Comprehensive HIV care

Holistic care

SPIRITUAL SOCIAL

PHYSICALEMOTIONAL

THE PERSON

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 needsTo 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 dignity

To express his personalityTo have hopes and goals

To have honest communication

Health care team

• 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

• 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

• 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