Transcript Comprehensive HIV care

Comprehensive HIV care
Holistic care
SOCIAL
SPIRITUAL
THE PERSON
EMOTIONAL
PHYSICAL
group work
In your Groups
• Consider the patient with HIV as the
centre
• Plot around him the needs he has
• Now plot around him the people to whom
he relates in his normal life
Every body needs
To be able to trust
To feel loved and valued
To have physical care and comfort
To have peace
of mind
To be given respect
and choice
To have honest
communication
To have
dignity
To have hopes and goals
To express his personality
Health care team
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Nurses
Physiotherapist
Occupational Therapist
Nutritionist
Counsellor
Record clerk
Spiritual care giver
Volunteers
Doctors
Laboratory
Pharmacy
Administrators
Community health workers/home support givers
Support is paramount in ccc
• HIV/AIDS care is stressful, especially so if
the health worker is also positive
• Some issues or situations are very difficult
and painful to face
• Health workers, including doctors, need to
recognise this, and plan ways in which to
support each other
Group work
In your teams, discuss and define the
meanings of
• Physical care
• Social Care
• Psychological/emotional care
• Spiritual care
What are the components of the care?
Physical care
• Medical and nursing – treatment of
illnesses and symptoms; lab and
pharmacy support
• Physiotherapy – strengthening muscles
and bone after illness and weight loss
• Nutritional advice
• Occupational therapy – to re-teach
activities of daily living; teach new skills for
income generation
Clinical care
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Opportunistic infections
STI treatment
Lab indicators of progression of disease
TB treatment and follow-up
ARV prescription
Palliative care
Psychological/emotional
• The whole team – attitudes, how you greet
patients, skills, knowledge, motivation and
compassion
• Counselling
• Volunteers
• Community health workers – home
support
Home based care
• Identify family care givers
• Encourage them to accompany the clients
in every visit
• Educate them on patients condition and
basic home based care in the following
– Clinical care at home, nursing and
psychological care, social and spiritual
support
Home based care -ct
• Education and demonstration for patients
and FCG on care
• Education on adherence, psychological
support nutrition
• Involve the local community health
workers to provide support and follow-up
through DOTS
• Refer to community comprehensive care
clinics for continuum of care
Social support
• Community support – NGO’s, church
• Private sector, individuals, organization
• Examples include post test clubs for
positive clients, clubs for adolescents and
youth
• Day care for children/adults where they
can play games, share information etc
Spiritual care
• Care which relates to the spirit or soul of a
person and facilitates its expression
• Spiritual means that within a person that
relates to, or reaches out to, God, to the
Creator, or to ‘something or someone
greater’
• It also relates to values such as love,
beauty, joy, honesty, integrity, absolute
standards of right and wrong, forgiveness
Specialized groups
• Identify space for child friendly services
– Clean colorful toys, dolls, games, mat, crayon
etc
• Youth friendly services
– Games for older children and youth, videos,
Television, reading materials etc
Aim of ccc
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To seek the best, always, for the patient
To maximise the resources available
To share the load
To support each other
Summary
• A Comprehensive Care Clinic is an ideal
situation
• It requires many staff, and good
coordination
• There are not enough staff at most sites to
run one
• Providing ongoing clinical care to people
with HIV does not need to wait for a CCC
to be established
The whole person
• The mind, soul and body