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HIV Post- Module - Coggle Diagram
HIV Post- Module
White Hat (facts)
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Exposure to HIV
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Body fluids
Can transmit
Blood, semen, vaginal & cervical secretions, breast milk
Can't transmit
Tears, sweat, urine, faeces, saliva
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Types
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AIDS
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Not a type, is a progression of HIV
History of HIV
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1990's
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ART therapy developed, combined therapy reducing mortality and morbidity in people with HIV
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2010's
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Changes in demographics
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Decline in LGBTI men, steady rates in heterosexual populations
Data in some pacific countries poor, of concern for health service delivery
Treatments
PrEP
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Full criteria outlined by Australasian Society for HIV, viral hepatitis & sexual health medicine
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While treatable, is not curable and still has significant health consequences
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Non-compliance remains an issue: reduced life expectancy, development of AIDS
Body systems impacted
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Common presentations: chronic pain, cancer, neuropathic pain, mental health conditions, dementia, frailty
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Increased rates of: CVA, MI, reduced BMD, lung and anal cancer, lung infections
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Rehab
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Functional rehab
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Improve CV fitness, muscle strength, cognitive & psych wellbeing, QOL
Aims
Increase or maintiain functional capacity, social participation, QOL
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Treatment strategies
Muscle strengthening, reduce fatigue
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Provide & educate on mobility aids, assistive devices and technology
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Black Hat (difficulties)
Social stigma remains an issue, impacting health care access
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Infection control procedures and need for compliance, particularly when working with blood products and sharps
Lack of data regarding prevalence and treatment in HIV status in neighboring countries can impact health service provision in Australia
First Nations Australians have higher rates of new diagnosis - need to work to engage communities in a culturally competent manner
The increasing life span of people living with HIV provides challenges for health services including managing comorbidities and
Chronic nature of HIV means health services will be required to increasingly treat episodic disability
HIV can impact a number of body systems including msk disorders, neurological disorder and cardio resp conditions
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Blue Hat (Overview)
Increased life expectancy with better treatment has changed demographics of people living with HIV - increasingly older
Episodic flare ups of disability that benefit from targeted intervention linked to a number of body systems
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Recent medical advances have significantly improved lifespan, QOL and symptom burden
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Although now treatable, there remains no cure and HIV poses significant health consequences
Non-compliance with treatment remains an issue - contributes to reduced life expectancy and AIDS development
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Yellow Hat (benefits)
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Engaging consumers provides opportunity to link with other appropriate health services including support groups and HIV specific rehab programs
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Adressing social stigma has provide the policy and funding changes that has significantly reduced disease burden in HIV
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Appropriate training and upskilling for AHPs can allow them to support patient in a person centered rehab approach that improves functional outcomes and QOL
Green Hat (creativity)
AHP's with skills and training in HIV have the opportunity to lead health service delivery as HIV becomes more prevalent with treatment increasing lifespan
Opportunity to address social stigma and educate to remove barriers to healthcare access through checking unconscious biases, improving knowledge of HIV and associated conditions
Working collaboratively with the MDT provides an opportunity to optimise patient care and health outcomes
AHP's can work collaboratively and creatively with patients to support rehab linked to patient goals around functional capacity, social participation and QOL
There is an opportunity to link with Indigenous Health services to help close the gap in HIV diagnosis and treatment
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Red Hat (feelings)
I can understand that patient with HIV may be reluctant to disclose or discuss their HIV status due to social stigma, particularly in a rural area
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My increased understanding of how HIV impacts bodily systems allows me to better comprehend the potential impact of the condition on patients
I can work to help create the supportive, safe environment that reduces stigma and barriers to health service access