A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...

More documents

Recommendations

Info

A Guide to Primary Care of People with HIV/AIDS Chapter 1: Primary Care as Chronic Care Figure 1-1. The Chronic Care Model 1 Community Resources and Policies Self- Management Support Informed, Activated Patient Delivery System Design Health System Organization of Health Care Productive Interactions Decision Support Improved Outcomes Clinical Information Systems Prepared, Proactive Practice Team Examples of Chronic Care Model Interventions Self-Management Support: Emphasizing patient role, assessment, problem-solving, and interventions to enhance self-management Delivery System Design: Defining care team, planning visits, follow-up reminders, continuity of care, and referral system Decision Support: Use of clinical guidelines, provider education, and specialty support Clinical Information Systems: Establishment and maintenance of patient registry, use of registry for patient followup, and quality improvement Source: Adapted from Wagner EH. Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice. 1998;1:2-4. Reprinted with permission. The Chronic Care Model was developed by Ed Wagner, MD, MPH, Director of the MacColl Institute for Healthcare Innovation, Group Health Cooperative of Puget Sound, and colleagues with support from The Robert Wood Johnson Foundation. Further details can be found at www.ihi.org. Who is the target audience? The target audience is providers of primary medical care, such as physicians, physician assistants, and nurse practitioners, who are taking care of a small but perhaps an increasing number of HIV-infected persons but who are not experts in HIV care. Parts of this book will also be useful for nurses, counselors, pharmacists, and others seeking specific, concise information about the treatment of HIV-infected persons. Last, specific chapters on clinic management and quality improvement are relevant for those responsible for the administration of clinical sites treating patients with HIV/AIDS. Clinicians with small numbers of patients with HIV/AIDS are encouraged to seek appropriate expert consultation when complex clinical situations arise. Provider expertise in HIV care is essential in many treatment decisions. In fact, patient outcome is correlated with the number of patients with HIV a provider has treated. For more information, see Suggested Resources in Chapter 18 on Keeping Up-to-Date: Sources of Information for the Practicing Clinician. What is the purpose of the pocket guide contained within the book? The guide is a pocket-sized quick reference that provides a summary of all Federal guidelines dealing with HIV, including antiretroviral therapy (ART), prevention of opportunistic infections (OIs), management of class adverse reactions, treatment of tuberculosis (TB) and hepatitis C (HCV), laboratory testing, prevention after occupational exposure, and HIV management in pregnancy. It is presented in a format that is intended for point-of-care decision making: it can be carried in the clinic and at the bedside to rapidly access needed information for patient treatment. The pocket guide will be updated more frequently than the book to meet rapid changes in HIV medication options and recommendations. 2 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau
A Guide to Primary Care of People with HIV/AIDS Chapter 1: Primary Care as Chronic Care How will the book keep pace with the rapidly changing field of HIV/AIDS treatment? The book details principles and major recommendations for the treatment of persons with HIV/AIDS that will remain, for the most part, relevant for the coming 2 or 3 years. However, the field of HIV treatment is very fluid, and specific drugs and drug combinations evolve rapidly. For this reason, such information has been consolidated in the pocket guide, which will be revised, with updates available in the on-line version on the HIV/AIDS Bureau (HAB) website. Revisions of the pocket guide will include new drugs, new treatment guidelines, and new side effects as well as new drug interactions. In addition to the pocket guide, information on other useful websites is provided to help with keeping up-to-date. KEY POINTS HIV is now a chronic disease requiring ongoing primary care management. The chronic care model uses coordinated interventions at the clinic, community, and individual levels. A Guide to Primary Care of People with HIV/AIDS is for primary care providers who are taking care of a small number of patients with HIV but who are not experts in HIV care. The Pocket Guide provides easy reference to rapidly changing treatment guidelines for point-of-care decision making. 1 U.S. Department of Health and Human Services, Health Resources and Services Administration, HIV/AIDS Bureau 3
Page 1 and 2: Edited by John G. Bartlett, MD Laur
Page 3 and 4: 2004 Edition A Guide to Primary Car
Page 5 and 6: A Guide to Primary Care of People w
Page 11: A Guide to Primary Care of People w
Page 63 and 64:
A Guide to Primary Care of People w
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 180:
Use these quick-reference page tabs
show all

A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...

Create successful ePaper yourself

Delete template?

Save as template?