Evidence-Based Management of an Individual Living with HIV

O’Brien, Kelly K; Nixon, Stephanie

doi:10.3138/physio.62.3.202

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…The episodic nature of HIV may result in unpredictable fluctuations in health outcomes, further influencing access and participation in CBE for adults living with HIV. 33,34 Although the majority of participants did not consider their experience with HIV as episodic, they described variable fatigue and mental health issues that impacted their ability to exercise. Episodic disability may make it difficult for PLWH to establish and maintain an exercise routine due to periods of absence or decreased physical capacity.…”

Section: Discussionmentioning

confidence: 99%

Community-Based Exercise in the Context of HIV: Factors to Consider when Developing and Implementing Community-Based Exercise Programs for People Living with HIV

McCabe

Silverstein

et al. 2017

J Int Assoc Provid AIDS Care

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Section: Discussionmentioning

confidence: 99%

Community-Based Exercise in the Context of HIV: Factors to Consider when Developing and Implementing Community-Based Exercise Programs for People Living with HIV

McCabe

Silverstein

et al. 2017

J Int Assoc Provid AIDS Care

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“…In line with this, the demand on rehabilitation services, including physical therapy, is beginning to grow and there is evidence of the important role physical therapy can play in promoting and supporting the health and well‐being of persons living with HIV (Nixon, Forman, et al, ). For example, promoting and supporting exercise, management of neuropathy, and supporting a return to work are three cited rehabilitation areas (O'Brien and Nixon, ).…”

Section: Physical Therapists' Role In Responding To Health Needs In Lmentioning

confidence: 99%

Answering Global Health Needs in Low-Income Countries: Considering the Role of Physical Therapists

Wickford¹,

Duttine²

2013

World Medical &Amp; Health Policy

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In the changing landscape of global health, new challenges continuously emerge and new ways of addressing them are needed. There are huge discrepancies between health care services in high‐ and low‐income countries, and those countries' ability to deal with these health challenges. Physical inactivity is recognized as a growing and serious problem for global health. Physical therapy—an allied health profession primarily interested in function and movement of the human body—is well‐established and ‐recognized in most high‐income countries. In low‐ and middle‐income countries, however, physical therapists are either severely limited in numbers and inaccessible to most, or services are established largely outside of national health systems. Yet in these countries, physical therapists can have a major role to play from promotion and prevention to habilitation and rehabilitation. Using physical activity as its underpinning approach, there are clear gaps to fill within the spheres of non‐communicable disease, maternal and child health, aging populations, HIV/AIDS, musculoskeletal disorders and injuries, and mental health, to name a few. Thus in this discussion paper we propose that, as a component of collaborative interdisciplinary care and with contextually adapted and locally rooted services, physical therapy is an important health profession for health systems in low‐income countries.

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“…In most African countries, physicians are the primary health practitioners responsible for the referral of patients to other health practitioners, including physiotherapists (Odebiyi et al 2010 ). Tanzania is a country where a referral from a physician is needed in order to obtain physiotherapy treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, the referral of patients for physiotherapy depends on the perceptions and the awareness of the referring physician regarding the role that physiotherapy can play in alleviating the condition of the patient (Quartey et al 2009 ). Research also reported a deficit in physicians’ awareness of the role of physiotherapy in healthcare delivery (Odebiyi et al 2010 ; Stanton et al . 1985), and specifically in the management of patients with HIV-SN (Chetty et al 2012 ).…”

Section: Introductionmentioning

confidence: 99%

The role of physiotherapy in the treatment of HIV-related sensory neuropathy: The perceptions and referral practices of physicians

Steyl

Shayo

2015

South African Journal of Physiotherapy

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BackgroundHIV-related peripheral neuropathies are among the most prevalent chronic neurological disorders affecting persons living with HIV and AIDS. In order to improve the physical function and quality of life of those affected by the disease, a holistic or multidisciplinary approach, including physiotherapy, has been suggested for the management of neuropathic pain.AimThe aim of this study was to explore the physicians’ perceptions regarding the role of physiotherapy in the management of patients with HIV-sensory neuropathy (HIV-SN) and their referral practices in Tanzania.MethodsA qualitative study design incorporating purposive sampling was employed in the study. A total of 10 physicians from a hospital in Tanzania agreed to participate in in-depth interviews.ResultsPhysicians had poor perceptions of the role of physiotherapy in the management of patients with HIV-SN. Their inadequate knowledge of the role of physiotherapy and the limited number of physiotherapists employed negatively influenced their referral of patients with HIV-SN for physiotherapy.ConclusionIn Tanzania, referral for physiotherapy is still dependent on medical doctors. Inter-professional learning is imperative for minimising the stereotypes that may exist across professions, hence the need to improve awareness of specific roles in patient management. This could improve knowledge of the role of other professionals in the management and rehabilitation of affected patients and consequently improve perceptions and facilitate referrals of patients with HIV-SN for more integrated care.

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Evidence-Based Management of an Individual Living with HIV

Cited by 7 publications

References 23 publications

Community-Based Exercise in the Context of HIV: Factors to Consider when Developing and Implementing Community-Based Exercise Programs for People Living with HIV

Community-Based Exercise in the Context of HIV: Factors to Consider when Developing and Implementing Community-Based Exercise Programs for People Living with HIV

Answering Global Health Needs in Low-Income Countries: Considering the Role of Physical Therapists

The role of physiotherapy in the treatment of HIV-related sensory neuropathy: The perceptions and referral practices of physicians

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