n Southern African Journal of HIV Medicine - Diploma of HIV medicine (SA) : examination question and model answer

Volume 2006, Issue 22
  • ISSN : 1608-9693
  • E-ISSN: 2078-6751



Extracted from text ... DIPLOMA OF HIV MEDICINE (SA): EXAMINATION QUESTION AND MODEL ANSWER Model answer: ? Goals of ART, team approach. ? Confirm patient's understanding of HIV status, HIV diagnosis, then stage with CD4+ - viral load, clinical exam. ? Personalise approach, empower patient, understand implications of resistance and how rapidly it occurs and that this Rx is lifelong and not a cure. ? Children and ART: discuss the special challenges especially caregiver understanding and support, refrigeration. ? 'Never an emergency' v. where accelerated approaches (e.g. TB with low CD4 count, pregnancy, advanced disease) may be warranted. ? Support structures for adherence; disclosure as a means of support; religion. ? OI institution, especially co-trimoxazole, trial of OI Rx as adherence ..

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