HIV
How does it affect people?
HIV (can not be cured, lifelong management)
AIDS (secondary effect and end stages of HIV) - can be cured
Management of HIV Medication 'Blue Hat'
Transmitted via sexual interaction, parenteral, blood, mother to child and occupational
Biological Factors
Prevention
Exposure
Treatment
Antiretroviral (ART) meds
Prohylactic medication
28 day medication 'one pill per day'
Multi-organs (neuro, lung (infections (PJP, pneumonia, Sarcoma)
Episodic disability framework - fluctuations are common (often opportunistic infections)
Psychosocial Factors 'Red Hat'
CD4 T-Cell count diminishes causing immunocompromise
Process of decreased CD4 T-Cell load will take years
ART has significant side effects - including chronic disease risk
Emerging Evidence 'Yellow Hat'
Antiretroviral Therapy (ART) has changed lives!
Stigma within community groups
Male sex
Abroriginal and TSI people
Sex workers
IVDU
Diagnosis impacting mental health
HIV Rehabilitation Challenges
Low Health Literacy
Language and Cultural Barriers
Perceived risk of criminalisation
Decreased access to healthcare
Financial stressors
National HIV Strategy
Ongoing 90-90-90 strategy (aiming to ensure targets for 2020)
Ensure suppression of viral load
Inclusion of rehabilitation as a key component of recovery
Physiotherapy involvement focusing on chronic disease risk and strength recovery
Side Effects of Primary Antiretroviral Therapy 'Black Hat'
Osteopenia and Osteoporosis
Cardiovascular Risk
Obestity
Chronic Renal Disorders
Depression and mental health discorders
Caused by inflammation in tissues
Changes in chemical levels within CNS