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HIV Training in Care Homes

HIV Training in Care Homes. Justine Mc Cuaig Health Protection/BBV Nurse Directorate of Public Health Dumfries and Galloway Infection Control Nurse DGRI. Standard Infection Prevention and Control Training for Care Homes. Dumfries & Galloway’s Hot Topics 2011.

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HIV Training in Care Homes

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  1. HIV Training in Care Homes Justine Mc Cuaig Health Protection/BBV Nurse Directorate of Public Health Dumfries and Galloway Infection Control Nurse DGRI

  2. Standard Infection Prevention and Control Training for Care Homes Dumfries & Galloway’s Hot Topics 2011

  3. “A National Study of Aging and HIV (50 Plus)” Lisa Power, Michael Bell and Iriann Freemantle September 2010 Available at http://www.jrf.org.uk/sites/files/jrf/living-with-HIV-full.pdf Presented by Garry Brough THT

  4. A National study of Aging and HIV (50 plus) • ¾ of respondents were concerned about future access to social care such as home help. • Given that ½ already report mobility problems and almost half have difficulties with everyday activities, this is unsurprising • Many respondents expressed anxiety about needing home/residential care because of perceived and sometimes experienced, prejudice and ignorance about HIV in these services

  5. HIV A terrifying mystery illness that kills rapidly A chronic condition that is debilitating and life threatening but which if diagnosed and treated in a timely fashion can be managed into old age Science and medicine have Outstripped public understanding and social care…. Public and Media perception lags behind Continuing to characterise HIV as a killer disease and to feed widespread stigma Associated with HIV We can keep people alive well into their old age but what quality of life will they face…Living long and living well are two different things

  6. Naivety or ignorance

  7. Prevention “ Knowledge of HIV is poor, a recent poll….. revealed only 3 in 10 adults were able to identify how HIV is transmitted……unable to protect themselves and others from HIV infection…..each new HIV infection costs the UK up to £360,000 in direct lifetime medical costs alone ” NAT , May 2011, the case for a UK strategy on HIV

  8. HIV

  9. HIV in Dumfries and Galloway • Total known cases 101 • MSM 40 • Hetero – 35 • IDU 23 • Other 3

  10. A national study of ageing andHIV (50 Plus) Recommendation 12 Social care services for older people should have in place best practice policies for dealing with blood-borne conditions and should provide basic training in HIV awareness and sensitivity to all frontline and managerial staff likely to encounter service users with HIV. Those who commission and fund such services should require this as a basic quality measure.

  11. Key Aims • To raise awareness of HIV prevention ,transmission, diagnosis, treatment and care among care home staff . • Input to be mutually beneficial for staff and residents • Scope to discuss all BBV’s • Firm up links with partner agencies to attempt to provided joined up care.

  12. HIV- The greying UK epidemic • Life Expectancy for nearly diagnosed on treatment is 70 + • More people with HIV in UK over 50 than ever before • Often diagnosed late • Within 5 years 50% of PLHIV in USA will be 50+

  13. HIV = Accelerated Aging • Most people with HIV are affected by “the usual suspects” Cancer stroke heart attacks Dementia • But inflammatory nature of HIV speeds up these diseases • 56 year old patient reports 3x as many co- morbid conditions as adults age 70 and over. Research on Older Adults with HIV ROAH

  14. Why late diagnosis? • Older adults don’t consider themselves at risk • Gp’s don’t talk to older adults about sex (no thanks!) • Gp’s sometimes fail to recognise HIV symptoms /age related issues

  15. Good Advice • Treat early • Don’t smoke • Don’t drink • Don’t get fat! • Exercise • Check Blood pressure and lipids • Screen for cancers

  16. 2011 Hot Topics • Clostridium difficle • Norovirus • E coli 0157 • TB • HIV-”the greying epidemic” • Scabies

  17. Reaction • “I’ve never even thought about HIV” • “It never occurred to be me that this would become our concern” • “This is a knowledge gap for the majority of our staff”

  18. Don’t quote me! Feedback “Nah, hen we don’t get any of those!” “Suppose someone has to do it, might as well be us as we pride ourselves as being a non judgemental organisation” “You don’t get stuff like that in the country”

  19. Getting better! “I never considered using a condom since my divorce ” “ I’ve always been terrified of HIV- I thought it was a death sentence and would never consider getting tested for that reason” “ I need to see my patients as a whole with a past as well as a present and future. “Why haven’t we be told this before, if staff are more aware it will avoid the knee jerk reaction?

  20. What’s next? • Signpost to appropriate resources • Keep BBV’s on the agenda • Link in with local educational advisors • Have your local Care home network on a distribution group

  21. Over to you!

  22. justine.mccuaig2@nhs.net HAPPY TO HELP!

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