The potential role of occupational therapy in acute care with clients with HIV/AIDS

Fish, Gillian; Rudman, Debbie Laliberte

doi:10.1002/oti.64

Cited by 11 publications

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“…Rehabilitation in the context of HIV is defined as a dynamic process including any prevention and/or treatment activities and services that address body impairments, activity limitations and social participation restrictions for an individual [ 12 ]. Rehabilitation services such as physical therapy and occupational therapy can help address disability related to adverse effects of medications, fatigue, pain, cognitive problems, and issues related to employment; and has the potential to improve quality of life in people living with HIV [ 13 ],[ 14 ]. As the overall population ages, the demand for rehabilitation services is anticipated to increase, particularly for those living with HIV and other chronic and episodic illnesses [ 15 ],[ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Advancing research and practice in HIV and rehabilitation: a framework of research priorities in HIV, disability and rehabilitation

et al. 2014

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BackgroundHIV increasingly is experienced as a complex chronic illness where individuals are living longer with a range of physical, cognitive, mental and social health-related challenges associated with HIV, comorbidities and aging, a concept that may be termed ‘disability’. Rehabilitation such as physical therapy and occupational therapy can help address disability and has the potential to improve quality of life in people living with HIV. Hence, the role for rehabilitation in the context of HIV, aging and comorbidities is emerging. Our aim was to establish a framework of research priorities in HIV, disability and rehabilitation.MethodsWe convened people living with HIV, clinicians, researchers, service providers, representatives from community-based organizations and policy and funding stakeholders to participate in the first International Forum on HIV and Rehabilitation Research. We conducted a multi-stakeholder consultation to identify current and emerging issues in HIV, disability and rehabilitation. Data were collated and analyzed using content analytical techniques.ResultsNinety-two participants attended the Forum from Canada, United Kingdom (UK), Ireland and the United States. Situated within three overarching themes (episodic health and disability across the life course; rehabilitation; and methodological advances), the Framework of Research Priorities in HIV, Disability and Rehabilitation includes six research priorities: 1) episodic health and disability; 2) aging with HIV across the life course; 3) concurrent health conditions; 4) access to rehabilitation and models of rehabilitation service provision; 5) effectiveness of rehabilitation interventions; and 6) enhancing outcome measurement in HIV and rehabilitation research. The Framework includes methodological considerations and environmental and personal contextual factors (or lenses) through which to approach research in the field. Knowledge translation should be implemented throughout the development and application of research knowledge to inform HIV clinical practice, programming and policy.ConclusionsThese priorities highlight the emerging priorities of living long-term with HIV and outline a plan for HIV and rehabilitation research in resource-rich countries such as the UK and Canada.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-014-0724-8) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Advancing research and practice in HIV and rehabilitation: a framework of research priorities in HIV, disability and rehabilitation

et al. 2014

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“…This may reflect the small number of therapists working in the field of HIV. Articles that outline the role of the occupational therapist in the area of HIV/AIDS and discuss knowledge about and attitudes towards people with HIV only briefly discuss sexuality issues (for example, Molineux 1997, Fish and Rudman 1998, Johnson and Sim 1998, McVey et al 1999. This is surprising considering that, from the author' s personal experience as an occupational therapist working within the HIV/AIDS area of practice, there is a need to be comfortable with issues of sexuality in order to meet the demands of the job.…”

Section: Occupational Therapy In the Field Of Hiv/aidsmentioning

confidence: 99%

Identity Issues for People Living with HIV/AIDS: Humans with Potential or Sexual Victims?

Yallop¹

2000

British Journal of Occupational Therapy

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Patton (1985) described sexuality as being made up of sexual identity, sexual practice and sexual desire, but recognised that there was not necessarily a connection Sexuality issues are important to consider within the practice of occupational therapy. This is especially so when working with people with the human immunodeficiency virus and the acquired immune deficiency syndrome (HIV/AIDS), where issues related to sexuality are both relevant and present. Recent advances in HIV medications have improved the health and life expectancy for many people living with HIV/AIDS (PLWHA). This has been not only a medical and biological change, but also one that has had dramatic impact on the psychosocial issues, including those related to sexuality, relevant for PLWHA. This shift in HIV context prompted the creation of a new occupational therapy service for PLWHA -Positive Employment Support (PES). This paper describes data from a focus group held with PES clients, conducted to evaluate the client responses to PES and to direct future service provision. While the focus group provided the expected data about client responses to PES, it also provided rich data about the impact of the shifting HIV/AIDS context on notions of sexuality and identity. This paper explores these ideas and the resulting implications for occupational therapists, especially those working within the field of HIV/AIDS.

