TY - JOUR
T1 - Meeting the complex needs of individuals living with HIV
T2 - A case study approach
AU - Paparello, Joel
AU - Zeller, Irene
AU - While, Alison
PY - 2014/11/1
Y1 - 2014/11/1
N2 - This article critically discusses the nursing care and management of a person living with the human immunodeficiency virus (HIV) infection as a long-term condition, requiring highly complex HIV care. Complex HIV care is managed in the secondary care setting. However, recent legislation has motivated shifts in HIV care to the community care setting. This article aims to enhance health professionals' understanding in order to equip practice and district nurses to deliver HIV care provision. Antiretroviral adherence is a prerequisite for disease survival as well as an essential component of complete HIV self-care management. It is therefore imperative that nurses tailor adherence strategies according to each patient's requirements. Case management strategies such as the use of cognitive behavioural therapy to alleviate depressive symptoms will be considered. Furthermore, the use of motivational interviewing for antiretroviral adherence is highlighted as a potential intervention to help patients overcome the physical, psychological and physiological challenges of living with HIV-associated comorbidities. The delivery of integrated HIV care is pivotal for the management of the person living with HIV, as is the facilitation of a self-caring behaviour.
AB - This article critically discusses the nursing care and management of a person living with the human immunodeficiency virus (HIV) infection as a long-term condition, requiring highly complex HIV care. Complex HIV care is managed in the secondary care setting. However, recent legislation has motivated shifts in HIV care to the community care setting. This article aims to enhance health professionals' understanding in order to equip practice and district nurses to deliver HIV care provision. Antiretroviral adherence is a prerequisite for disease survival as well as an essential component of complete HIV self-care management. It is therefore imperative that nurses tailor adherence strategies according to each patient's requirements. Case management strategies such as the use of cognitive behavioural therapy to alleviate depressive symptoms will be considered. Furthermore, the use of motivational interviewing for antiretroviral adherence is highlighted as a potential intervention to help patients overcome the physical, psychological and physiological challenges of living with HIV-associated comorbidities. The delivery of integrated HIV care is pivotal for the management of the person living with HIV, as is the facilitation of a self-caring behaviour.
KW - Disease management
KW - HIV
KW - HIV-associated depression
KW - Long-term conditions
KW - Self-management
UR - http://www.scopus.com/inward/record.url?scp=84909946345&partnerID=8YFLogxK
U2 - 10.12968/bjcn.2014.19.11.526
DO - 10.12968/bjcn.2014.19.11.526
M3 - Article
C2 - 25381847
AN - SCOPUS:84909946345
SN - 1462-4753
VL - 19
SP - 526
EP - 533
JO - British Journal of Community Nursing
JF - British Journal of Community Nursing
IS - 11
ER -
