killomundo.blogg.se - Personal construct therapy for hiv seropositive patients

Multidisciplinary approaches to find solutions to ART and appointment adherence problems are often necessary, including collaboration with social work and case management (to the extent available).Linking patients to counseling to overcome stigma, substance use, or depression.Allowing flexible appointment scheduling.Finding resources to assist with treatment costs to maintain uninterrupted access to both ART and appointments.Changing ART to simplify dosing or reduce side effects.Approaches could include, but are not limited to: The approach to improved adherence should be tailored to each person’s needs (or barriers to care).Patients having difficulties with adherence to appointments or ART should be approached in a constructive, collaborative, nonjudgmental, and problem-solving manner.

Side effects, out-of-pocket costs, convenience, and patient preferences also need to be considered.

Patients with ART adherence problems should be placed on regimens with high genetic barriers to resistance, such as dolutegravir (DTG) or boosted darunavir (DRV).

An individual’s barriers to adherence to ART and appointments should be assessed before initiation of ART and regularly thereafter.

Linkage-to-care and adherence to both antiretroviral therapy (ART) and clinic appointments should be regularly assessed.

Panel's Recommendations Regarding Adherence to the Continuum of Care Panel's Recommendations