Reflections Of Hiv In A Person’S Wellbeing
- 1. Reflections of HIV in a person’s wellbeing Dr. S.MURUGAN CHIEF MEDICAL OFFICER PEACE CARE CENTER TIRUNELVELI
- 2. Learning objectives Effects on life expectancy Life style modifications Health seeking behaviour Chemo prophylaxis ART registration ART adherance ATT adherance
- 3. CONTIND. Family problems Social problems Legal problems OVC problems Decision making power
- 4. Life Expectancy Overall life expectancy is lower If he or she properly follows the guidance at present situation we can assure 20+ yrs But identification delayed Associated AIDS and non AIDS related problems Drug interactions and side effects of ART drugs Individual response to ART drugs IRIS
- 5. Life style modifications Personal hygiene Personal habits-Avoid smoking, Alcohol, Tobacco chewing etc. Environmental hygiene Care for waste disposal Safe sex Update knowledge about positive living Positive speaking
- 6. OI MANAGEMENT Early health seeking behaviour Disclosure of HIV status And Positivism towards others
- 7. Chemo-prophylaxis Primary- Co trimoxazole for PCP, Toxo TB, Herpes, and other endemic diseases Secondary- Maintenance dose after OIs Improves Quality of life Maintains CD4 count Delays ART initiation May be stopped with ART when CD4 count returns to above 400
- 8. Family problems Wife discarded the husband After the demise of husband, wife is thrown out of the house Relatives response to them Their children’s security Nature of care afforded to them during their illness
- 9. Social problems Neighbor’s response Community response Denial of treatment in Hospitals Denial of specialized procedures Last riots At work place At school Shelter for the destitute and discarded
- 10. Legal problems Mainly about properties- wife , CIA, CAA Heir certificate for claiming parents resources Brothers denying their rights calculating about their life expectancy
- 11. OVC problems Orphaned children Both parents or one living parent very sick Their education Relatives response in the long run Property acquirement Ill-treated and discriminated When they become sick, nobody to attend
- 12. Decision making Regarding their children Regarding their wife Regarding their treatment Will preparation Plan for the future
- 13. T THANK YOU