HIV & ADHERENCE. Mr. A. Ndlovukazi (ART Nurse – Good Shepherd Mission Hospital) 21/11/11. Objectives. To be able to: Differentiate between ARVs and HAART List primary goals HAART Explain how HAART works Identify and manage minor side effects at home Explain the importance of adherence.
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Mr. A. Ndlovukazi
(ART Nurse – Good Shepherd Mission Hospital)
To be able to:
The primary goal of HAART is to
Decrease HIV-related morbidity and mortality
a) the patient should experience fewer HIV-related illnesses with an improvement in quality of life.
b) restore the patient’s immune function as indicated by a rise in CD4+ count
c) reduce viral load to undetectable levels (<400 copies/ml) and remain undetectable on HAART for as long as possible – only available for selected patients in Swaziland
CD4+ count <350cells/ml irrespective of WHO clinical stage i.e. whether sick or not.
WHO clinical stage III and IV disease irrespective of Cd4+ count.
Co-infection: HIV/TB and HIV/HBV
Patient expresses willingness and readiness to take ART adherently.
- acceptance of an active role in one’s own health care