dermatology
Forum Elite
Topics: 30
Posts: 297
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1 - how to counsell hiv patients ???
it depends on whether he is diagnosed in first place or patient is just fearing abt it may b bcoz of exposure history ....... in that case just say i can understand ur concern mr ............ but we do not know yet wat is the cause of ( may b Penile ulcer or discharge or wat ever ) but it can b a possibility, lets wait for results and then i will b in rite position to telll u wats going on with u ......
2 - how to consell who is already HIV patient ????
now this patient will come with some problem or just refill of medicines , in this case while closure say " now MR ............. according to wat u told me u are having ___________ ( problems ) it cud b due to ................................................................ watever cause u think of ( may b due to HIV) but to come to definate diagnosis lets run few tests and some imaging studies.... now till we get final diagnosis i wud advice u to take ur medicines regul;arly, get urself checked regularly , eat healthy food , excercise regularly follow safe sex practice...( to avoid transmission ) and contact me if u have any problem any time ......
any input ??????
Edited by dermatology on 06/17/07 - 08:33 AM
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| insha
Forum Junior
Topics: 22
Posts: 52
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actually i m confused about hiv counselling because in UW it is wriren on page number 182 that
in counselling of pt with hiv you have to explain importance of safe sex practice and use of condom to protect othr
explain the complication and how to deal with them
explain the importance of vacccination
explain the availabilitt of support system
So will some body help making a comprehensive counselling based on the data given above
THANKS
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| insha
Forum Junior
Topics: 22
Posts: 52
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PLEASE SOME ONE TELL ME ABOUT HIV COUNSELLING
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| Liederlich
Forum Junior
Topics: 17
Posts: 34
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Persons can be expected to be distressed when first informed of a positive HIV test result. Such persons face multiple major adaptive challenges, including 1) accepting the possibility of a shortened life span, 2) coping with the reactions of others to a stigmatizing illness, 3) developing and adopting strategies for maintaining physical and emotional health, and 4) initiating changes in behavior to prevent HIV transmission to others. Many persons will require assistance with making reproductive choices, gaining access to health services, confronting possible employment or housing discrimination, and coping with changes in personal relationships. Therefore, behavioral and psychosocial services are an integral part of health care for HIV-infected persons. Such services should be available on site or through referral when HIV infection is diagnosed.
Diagnosis of HIV infection reinforces the need to counsel patients regarding high-risk behaviors because the consequences of such behaviors include the risk for acquiring additional STDs and for transmitting HIV (and other STDs) to other persons. Such attention to behaviors in HIV-infected persons is consistent with national strategies for HIV prevention (55). Providers should refer patients for prevention counseling and risk-reduction support concerning high-risk behaviors (e.g., substance abuse and high-risk sexual behaviors).
The vaccination series for hepatitis A and/or B should be offered for those in whom vaccination is recommended. Influenza vaccination should be offered annually, and pneumococcal vaccination should be given if it has not been administered in the previous 5 years (50,51). Newly diagnosed HIV-infected persons should receive or be referred for a thorough psychosocial evaluation, including ascertainment of behavioral factors indicating risk for transmitting HIV. Patients might require referral for specific behavioral intervention (e.g., a substance abuse program), mental health disorders (e.g., depression), or emotional distress. They might require assistance with securing and maintaining employment and housing. Women should be counseled or appropriately referred regarding reproductive choices and contraceptive options. Patients with multiple psychosocial problems might be candidates for comprehensive risk-reduction counseling and services (8).
The following are specific recommendations for HIV counseling and referral:
* Persons who test positive for HIV antibody should be counseled, either on site or through referral, concerning the behavioral, psychosocial, and medical implications of HIV infection.
* Health-care providers should be alert for medical or psychosocial conditions that require immediate attention.
* Providers should assess newly diagnosed persons need for immediate medical care or support and link them to services in which health-care personnel are experienced in providing care for HIV-infected persons. Such persons might need medical care or services for substance abuse, mental health disorders, emotional distress, reproductive counseling, risk-reduction counseling, and case management. Providers should follow-up to ensure that patients have received the needed services.
* Patients should be educated regarding what to expect in follow-up medical care
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| insha
Forum Junior
Topics: 22
Posts: 52
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thank you now please tell me about domestic abus ecounselling my exam is on 27 so please reply me immediately thanks again
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