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PERAWATAN HIV & AIDS KOMPREHENSIF BERKESINAMBUNGAN. Oleh : Purwaningsih. PENGERTIAN. suatu konsep perawatan yang menyeluruh membentuk suatu jejaring kerja diantara semua sumber daya yang ada dalam rangka memberikan pelayanan dan perawatan holistic, menyeluruh

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slide1

PERAWATAN HIV & AIDS

KOMPREHENSIF

BERKESINAMBUNGAN

Oleh :

Purwaningsih

slide2

PENGERTIAN

suatu konsep perawatan yang

menyeluruh membentuk suatu

jejaring kerja diantara

semua sumber daya yang ada

dalam rangka memberikan pelayanan

dan perawatan holistic, menyeluruh

dan dukungan yang luas bagi ODHA

dan keluarganya.

slide3

NGOs

  • Spiritual
  • Youth group
  • Volunteer
  • Paliative
  • Emotional &
  • Spiritual support
  • - Self care
  • Health posts
  • Dispensaries
  • Traditional
  • Orphan care

VCT

  • Specialist &
  • specialized care
  • facilities

The entry

point

  • Distric hosp
  • Clinics
  • Hospice

PLHA

Peer

support

slide4

PELAYANA DAN DUKUINGAN ODHA

PMTCT

Pengobatan komplementer

Perawatan

paliatif

PEP

Perawatan

di rmh

Anti retroviral teraphy

Tx. peny.

terkait HIV

Profilaksis &

pengobatan IO

Dukungan psiko-sosial-spiritual

Konseling dan tes HIV sukarela

Manfaat ?

Pencegahan : Jangan menulari dan ditulari (IMS dan NAPZA suntik)

HIV

(-)

Terpajan

HIV

(+)

AIDS

Terminal

slide5

Beberapa aspek perawatan HIV & AIDS

komprehensif dan berkesinambungan

VCT

Tatalaksana

IO

Asuhan

keperawatan

Asuhan

gizi

KDS

Perawatan

di rumah

slide6

Menurunkan

stigma

Dukungan

sosial

DIKLAT

Sistem

rujukan

slide7

Pengobatan dan perawatan

VCT, PMTCT, profilaksis, pengoatan IO, ART, tatalaksana IMS, gizi

Dukungan sosio-ekonomik Dukunngan material jaminan ekonomi dan jaminan hidup layak

ODHA

dan

keluarga

Dukungan

psikologis

Konseling, dukungan pada yatim piatu, dukungan masyarakat, dukungan spiritual

Dukungan HAM

dan Hukum

Menghapus stigma dan diskriminiasi, perencanaan dan partisipasi ODHA, kesetaraan kesempatan dan

INTERAKSI ANTAR KOMPONEN

slide8

Penghargaan

PRINSIP

DASAR

Efisien dan

efektif

Ketersediaan

Koordinasi dan

integrasi

Kesetaraan

slide9

SEBELUM

PROGRAM ART

  • Prophilaxis
  • Tatalaksana IO
  • Pencegahan
  • Perawatan paliatif
slide10

PROGRAM ART

  • HIV Kronis
  • Untuk mendapatkan program ART,
  • ada beberapa syarat yang harus dipenuhi
slide11

Patuh datang ke klinik

  • Patuh program pengobatan
  • Nutrisi adekwat
  • Pola hidup sehat
  • Dukungan psikososial
  • Universal precaution

SELAMA PROGRAM ART

slide12

Dokter

Ahli gizi

Konselor

Farmasi

ODHA

Relawan sosial

Perawat

Perawatan paliatif

slide13

Partisipasi aktif

  • Memberikan in-put untuk
  • meningkatkan kualitas layanan
  • Konsultasi dengan anggota tim lain
  • Saling memberi dukungan
  • pada sesama perawat

SEBAGAI TIM,

PERAWAT HARUS:

slide14

TUJUAN KEPERAWATAN

DALAM PERAWATAN KOMPREHENSIF

  • Menurunkan morbidity dan mortality
  • Meningkatkan QoL
  • Memberikan asuhan keperawatan
  • Prenvention
slide15

PERAN PERAWAT DALAM

PERAWATAN KOMPREHENSIF

  • Perawatan kronik
  • Perawatan akut
  • Promosi dan pendidikan kesehatan
  • Pencegahan penyakit
  • Perawatan paliatif
  • Dukungan mental
  • Advokasi
  • Manajemen rujukan
slide16

TATALAKSANA HIV KRONIS

  • Testing and counseling
  • Health monitoring
  • Symptom management
  • Medication adherence monitoring
  • Health promotion/patient education
  • Empowering patients to make their own choices
slide17

PERAN PERAWAT DALAM PERAWATAN AKUT

  • *Melakukan pengkajian tentang tanda dan gejala/
  • staging
  • Memberikan intervensi Non-pharmacologic
  • Bijaksana dalam merespon pengobatan komplementer ODHA
  • Monitoring program pengobatan
slide18

Nursing Roles in Health Promotion and Education

  • Teach health promotion
  • Promote healthy practices that prolong the asymptomatic stage, reduce HIV-related conditions, and avoid behaviors that can transmit HIV
  • Assess and use patient’s and family members’ current knowledge as the basis for teaching
slide19

Nursing Roles in Prevention for Patients

  • Assess
    • Identify risks for HIV infection
  • Intervene
    • Counsel on the benefits of HIV testing
    • Educate on HIV transmission and risk reduction
    • Refer those testing HIV-positive to care and support
    • Educate those testing HIV-negative about prevention
slide20

Nursing Roles in Disease Prevention in the Clinical Setting

  • Reduce transmission of infection
    • Practice standard precautions at work
    • Model optimum standard precautions and advise colleagues on proper use
    • Know the postexposure prophylaxis (PEP) protocol of the health facility
    • Encourage implementation of PEP if needed
slide21

Nursing Roles in Mental Health

  • Psychological or mood disorders are common in patients with HIV
  • Nurses can assess and intervene on a variety of mental health issues
slide22

Nursing Roles in Patient Support/Advocacy

  • Identify needs (along with the patient and family) and refer to appropriate services within the clinical or community setting
  • Advocate for patient when needed
  • Support patient’s achievement of needs, such as informing patient of cost-sharing schemes
slide23

Nursing Roles in Referral Management

  • A functional referral system with links to other facilities/services and feedback is critical to serve all the comprehensive care needs of patients
  • Examples of services include community- and home-based services and PLHA support groups
  • A referral system should include feedback to the referring clinician to determine if the patient’s needs were met
slide24

Nursing Roles in Palliative Care and End-of-Life Care

  • Palliative care begins at the time of diagnosis and provides comfort and symptom management throughout life
  • End-of-life care is focused on assisting the patient and family to have the highest quality of life possible
slide25

Nursing Roles in Documenting Care

  • Complete and accurate documentation of the nursing care provided during each patient visit contributes to quality service delivery
  • Recording assessment findings and interventions over time is required to manage HIV/AIDS as a chronic disease
slide26

Nursing Roles Realized:Four Steps for “Getting It Right”

  • Make time for the patient
  • Use an open, supportive, nonjudgmental approach
  • Maintain current knowledge
  • Believe in the importance of your role
slide27

Importance of Nursing Roles in Care of PLHA

  • Some nurses may feel their role is unimportant or they are “just nurses”
  • Nurses’ roles in caring for PLHA and their families are vital for high-quality patient care and family wellbeing
  • Nurses are the front line of trained health workers for PLHA