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“…O MOH enfatiza que viver com uma incapacidade, seja de origem física e/ou psicológica (como a toxicodependência ou infeção por HIV), requer mais do que minimizar as limitações funcionais; requer que os indivíduos estabeleçam uma rotina de vida e relações sociais a vários níveis. Numa situação específica como é a infeção por HIV, o cliente deve ser ativo na adequação face às circunstâncias, sendo para esse efeito relevante: colaborar na definição dos seus déficits, na definição dos seus aspectos positivos e no estabelecimento de objetivos terapêuticos -percepção da competência ocupacional (FISH; RUDMAN, 1998). De acordo com o MOH, para além do ambiente físico e social, são três os fatores principais que influenciam a competência ocupacional, os quais também servem hierarquicamente para descrever a estrutura da ocupação (BARON et al, 2003;SOUSA, 2006): Volição, Habituação e Capacidade de Desempenho.…”

Section: Introductionunclassified

Percepção da competência ocupacional e comportamentos sexuais de risco em toxicodependentes

Teixeira¹

2014

CTO

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Resumo: Objetivo: Estudar/compreender os comportamentos sexuais de risco e a percepção da competência ocupacional em toxicodependentes, em função da presença/ausência de Doenças Sexualmente Transmissíveis (DST). Método: Optou-se por uma metodologia quantitativa e transversal, assumindo o estudo um carácter exploratório e descritivo. Assim, 166 indivíduos toxicodependentes, com 34,6 anos de média de idade, foram avaliados com os seguintes instrumentos: Auto-Avaliação Ocupacional e QC-VIH. Resultados: Nos comportamentos sexuais, os toxicodependentes infetados por HIV eram o grupo com a maior frequência de utilização do preservativo e um maior conhecimento em relação ao HIV. Por outro lado, os toxicodependentes sem DST apresentaram valores medianos mais altos para a percepção da competência ocupacional. Conclusões: São diferentes os comportamentos sexuais entre toxicodependentes, de acordo com a sua serologia. Os toxicodependentes sem DST continuam a manter comportamentos sexuais de risco. Parecem não ter a percepção da gravidade para a sua saúde e para a competência ocupacional do poder vir a ser infetado pelo HIV. Quando um toxicodependente é confrontado com a notícia da sua seropositividade ao HIV parece existir um comportamento comum quanto ao uso de precauções (preservativo), redução dos riscos em todo o tipo de relações sexuais e diminuição da percepção da competência ocupacional. Abstract: Objective:This study aimed to study/understand sexual risk behaviors and the perception of occupational competence in drug addicts, regarding the existence/absence of Sexually Transmitted Diseases (STD). Method: We opted for a quantitative and transversal methodology that provided an exploratory and descriptive nature to the study. To this end, 166 drug addicts aged 34.6 years on average were assessed through the following questionnaires: "Occupational Self Assessment" and "HIV-KQ". Results: Regarding sexual behaviors, drug addicts infected with HIV were the group using condoms more frequently and having a more comprehensive knowledge about HIV. On the other hand, drug addicts with no STDs presented higher median scores related to occupational competence, volition, and performance ability when compared with the other two groups. Conclusions: Sexual risk behaviors among drug addicts differ according to their serology. Drug addicts without STD maintain sexual risk behaviors. They seem to have no perception of how serious the fact of being infected with HIV is to their health and occupational ability. When a drug addict is confronted with his own seropositivity to HIV, there seems to be a common behavior related to the use of precautions (condoms), risk reduction in every type of sexual relation, and decreased perception of occupational competence.

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The potential role of occupational therapy in acute care with clients with HIV/AIDS

Abstract: As medical interventions aimed at prolonging the lives of people with Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) are implemented, HIV/AIDS is evolving into

Cited by 11 publications

References 24 publications

Advancing research and practice in HIV and rehabilitation: a framework of research priorities in HIV, disability and rehabilitation

Advancing research and practice in HIV and rehabilitation: a framework of research priorities in HIV, disability and rehabilitation

Identity Issues for People Living with HIV/AIDS: Humans with Potential or Sexual Victims?

Percepção da competência ocupacional e comportamentos sexuais de risco em toxicodependentes

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