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NURSETRI, Nursing role in HIV care : an overview

NURSETRI, Nursing role in HIV care : an overview. Jane Bruton Clinical Research Nurse. NURSETRI. Aim: To share experiences and learning To assist in the development of nursing and midwifery skills in caring for individuals with HIV

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NURSETRI, Nursing role in HIV care : an overview

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  1. NURSETRI, Nursing role in HIV care: an overview Jane Bruton Clinical Research Nurse

  2. NURSETRI Aim: • To share experiences and learning • To assist in the development of nursing and midwifery skills in caring for individuals with HIV • To develop sustainable links with other nurses through exchanges and continued contact.

  3. Estimated Global HIV statistics 35.6 million people living with HIV globally 2013 17.7 million women 2.1 million newly infected 2013 1.5 million deaths globally 2013 = reduction in new infections and deaths globally However..50% of people living with HIV don’t know their status

  4. HIV and AIDS 2013 Romania

  5. Romania New diagnoses 2013 • Majority heterosexual transmission 54.5% of all new cases • IVDU’s 29.23% of all new cases (up from 3% in 2010) • MSM maintained at 11.4% as previous 2 years • Most new cases 35% registered between 20 – 24 years old and are late presenters

  6. Treatment today Treatment to prevent transmission WHO treatment start at 500 EACS treatment start at 350 (consider at 500 in certain circumstances) Treatment to prevent HIV acquisition PREP PEP

  7. Global treatment access • 85% PLWHA eligible (WHO guidelines 2013) • Almost 12 million have access to ARV’s • 18 million no access

  8. The challenge of universal access on nurses role • Task shifting – resource poor countries • Advanced practice – resource rich

  9. The treatment continuum -ideal versus poor engagement in care Retained in HIV Care Linked to HIV Care Fully engaged in HIV care Aware of diagnosis ART adherent Undetect-able VL Unaware of diagnosis Aware of HIV Not linked to care Having other medical care not HIV care Linked to HIV care Lost to follow up In and out of HIV care

  10. Impact of psycho-social issues • Stigma internal external • Racism/Homophobia • Poverty • Housing instability • Employment instability • Substance use – drugs alcohol • Coexisting conditions – mental health

  11. Nurses role in…….. • Testing • Engagement in care • Retention in care • Maintaining an undetectable viral load

  12. Testing • Non-judgemental approach • Indicator diseases • Taking opportunities

  13. Engagement in care • Confidentiality • Non-judgemental • Assessment and review • Support • Nurse contact and follow up • Education • Advocacy • Navigation

  14. Retention in care Treatment support (including readiness to start assessment) Assessment and review Coordination Follow-up Sign posting

  15. Undetectable viral load • Adherence and treatment support

  16. Aim of nurse meeting • Cover all the key issues for nurses role in the continuum of HIV care • Discuss the challenges and ask questions • Share experiences and learn from each other • Network And enjoy!

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