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HIV Symptoms: State of the Science

Overview. SignificanceLiterature Review MethodologyModels/FrameworksInstrumentsCommonly used scalesMeasurement issuesResultsSymptom IntensityCorrelates of SymptomsSymptom Management/InterventionsObservations and Challenges. Significance: HIV as a Chronic Illness. Symptoms related to:HIV d

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HIV Symptoms: State of the Science

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    1. HIV Symptoms: State of the Science Bill Holzemer School of Nursing University of California, San Francisco bill.holzemer@nursing.ucsf.edu

    2. Overview Significance Literature Review Methodology Models/Frameworks Instruments Commonly used scales Measurement issues Results Symptom Intensity Correlates of Symptoms Symptom Management/Interventions Observations and Challenges

    3. Significance: HIV as a Chronic Illness Symptoms related to: HIV diagnosis HIV disease, OIs HIV medications Life (poverty) Symptoms impact: “Living well with HIV” Service utilization Medication adherence Quality of life

    4. Nursing’s early recognition of symptoms in HIV care San Francisco Model of Care (1982) Zeller, Swanson, & Cohen (1993) discussed building a research agenda in HIV symptom management Ropka & Williams (1998) published the text HIV Nursing & Symptom Management

    5. Literature Review Methodology Focus on US literature Excludes palliative, end-of-life care Excludes symptoms only as side effect of drug trial Research on specific symptoms, such as fatigue, pain, and depression are excluded due to the volume of literature PubMed and CINAHL searched, terms: HIV/AIDS, symptoms, symptom control, asymptomatic, side effects

    6. Models Holzemer (1994) Wilson & Cleary (1995) Dodd, Janson, Facione, et al. (2001).

    7. The Outcomes Model for Health Care Research

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