A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...
A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...
A Guide to Primary Care of People with HIV/AIDS - Canadian Public ...
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A <strong>Guide</strong> <strong>to</strong> <strong>Primary</strong> <strong>Care</strong> <strong>of</strong> <strong>People</strong> <strong>with</strong> <strong>HIV</strong>/<strong>AIDS</strong><br />
Chapter 3: Core Elements <strong>of</strong> <strong>HIV</strong> <strong>Primary</strong> <strong>Care</strong><br />
KEY POINTS<br />
The focus <strong>of</strong> the first visit is determined<br />
by the patient’s most immediate needs.<br />
The initial evaluation is complex and<br />
usually requires several visits.<br />
An important aspect <strong>of</strong> primary care<br />
is answering the patient’s questions <strong>to</strong><br />
ensure that he or she understands the<br />
<strong>HIV</strong> disease process and treatment.<br />
While patients <strong>with</strong> early-stage <strong>HIV</strong><br />
disease can be seen at 3-month intervals<br />
for routine medical evaluation, those<br />
receiving ART or <strong>with</strong> more advanced<br />
disease must be seen more frequently.<br />
A multidisciplinary team approach <strong>with</strong><br />
the patient as primary caregiver is the<br />
best approach <strong>to</strong> care.<br />
SUGGESTED RESOURCES<br />
Bartlett JG, Gallant J. Medical Management<br />
<strong>of</strong> <strong>HIV</strong> Infection. Baltimore, MD: Johns<br />
Hopkins University; 2003.<br />
Buckley RM, Gluckman SJ. <strong>HIV</strong> Infection<br />
in <strong>Primary</strong> <strong>Care</strong>. Philadelphia, PA: WB<br />
Saunders, 2002.<br />
Centers for Disease Control and<br />
Prevention. Incorporating <strong>HIV</strong> Prevention<br />
in<strong>to</strong> the Medical <strong>Care</strong> <strong>of</strong> Persons Living<br />
<strong>with</strong> <strong>HIV</strong>. MMWR. 52(RR12):1-24. July 18,<br />
2003. Available at: http://www.cdc.gov/hiv/<br />
pubs/guidelines.htm#prevention.<br />
Hecht FM, Wilson IB, Wu AW, et al. Society<br />
<strong>of</strong> General Internal Medicine <strong>AIDS</strong> Task<br />
Force. Optimizing care for persons <strong>with</strong> <strong>HIV</strong><br />
infection. Ann Intern Med. 1999;131:136-143.<br />
Nerad J, Romeyn M, Silverman E, et al.<br />
General nutrition management in patients<br />
infected <strong>with</strong> human immunodeficiency virus.<br />
Clinical Infect Dis. 2003;36(Suppl. 2):S52-62.<br />
Sande MA, Volberding PA, Eds. The<br />
Medical Management <strong>of</strong> <strong>AIDS</strong> – 6th ed.<br />
Philadelphia, PA: WB Saunders; 1999.<br />
3<br />
WEBSITES<br />
<strong>AIDS</strong>Info: http://www.aidsinfo.com<br />
Accessed 9/03.<br />
<strong>AIDS</strong> Education Global Information System:<br />
http:// www.aegis.com Accessed 9/03.<br />
Centers for Disease Control and Prevention<br />
Division <strong>of</strong> <strong>HIV</strong>/<strong>AIDS</strong> Prevention: http://<br />
www.cdc.gov/hiv/dhap.htm Accessed 10/03.<br />
<strong>HIV</strong>Insite: http://www.hivinsite.ucsf.edu<br />
Accessed 10/03.<br />
Johns Hopkins <strong>AIDS</strong> Service: http://<br />
www.hopkins-aids.edu Accessed 10/03.<br />
STD/<strong>HIV</strong> Prevention Training Centers: http://<br />
depts.washing<strong>to</strong>n.edu/nnptc/ Accessed 10/03.<br />
U.S. Department <strong>of</strong> Health and Human Services, Health Resources and Services Administration, <strong>HIV</strong>/<strong>AIDS</strong> Bureau<br />
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