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AIDS and potential death what have STD/HIV/AIDS specialized health services done in relation to PLWHA

J Costa L Oliveira; S Kurokawa; C Blessa; Vera Silvia Facciolla Paiva; José Ricardo de Carvalho Mesquita Ayres; Ivan Franca Junior; International AIDS Conference (16. 2006 Toronto)

Toronto: International AIDS Society, 2006 Abstract

Toronto International AIDS Society 2006

Available at FSP - Faculdade de Saúde Pública    (HSM-28/2006 ) and other locations(GetIt)

  • Title:
    AIDS and potential death what have STD/HIV/AIDS specialized health services done in relation to PLWHA
  • Author: J Costa
  • L Oliveira; S Kurokawa; C Blessa; Vera Silvia Facciolla Paiva; José Ricardo de Carvalho Mesquita Ayres; Ivan Franca Junior; International AIDS Conference (16. 2006 Toronto)
  • Subjects: SÍNDROME DE IMUNODEFICIÊNCIA ADQUIRIDA
  • Is Part Of: Toronto: International AIDS Society, 2006 Abstract
  • Notes: Disponivel em http://www.iasociety.org
  • Description: Background: Despite the decreasing mortality rates in Brazil in the last years due to the access to HAART, AIDS death is still a reality that may result in orphanhood. We aim to describe possible strategies for specialized services concerning PLWHA’s care before the possible death of patients attending the clinics and, consequently, the children who are more likely to be orphaned – the potential orphanhood. Methods: In-dept interviews were conducted with 14 health professionals (infectious diseases physicians, pediatricians, psychologists, social workers, nurses, and mid-level professionals) from three STD/HIV/AIDS specialized health services in São Paulo, the AIDS epidemic epicenter. Situations involving HIV+ patients who have died (with or without children) were explored. Based on dense description, we have selected the actions taken by the professionals. Results: Given the efforts addressed to treatment adherence, death was not a subject usually handled by professionals. In general, it was not possible to observe routines/strategies indicating approaches to death and potential orphanhood in the clinical setting. In the case of HIV+ children, the professionals sought after caretakers only after the patient’s death had occurred. Group therapy was mentioned as an appropriate setting to discuss death, especially after the death of an attending patients. Conclusions: The construction of strategies that incorporate delicate issues such as death and its impact on social and family contexts (e.g. orphanhood and future guardianship) poses a challenge to health services. Therefore, it is vital to criticize the misconception of treatment in detriment of care, and to know the patients’ social and family networks in order to respond effectively at service level to the emotional and social aspects concerning death.
  • Publisher: Toronto International AIDS Society
  • Creation Date: 2006
  • Format: p. 1.
  • Language: English
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