Elizabeth Crock: Bolton Clarke HIV Program, Melbourne Acknowledgments Jayne Howard: Victorian HIV Service, Alfred Hospital, Melbourne (previous edition) This section explores key issues for nurses in relation to ageing and long-term survival with HIV. Ageing with HIV Accelerated or accentuated ageing Long term survival Multiple losses and grief Mental health and resilience Multimorbidities Disability, respite, …
People who have survived many years with HIV, some from the mid-1980s, are considered long-term survivors. Key predictors of long-term survival include early diagnosis, engagement and retention in HIV care, and timely initiation of ART (8). Specific needs of long-term survivors of HIV include psychological and emotional concerns relating to grief and loss, particularly for …
In the 1980s, gay men in Australia, New Zealand and internationally had their social networks decimated, and their lives shaped by the HIV epidemic (14). Many long-term survivors have suffered the loss of lovers, partners, friends, and their community. For some, in the early days of the HIV epidemic in particular, the grief of gay …
Depression and anxiety Depression and anxiety are the most common mental health problems among people with HIV (21). Depression may be related to the cumulative losses of friends and relationships, lack of social support, loss of employment, career prospects or earning capacity and a sense of hope for the future. Lesbian, gay, bisexual transgender and …
People with HIV are at greater risk of comorbidities including heart disease, cancers, osteoporosis, and neurocognitive impairment, often manifested at younger ages. It is thought that HIV contributes to more rapid ageing due to prolonged immunodeficiency, chronic inflammation, and immune activation. Side effects of treatments are also believed to contribute to earlier ageing in those …
Murray JM, McDonald AM, Law MG. Rapidly ageing HIV epidemic among men who have sex with men in Australia. Sex Health. 2009;6(1):83-86. Roberts JM. Services for People Ageing with HIV in Victoria: a Mapping Study. Alfred Hospital, Infectious Diseases. Monash University; 2013. King J, McManus H, Kwon A, Gray R, McGregor S. HIV, viral hepatitis, …
Cherie Bennett: ASHM, Kirby Institute and Sydney Sexual Health Centre David Lee: Melbourne Sexual Health Centre Nurses play a pivotal role in diagnosing and managing human immunodeficiency virus (HIV). In particular, nurses have a fundamental role in providing clients with evidence-based education, so that they can make informed choices, evaluate decisions, and choose the best …
Educational strategies in HIV and sexual health take into account individual values, knowledge and situations, and ensuring regardless the approach is’ person-centred’. . Nursing input into the sexual health of individual clients, couples, partners and cultural groups, needs to take into consideration diverse issues: sexuality, gender identity, and gender equality, sex, fertility and reproductive health …
Sex and sexuality involve complex human dynamics. The aim of patient education is to develop positive and protective factors to assist the client in achieving optimal sexual health.[7] Sex is foremost about pleasure; whether it is masturbating alone, or with a companion; or physical, psychosocial or emotional intimacy in partnerships and relationships. Example discussion points …
To establish the education needs of a client at the point of diagnosis, acknowledge that each person is different in how they respond to their diagnosis and what questions they may have. People’s level of health literacy is variable and responses to open-ended questions may help target information to levels that will be understood and …
Developing a sustainable HIV, Viral Hepatitis and Sexual Health Workforce
Acknowledgement of Country
We pay our respects to the Aboriginal and Torres Strait Islander peoples of the past, present, and future, including the Gadigal peoples (Sydney office), the Turrbal and Jagera/Yuggera peoples (Brisbane office), and all First Nations people of the nations where we live and work.
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