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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
Open this folder and view contentsCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
close this folderCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
View the document8.1 Introduction
Open this folder and view contents8.2 Concept of continuum of care and home based care
View the document8.3 Benefits of home based care
View the document8.4 Components of home based care
Open this folder and view contents8.5 Palliative Care
View the document8.6 Care of body
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

8.4 Components of home based care

Home based care is a mechanism of care provision which includes the following components:

Physical

Care providers should always ensure that a patient receives adequate attention on the following:

Treatment of opportunistic infections and appropriate nursing care at all times

ART- monitoring for early side effects and continuous adherence

Pain relief with appropriate medication (.e.g., use of NSAID’s, codeine and other opoids such as liquid morphine)

Nutritional care and support: patients should be educated on appropriate nutrition using locally available food, and guided on feeding patterns and preparation of the food to suit the condition of the patient (e.g., feeding schedules for those on ART depending on their medication)

Hygiene: the patient and family members should be educated on the practice of appropriate hygiene e.g. oral, skin, hair and environmental care

Exercises: patients need to exercise regularly and if they are too weak the family members should assist the patient in doing passive exercises for body movement and to enhance blood circulation thus reducing the risks of complications such as bed sores and pulmonary problems.

Family planning access

Emotional support

Patients suffering from any chronic or terminal illness usually have a lot of fear and worries. Care givers should therefore provide emotional support and help them to ventilate and deal with the conditions. Drug adherence issues when travels are planned, business trips to be made or transfers planned.

Social support

Patients suffering from chronic or terminal illness usually suffer from loneliness and neglect. Care givers should interact with the patient and to include him/her in decisions regarding his/her care. The patient should also be involved in recreational activities as appropriate and support or self help groups in the community should be identified for the patient to interact with.

Spiritual support

Addressing spiritual needs is an important aspect in any type of care. Chronically ill patients often lose hope and reason to continue to live which is often relieved through reassurance and spiritual care. Spiritual needs of the patient must be determined and attended to appropriately thus the need to involve faith-based organizations.

Legal support

Patients should be informed about how and where to get legal aid that they need especially in areas such as inheritance, writing of wills and human rights issues. Join PLHA support groups.

Economic support

When a person is diagnosed with HIV/AIDS, the financial burden to the family increases given the additional medical expenses. If the bread earner is the affected party, this further constrains the limited family resources available. It is therefore necessary for home based care givers to be aware of economic support networks and opportunities where such issues can be addressed.

Prevention in home based care (HBC): focus on patients clinically ill, patients on ART, household members and community

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