PERAWATAN HIV & AIDS KOMPREHENSIF BERKESINAMBUNGAN Oleh : Purwaningsih

suatu konsep perawatan yang menyeluruh membentuk suatu 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.

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

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

Beberapa aspek perawatan HIV & AIDS komprehensif dan berkesinambungan VCT Tatalaksana IO Asuhan keperawatan Asuhan gizi KDS Perawatan di rumah

Menurunkan stigma Dukungan sosial DIKLAT Sistem rujukan

INTERAKSI ANTAR KOMPONEN Pengobatan dan perawatan VCT, PMTCT, profilaksis, pengoatan IO, ART, tatalaksana IMS, gizi Dukungan sosio-ekonomik Dukunngan material jaminan ekonomi dan jaminan hidup layak Dukungan HAM dan Hukum Menghapus stigma dan diskriminiasi, perencanaan dan partisipasi ODHA, kesetaraan kesempatan dan Dukungan psikologis Konseling, dukungan pada yatim piatu, dukungan masyarakat, dukungan spiritual ODHA dan keluarga

Penghargaan PRINSIP DASAR Efisien dan efektif Ketersediaan Koordinasi dan integrasi Kesetaraan

Prophilaxis Tatalaksana IO Pencegahan Perawatan paliatif SEBELUM PROGRAM ART Prophilaxis Tatalaksana IO Pencegahan Perawatan paliatif

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

Patuh program pengobatan Patuh datang ke klinik Patuh program pengobatan Nutrisi adekwat Pola hidup sehat Dukungan psikososial Universal precaution SELAMA PROGRAM ART

Dokter ODHA Ahli gizi Perawat Konselor Relawan sosial Perawatan paliatif Farmasi

Memberikan in-put untuk meningkatkan kualitas layanan Partisipasi aktif Memberikan in-put untuk meningkatkan kualitas layanan Konsultasi dengan anggota tim lain Saling memberi dukungan pada sesama perawat SEBAGAI TIM, PERAWAT HARUS:

Menurunkan morbidity dan mortality Meningkatkan QoL TUJUAN KEPERAWATAN DALAM PERAWATAN KOMPREHENSIF Menurunkan morbidity dan mortality Meningkatkan QoL Memberikan asuhan keperawatan Prenvention

PERAWATAN KOMPREHENSIF Promosi dan pendidikan kesehatan PERAN PERAWAT DALAM PERAWATAN KOMPREHENSIF Perawatan kronik Perawatan akut Promosi dan pendidikan kesehatan Pencegahan penyakit Perawatan paliatif Dukungan mental Advokasi Manajemen rujukan

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

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

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

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

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

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

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

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

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

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

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

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