Functional assessment of patients with AIDS

Zonta, Marise Bueno

doi:10.1590/s0004-282x2003000400037

Cited by 3 publications

(8 citation statements)

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“…This sample size was determined by reviewing similar cross-sectional studies which investigated the manifestation of disability, function and impairments among PLWHA and using a similar size (Kohli, Sane, Kumar, Paranjape, & Mehendale, 2005;Powers et al, 2006;Russell & Gregory, 2003;Zonta, de Almeida, de Carvalho, & Werneck, 2003). This study contributed to a larger study that consisted of two other patient groups.…”

Section: Methodsmentioning

confidence: 99%

The International Classification of Function Disability and Health (ICF) in adults visiting the HIV outpatient clinic at a regional hospital in Johannesburg, South Africa

Myezwa

Stewart

et al. 2008

AIDS Care

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In 2005, 16.6% of South Africans between 15 and 49 years of age were HIV positive. The advent of anti-retroviral therapy has led to improved longevity, CD4 counts and clinical well-being of people living with HIV/AIDS (PLWHA). Physical impairments, activity limitations and participation restrictions of PLWHA have profound effects on the Health-related Quality of Life and functional abilities of those with the disease, and understanding thereof may assist in the formulation of rehabilitation protocols, health care interventions as well as vocational and legislative policies. The International Classification of Function, Disability and Health (ICF) is a standardised tool, endorsed by the World Health Assembly for international use, which aims to classify functioning and disability. It is structured to assess body functions and structure, functional activities and associated personal and environmental factors.This study aimed to develop a profile of the level of functional activity, using the ICF Checklist, of an urban cohort of 45 South African individuals who are HIV positive attending an outpatient clinic at the Helen Joseph Memorial Hospital, Gauteng, South Africa. The results showed a high prevalence of physical impairments, participation restrictions and selective activity limitations and that environmental factors influence their level of ability. Specific impairments where patients had problems were mental functions (69% (n=31), sensory and pain -- 71% (n=32), digestive and metabolic functions 45% (n=20) and neuromuscular 27% (n=12). Activity limitations included major life areas' 58% (n=26), interpersonal relationships 56% (n=25), mobility 40% (n=18) and general tasks and demands 38% (n=17). Limitations in mobility were significantly associated with problems of sensory functions (p=0.05), pain (p=0.006), neuromusculoskeletal and movement-related functions (p=0.006), muscle power (p=0.006) as well as energy and drive functions (p=0.001). The study identifies the level of function and ability of PLWHA, clinical markers, and how these affect the physical, psychological and social functioning of this population.

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Section: Methodsmentioning

confidence: 99%

The International Classification of Function Disability and Health (ICF) in adults visiting the HIV outpatient clinic at a regional hospital in Johannesburg, South Africa

Myezwa

Stewart

et al. 2008

AIDS Care

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“…The Institute of Medicine defines access to health care as ''the timely use of personal health services.'' 35 As PLWHA are living longer 36 and experiencing greater disability, [8][9][10] accessing health care, in particular physical therapy, may significantly impact their quality of life. 22 This study examined PLWHA that accessed physical therapy after admission to an acute-care hospital.…”

Section: Discussionmentioning

confidence: 99%

“…Although this referral rate is similar to the 22.4% of patient admissions (all diagnoses) to acute-care hospitals in North Carolina that received physical therapy, 37 it seems low given the prevalence of impairments in PLWHA. [8][9][10] In a sample of persons living with HIV in British Columbia, 8 91.5% reported at least 1 impairment, 80.6% reported at least 1 activity limitation, and 93.2% reported at least some level of participation restriction. In samples of patients with HIV infection in Brazil, 91% were found to have some degree of functional impairment 9 and 85% reported impaired physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 As such, there is a high prevalence of disability among people living with HIV/AIDS (PLWHA). [8][9][10] Although only a minority of rehabilitation professionals work with PLWHA, 11 the rehabilitation professional community has the potential to play a greater role in addressing HIV/AIDS disability. 12 The role of rehabilitation in the management of HIV/AIDS disability prior to and at the beginning of the HAART era has been thoroughly described, yet little is known regarding the role of rehabilitation in the management of HIV/AIDS disability in the HAART era.…”

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confidence: 99%

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The Acute Care Physical Therapy HIV/AIDS Patient Population

Kinirons

2013

J Int Assoc Provid AIDS Care

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This study was based on an analysis of an existing database compiled from 475 medical records of people living with HIV/AIDS admitted to an acute-care hospital in New York City in 2004. The characteristics of patients with HIV infection that received physical therapy were determined. Differences between patients with HIV infection that did and did not receive physical therapy, as well as predictors of receipt of physical therapy, were identified. The physical therapy subgroup (n = 69) had a mean age of 48.3 years, consisted of more men than women, and was predominately black, with public health insurance. Admissions were commonly due to non-AIDS-defining illness as the primary diagnoses, accompanied by several comorbidities. Admissions often presented with functional deficits, incurred a prolonged length of stay, and required assistance at discharge. Differences existed between the physical therapy subgroup and the non-physical therapy subgroup (n = 406). Predictors of receipt of physical therapy were functional status on admission and length of stay.

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“…The impact on the body systems results in a wide range of impairments, acti vity limitation and disability. Myezwa et al (2009),Van As et al, (2009Zonta et al, (2003) ; Zonta et al, (2005) revealed clear patient profiles. Understanding the particular patient profiles allows the practitioner and the academic to give better guidance on the assessment of people with HIV or AIDS and to inte grate relevant HIV knowledge attitudes and skills.…”

Section: Applying Mainstreaming Principlesmentioning

confidence: 96%