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Module 9 adherence & psychosocial counselling

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D
David Ngogoyo
Health & Medicine
1 of 57
[object Object],[object Object]
Objectives 1 ,[object Object],[object Object],[object Object],[object Object]
Objectives 2 ,[object Object],[object Object],[object Object]
Adherence vs. Compliance ,[object Object],[object Object],[object Object],[object Object]
Adherence to care ,[object Object],[object Object],[object Object],[object Object]
How much adherence is required for HAART? Adherence, % % virologic failure Patterson, Annals of Internal Medicine, 2000 > 95 90-94.9 80-89.9 70-79.9 <70
How much adherence is required for HAART? ,[object Object],[object Object],[object Object]
Poor adherence and viral resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How common is non-adherence to HAART? ,[object Object],[object Object],[object Object]
Forms of Non-Adherence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of non adherence ,[object Object]
Causes of non adherence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consequences of poor adherence ,[object Object],[object Object],[object Object],[object Object],[object Object]
How to assess adherence? ,[object Object],[object Object],[object Object],[object Object]
Self-reports ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pill counts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Biological markers of effectiveness of treatment ,[object Object],[object Object],[object Object],[object Object]
Pharmacy records ,[object Object],[object Object],[object Object],[object Object],[object Object]
How do we promote adherence ,[object Object]
How to promote Adherence? 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to promote Adherence? 2 ,[object Object],[object Object],[object Object]
Patient Readiness Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adherence Counseling check lists ,[object Object],[object Object],[object Object]
Factors affecting adherence ADHERENCE Disease Characteristics Prior OI Patient/Provider Relationship Trust and confidence Treatment Regimen Number, food/ fluid restrictions, side-effects Patient variables Sex, age, employment, education, alcohol, social support depression, etc Clinical setting Friendly, supportive non-judgmental staff confidentiality, convenient appointments
Barriers to adherence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Family & Community involvement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adherence monitoring ,[object Object],[object Object]
Adherence Counseling Skills 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adherence Counseling Skills 2 ,[object Object],[object Object],[object Object]
Counseling Techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychosocial aspects in HIV/AIDS MANAGEMENT By Dr Makanyengo
Different perspectives of psychosocial intervention ,[object Object],[object Object],[object Object]
Part 1 Effect of psychosocial stressors on immune system in HIV/AIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of mental stressors ctd ,[object Object],[object Object]
Part 2 Psychosocial impact of HIV/AIDS in the lives of PLHWA ,[object Object]
Psychosocial impact (Stress) ,[object Object],[object Object]
Psychiatric effect of HIV/AIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychiatric symptoms and dementia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stigma ,[object Object],[object Object],[object Object]
Definition ctd ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manifestation of stigma ,[object Object],[object Object],[object Object],[object Object],[object Object]
Discrimination ,[object Object],[object Object],[object Object]
HIV/AIDS and stigma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Part 3. Psychosocial support in care of HIV/AIDS infected ,[object Object],[object Object],[object Object]
Types of counselling ,[object Object],[object Object],[object Object],[object Object]
Counselling requirements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adherence counselling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Check lists for adherence counselling ,[object Object],[object Object],[object Object],[object Object],[object Object]
Set up support groups ,[object Object],[object Object],[object Object],[object Object],[object Object]
Support groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Support group ,[object Object],[object Object],[object Object],[object Object],[object Object]
Support groups ,[object Object],[object Object],[object Object],[object Object]
Types of support groups ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Client tracing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case study discussion for 15 minutes ,[object Object],[object Object],[object Object],[object Object]
Case study ,[object Object],[object Object],[object Object],[object Object]
Case study continues ,[object Object],[object Object],[object Object]

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Module 9 adherence & psychosocial counselling

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  • 6. How much adherence is required for HAART? Adherence, % % virologic failure Patterson, Annals of Internal Medicine, 2000 > 95 90-94.9 80-89.9 70-79.9 <70
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  • 24. Factors affecting adherence ADHERENCE Disease Characteristics Prior OI Patient/Provider Relationship Trust and confidence Treatment Regimen Number, food/ fluid restrictions, side-effects Patient variables Sex, age, employment, education, alcohol, social support depression, etc Clinical setting Friendly, supportive non-judgmental staff confidentiality, convenient appointments
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  • 31. Psychosocial aspects in HIV/AIDS MANAGEMENT By Dr Makanyengo
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