The effect of HIV status on post-stroke outcomes in personal activities of daily living

Abstract

Introduction This study explored the impact of HIV on the functional recovery of personal activities of daily living of stroke survivors. This assisted in identifying possible implications for the rehabilitation of stroke survivors who are also HIV-positive. Method A quantitative, descriptive, longitudinal comparative research design was used to determine the change in personal activities of daily living scores of HIV-negative and HIV-positive stroke survivors from admission to 1 month after discharge. Data were collected at a rehabilitation unit using the South African Database Functional Measure. Results There was no difference in the rate and nature of functional recovery of personal activities of daily living between the two groups between admission and discharge. A difference was noticed during the period from admission to 1 month after discharge, during which the HIV-negative group continued to show improvement, while the HIV-positive group showed little improvement or a decline in personal activities of daily living scores. Conclusions While the rate and nature of functional recovery related to personal activities of daily living for HIV-positive and HIV-negative stroke survivors is similar during inpatient care, discharge planning for the HIV-positive group needs to consider the decline in personal activities of daily living functioning post discharge. Regular follow-ups and the inclusion of the stroke survivors in an outpatient treatment programme is recommended.

HIV Positif & Komunikasi: Cabaran Mengekalkan Pola Komunikasi Berkesan dalam Kalangan Penghidap Wanita

“…Peminggiran sosial pula menyebabkan PHW sentiasa dipulau, disisih dan dihalau dan meletakkan mereka dalam tekanan berpanjangan, kecewa dan marah. Situasi dialami PHW ini semakin parah apabila keupayaan dalam aktiviti harian semakin terbatas dan mengalami pelbagai komplikasi kesihatan lain (Augustyn, Witt & Franzsen, 2020). Manakala di luar lingkungan keluarga pula, PHW tidak diberi peluang pekerjaan, distigma dan didiskriminasikan, dituduh dengan pelbagai gelaran negatif dan dinafikan segala hak yang sepatutnya mereka dapat.…”

BJOT special issue: Stroke rehabilitation

“…Personal ADL is also the focus of another study in this special edition; a South African cohort study examining the one month personal ADL outcomes of stroke survivors infected with HIV (Augustyn et al, 2020), which observed a decline in personal care in infected versus non-infected patients. Like audit, these observational data can highlight a problem (identify evidence) or and inform the development of an intervention (identifying or developing theory).…”

Robot-Based Assessment of HIV-Related Motor and Cognitive Impairment for Neurorehabilitation

“…These numbers are 1.5 times higher and 22 years younger than the general U.S. population [14]. Augustyn et al recently showed that stroke survivors with HIV experienced a decline in ADL functions one month after discharge compared to stroke survivors without HIV who continued to show improvement, highlighting how HIV can impact stroke recovery [15].…”