HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Management

Resources

ASHM has developed an online learning module to address systemic barriers to care, stigma, and discrimination to increase access to the health system by people at risk of or living with HIV, hepatitis B, or hepatitis C.   To access this free module, see  Removing barriers 

Summary

Uniting these differing models of health care is the underlying commitment to reduce the burden of HIV-related disease on those affected and continue to scale up the response. Despite a vastly different landscape in HIV nursing in Australia today compared to when the sector developed forty years ago, the same guiding philosophy and commitment to …

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Conclusion

Clinical supervision, through its restorative or supportive function, can address the mental health and well-being of frontline health workers through facilitated reflective practice, debriefing, and strengthening the supervisee’s stress management and coping mechanisms (8).  The COVID-19 pandemic has highlighted the importance for healthcare workers of support (8).  We cannot foresee what the future holds nor …

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Remote and Indigenous communities

As mentioned previously, clinical supervision has not been regarded as an essential part of a nurse’s professional development. Factors such as workplace culture, organisational factors, time, an appropriate location, and the availability of technology, for instance Wi-Fi and computers, all act as potential barriers. For nurses working in remote settings and with indigenous communities, this …

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The impact of COVID-19

COVID-19 added a new layer of complexity for health care workers. At times it might be hard to recall the level of fear, anger and distrust that accompanied the pandemic. The risks of exposure to COVID-19 were very real. Everyone operates within a system and COVID-19 added another element to this system (4-6).  Nurses and …

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Confidentiality

Central to all supervision is confidentiality. All supervisees must be aware of the meaning and the limits of this principle.  The supervisor must maintain a clear boundary between the supervisees and the employer/organisation. They will only report any concerns to the employer if they sense that the supervisee is at risk or is placing clients …

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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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Advice for caregivers

Caring for someone with cognitive impairment may at times be stressful. Assisting someone with practical activities such as medication adherence, help with cooking, shopping, and attending appointments, may all increase a caregiver’s exhaustion.   Caregivers may be concerned about the person’s deterioration and what that means to their relationship; grief for the change in relationship – …

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Impacts of cognitive impairment

Changes in cognition may have an impact on daily function and the PLHIV may experience a level of disability related to their cognitive impairment as previously discussed. Cognitive difficulties can also lead to decreased socialising and increased social withdrawal. PLHIV need to be supported to maintain social connectedness and relationships.   Providing information to the PLHIV …

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HIV- associated neurocognitive disorder

HIV-associated neurocognitive disorder (HAND) is an umbrella term used to describe neurodegenerative disease caused by human immunodeficiency virus (HIV)-1 infection and may affect more than 30% of PLHIV (16) regardless of virological suppression (17).  The central nervous system acts as a reservoir for HIV with neuronal damage occurring both at the time of initial HIV …

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