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Old April 3rd, 2012, 05:54 PM
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Default What are the steps in post HIV test counselling.

Q.what are the steps in post HIV test counselling.
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Old September 22nd, 2020, 08:58 PM
Default Re: What are the steps in post HIV test counselling.

I am medical science student and searching for details about Post HIV Test. Will you provide details of what are the steps in Post HIV Test Counselling and tell Counselling who test HIV-negative or positive?
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Old September 22nd, 2020, 08:58 PM
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Join Date: Apr 2013
Default Re: What are the steps in post HIV test counselling.

PRE-TEST COUNSELLING (25-30 minutes)

Review why they have come for the test in a relaxing manner

Review their knowledge of

(i) condom use
(ii) sexually transmitted diseases
(iii) HIV/AIDS. Fill in the gaps in their knowledge

Review and impress on them the consequences of risky behavior

Assess the degree of risk for the client

Slowly go over the nature of the test and the consequences of both a positive and negative result.

In case of a positive result review the difference between HIV and AIDS. Stress the fact that the patient can still live a productive life for even as long as ten or more years and the prospects for therapy and cure are improving daily. Discuss their support system (family and friends)

In case of a negative result discuss the window period for antibody based tests and the need for retesting after about 4 months depending on risk assessment. Impress on them that a negative result does not imply immunity from infection, and the need for a change in behavior.

Obtain informed consent prior to the test.

Schedule the next meeting a week after the test date

Counselling who test HIV-negative

Counselling for those who test HIV-negative should include the following:

an explanation of the test result and reported HIV status;
education on methods to prevent HIV acquisition and provision of male or female condoms, lubricant and guidance on their use;
emphasis on the importance of knowing the status of sexual partner(s) and information about the availability of partner and couples testing services;
referral and linkage to relevant HIV prevention services, including voluntary male medical circumcision (VMMC) for HIV-negative men, PEP, PrEP for people at substantial ongoing HIV risk;
a recommendation on retesting based on the client's level of recent exposure and/or ongoing risk of exposure

Counselling who test HIV HIV-positive

The care provider should:

inform the client of the result simply and clearly, and give time to consider it;
ensure that the client understands the result;
allow the client to ask questions;
assist the client in coping with the emotions arising from the test result;
discuss immediate concerns and assist the client in determining what social network may be acceptable and available to offer immediate support;
describe follow-up services that are available in the health facility and in the community, paying special attention to OI/HIV treatment, PMTCT, and care and support services;
provide information on how to prevent the transmission of HIV, including provision of sterile needles, syringes and condoms, and guidance on their use;
provide information on other relevant preventive measures, such as good nutrition, use of co-trimoxazole prophylaxis and, if appropriate, insecticide-treated bednets, and OST;
discuss disclosure of the result – when and how this may happen, and to whom (see below);
encourage testing and counselling of partners and children;
provide advice on other pathological tests that may be appropriate (such as for liver function, hepatitis B and C serology, pregnancy, X-ray, sputum for acid-fast bacilli [AFB]);
assess the risk of violence, drug overdose or suicide, and discuss possible measures to ensure the physical safety of clients, particularly women, who are diagnosed HIV-positive;
arrange a specific date and time for follow-up visits or referrals to treatment, care, counselling, support and other services, as appropriate (e.g. screening for and treatment of TB, prophylaxis for OIs, STI treatment, contraception, antenatal care, OST, hepatitis B and C screening, and access to supplies of condoms and sterile needles/syringes); and
consider introducing the client to relevant team members who may be involved in future care.
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