PARTNERSHIP IN ACTION - Department of Health, …docs2.health.vic.gov.au/docs/doc...PARTNERSHIP IN...
Transcript of PARTNERSHIP IN ACTION - Department of Health, …docs2.health.vic.gov.au/docs/doc...PARTNERSHIP IN...
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PARTNERSHIP IN ACTION
A local example of community care for PLWHIV
Nalla Burk
HIV Clinical Nurse Consultant, RDNS Campbell Smith
Team Leader, VAC/GMHC Support
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RDNS and VAC/GMHC catchment areas
• Nurses work from 21 sites across Greater Melbourne, about 5,000 square miles
• VAC/GMHC covers similar area and has 4 sites, plus some regional services
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• Speciality HIV/AIDS nursing integrated within generalist nursing structure
• 3 HIV Clinical Nurse Consultants link RDNS expertise to HIV sector
• Hospital HIV liaison nurse • 4 HIV Resource Nurses • 1200 Registered Nurses
RDNS HIV model of care
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VAC/GMHC Support
• Community-based support for PLHIV since 1984
• Volunteer teams provide social and practical support
• Attendant care and case management • Medical transport
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RDNS, VAC/GMHC partnership
• 1985 – Informal partnership initiated • 1987 – Pilot project, evaluated in 1989 • 1990 – Formalised via Memorandum of
Understanding • 2006 – MOU revised, Partnership Agreement
established • 2010 – Revised and renewed
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The partnership in practice
• Regular contact about client issues
• Shared role in HIV training for Support volunteers and RDNS nurses
• Joint projects (eg Tucker bag Meals)
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What does it mean for clients
The partnership promotes engagement with services, which leads to:
• Better medication adherence
• Improved health outcomes
• Client independence
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Treatment as prevention
• Engagement in care is critical to medication
adherence
• Clients required coordinated care
• Remove barriers in accessing care
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Challenges
• Engaging with clients
• Behaviour management and boundary setting
• Sense of entitlement
• Capacity: managing entry and exit from services
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Case study 1
MR R Mornington Peninsula, 60 After 20 years of poor health outcomes, care
coordination and partnership has achieved • Undectable viral load • Approx 100% medication adherence • Engaged in care • Boundary setting • Transport to medical appointments • Socialisation
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Case study 2
Timorese woman, 30 • Resistant virus • Co infected with TB • Referred to RDNS • Daily visits initially • Assessed and referred to Support for women’s
afternoon tea. • Barrier to care identified
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Case study 3
• 47 year old man • Living in caravan park • He was spending all money available to him on alcohol and
cigarettes. • Referred CVSP - Tuckerbag Meals and transport to medical
appointments • Initially Daily visits by RDNS • Introduction of 7 day dosette box. • Mr J was a RDNS client for a period of 12 months.. • At Discharge Mr J was able to identify strategies to engage in safe sex
and injecting practices. • 100% medication adherence • He had an undetectable viral load and CD4 of 550 • He is now employed working full time driving heavy vehicles.
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Conclusion
• By working in partnership RDNS and CVSP are able to provide care which promotes; – Community model of care – Engagement in services – Coordinated care – Improved medication adherence – Education and health promotion – Treatment as prevention – Independence where ever possible.
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Contacts Nalla Burk HIV CNC SE region 0416860878 [email protected]
Campbell Smith Team Leader VAC/GMHC Support 0413 886 867 [email protected]