to promote adherence

Factors influencing antiretroviral adherence are multifactorial. They can be internal – pertaining to the person, and external – pertaining to those providing the care and to the medicines themselves. (14)  External factors affecting an individual’s adherence can also be structural and systemic.   The advent of the COVID-19 pandemic in 2020 brought with it a multitude of …

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Conclusion and future directions

The ability of people with HIV to adhere to treatment can be a complex matter, influenced by a wide range of individual, system-related, psychosocial, and socio-political factors potentially compounded by the life-long nature of antiretroviral therapy for HIV treatment.  Nursing strategies to encourage, improve and maintain adherence include discussing potential antiretroviral therapy regimens with consideration …

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Additional resources

Initiation of Antiretroviral Therapy – ARV Guidelines (ASHM)  Australian Commission on Safety and Quality in Health Care. National Medication Management Plan – User Guide. 2021.  Find a Prescriber – ASHM Health 

References

Osterberg L and Blaschke T.  Adherence to Medication. N Engl J Med 2005; 353:487, August 4.   García de Ollala P, Knobel H, Carmona A, Guelar A, López-Colomés JL, and Caylà JA. Impact of adherence and highly active antiretroviral therapy on survival in HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes 1999; 30(1): 105-110.   Mille W, …

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