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.
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