Treatment Needs of People with HIV

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Manage episode 279380726 series 2460299
By AllCEUs Counseling CEUs and Dr. Dawn-Elise Snipes. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Treatment Needs of People with HIV

CEUs available at: https://allceus.com/member/cart/index/product/id/1413/c/

Objectives
– Explore the Physical, Affective, Cognitive, Environmental and Relational needs of people living with HIV
Physical
– Energy/Fatigue
– Symptoms
– Battling the virus
– Stress
– Medication side effects
– Interventions
– Changes in routines
– Acupuncture
– Nutrition
– Sleep (Sleep hygiene)
– Autoimmune issues

– Balance and coordination
– Environmental modifications
– Stability assistance
– Physical therapy
– Medication interactions
– Gastric upset
– Cardiovascular issues

Physical
– Sexual dysfunction impacting pituitary and gonadal hormone levels related to CD4 count
– Hypothyroid
– Hypertension
– Causes of hypertension in people with HIV include chronic inflammation, immune reconstitution, lipodystrophy and stress
– Pain
– Chronic pain in HIV can be caused by infections, cancers, gut problems, or peripheral neuropathy.
– Medication side effects including muscle pain, headache, stomach cramps or kidney stones
– Addiction—Chemical or process

Affective (Individual and family)
– General
– Some HIV medications may cause symptoms of mood disorders and disrupt sleep
– HIV medications can interact with psychotropics that induce or inhibit the enzyme cytochrome P450
– Anger
– About diagnosis
– At others

Affective (Individual and family)
– Anxiety
– Health anxiety (self and others)
– Abandonment fears
– Death anxiety
– Generalized anxiety
– Depression & Grief: Physical, Cognitive, Interpersonal, Financial losses
– Guilt / Shame: About getting or having the disease
– Happiness / Radical Acceptance
Cognitive
– General Needs: HIV Education
– HIV Associated Neurocognitive Disorders (HAND) impacts ~30% of people with HIV

Environmental
– Safety from
– Infection
– Physical threats
– Employment opportunities
– Discrimination by employers or colleagues
– Loss of physical or cognitive functioning (Reasonable Accommodations)

Relational
– Interpersonal challenges
– Loss of social support
– Stigma and discrimination associated with HIV
– Telling others you are HIV positive
– Dealing with death of SOs with AIDS
– Self esteem
– Acceptance
– Love & Belonging
– Significant others
General Intervention
– Physical
– Sleep & Circadian Rhythms
– Exercise
– Nutrition access and education
– Medication compliance
– Access
– Packaging
– Immune system enhancement
– Pain management
– Hormone balancing
– Affective
– Psychological flexibility
– Distress tolerance
– Coping skills
– Happiness
– Cognitive
– Individualized HIV and Health Education
– Scheduling
– Push notifications
– Environmental
– Reasonable accommodations
– Advocacy and public education
– Relational
– Communication skills
– Social support
– Education of social supports

Summary
– HIV impacts the person Physically, Affectively, Cognitively, Environmentally and Relationally
– Behavioral health professionals can aid in screening for comorbid/confounding conditions and making referrals as appropriate
– Behavioral health professionals can
– Enhance and maintain motivation for treatment compliance
– Assist in processing powerful emotions related to the diagnosis and associated issues
– Introduce cognitive behavioral tools and strategies to help the person cope
– Educate the individual, SOs and community about HIV transmission and treatment (reduce stigma and improve health behaviors)

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