Overcoming Barriers to HIV treatment Adherence Flashcards
What is involved in HIV treatment?
Adherence to HAART is difficut" Multiple medications Strict dosing intervals Numerous side effects Interferes with daily life
What is the Pill burden?
1day = 11 pils
1 week = 77 pills
1 month = 308 pills
Do we need to know the common misconceptions?
yes no
How does health literacy have an effect?
Direct correlation with adherence
Self-care
What are the minority challenges?
- –Lower adherence among minorities
- –Changing patients perceptions
- –Change how they interact with the system
- – Black patients 15-20% less likely to receive prophylaxis for pneumonia
- – ARV therapy lower among minorities
- – Black & hispanic patients indicate they were treated with disrespect
What is the Quality of providers comunication?
- – Less nonverbal
- – Less empathy
- – Less courtesy
- – Less information given
- – less time providing health education
- – Less chatting & answering questions
LESS OPPORTUNITY GIVEN FOR PATIENT TO ENGAGE
So what do they need more of?
More closed ended questions More talk about adherence More provider directives More problem solving More verbal dominance
How does one engage patients?
- Ask opinions and seek perspectives
- More nonverbal communication
- Ask open ended questions
- Solve problems with all patients
- Balance the sharing control of the agenda
What is a drug holiday?
When a patient stops taking a medication for a period of time because they feel it is in their best interest
What is desire?
A strong feeling of wanting to have something or wishing for something to happen
It is dynamic you have the main desires and unique individual desires
What is the Stigma in HIV and Society?
Poor outcome and disability, stigma, discrimination, isolation, treatment delay
