Podcast
Questions and Answers
Which component of stigma involves the act of excluding individuals from social activities?
Which component of stigma involves the act of excluding individuals from social activities?
- Discrimination
- Labeling
- Social exclusion (correct)
- Stereotyping
According to the model laid out by Link and Phelan, what is NOT one of the components of stigma?
According to the model laid out by Link and Phelan, what is NOT one of the components of stigma?
- Stereotyping
- Power relations
- Discrimination
- Cognitive dissonance (correct)
What phase of the HIV/AIDS epidemic is characterized by stigma, discrimination, and denial?
What phase of the HIV/AIDS epidemic is characterized by stigma, discrimination, and denial?
- The epidemic of stigma-discrimination-denial (correct)
- The remembrance phase
- The AIDS epidemic
- The HIV epidemic
Which of the following best describes an effect of stigma on healthcare providers?
Which of the following best describes an effect of stigma on healthcare providers?
Which of the following is not referenced as a key initiative developed to combat the impact of stigma and discrimination?
Which of the following is not referenced as a key initiative developed to combat the impact of stigma and discrimination?
Which characteristic is essential for effective healthcare providers in the context of managing stigma?
Which characteristic is essential for effective healthcare providers in the context of managing stigma?
What is the primary focus of the initiatives developed in response to stigma and discrimination?
What is the primary focus of the initiatives developed in response to stigma and discrimination?
What percentage of people living with HIV/AIDS are likely to experience at least one oral manifestation related to their condition?
What percentage of people living with HIV/AIDS are likely to experience at least one oral manifestation related to their condition?
Which oral health issue specifically arises from xerostomia in people living with HIV/AIDS?
Which oral health issue specifically arises from xerostomia in people living with HIV/AIDS?
What significant effect has the epidemic of stigma-discrimination-denial had on individuals?
What significant effect has the epidemic of stigma-discrimination-denial had on individuals?
What is a key concern when treating patients with HIV regarding their perception of care?
What is a key concern when treating patients with HIV regarding their perception of care?
Which of the following is NOT listed as an oral manifestation associated with HIV?
Which of the following is NOT listed as an oral manifestation associated with HIV?
What is one of the challenges faced in the management of HIV that relates to patient misunderstanding?
What is one of the challenges faced in the management of HIV that relates to patient misunderstanding?
Among adult patients with HIV, which other type of need is considered more unmet than dental care needs?
Among adult patients with HIV, which other type of need is considered more unmet than dental care needs?
Which factor may influence how patients with HIV feel about their treatment options?
Which factor may influence how patients with HIV feel about their treatment options?
What is a common fungal infection seen in people living with HIV/AIDS?
What is a common fungal infection seen in people living with HIV/AIDS?
What might impact a healthcare provider's understanding of their patient's experience living with HIV?
What might impact a healthcare provider's understanding of their patient's experience living with HIV?
Which oral manifestation is characterized by painful sores that may appear on the inner mouth or tongue?
Which oral manifestation is characterized by painful sores that may appear on the inner mouth or tongue?
What should healthcare providers be aware of to effectively communicate with HIV patients?
What should healthcare providers be aware of to effectively communicate with HIV patients?
Kaposi's sarcoma is most commonly associated with which oral manifestation in individuals with HIV?
Kaposi's sarcoma is most commonly associated with which oral manifestation in individuals with HIV?
Which aspect of patient care is crucial for successful HIV management?
Which aspect of patient care is crucial for successful HIV management?
What oral health condition is characterized by a red band around the gums and is associated with HIV?
What oral health condition is characterized by a red band around the gums and is associated with HIV?
How does the interpretation of lab results play a role in HIV management?
How does the interpretation of lab results play a role in HIV management?
In what way is stigma related to HIV treatment management?
In what way is stigma related to HIV treatment management?
What is a key aspect of managing dental care for Persons Living with HIV/AIDS (PLWHA)?
What is a key aspect of managing dental care for Persons Living with HIV/AIDS (PLWHA)?
What percentage of Persons Living with HIV/AIDS (PLWHA) do not receive regular dental care?
What percentage of Persons Living with HIV/AIDS (PLWHA) do not receive regular dental care?
Which of the following is NOT mentioned as part of the HIV dental management strategy?
Which of the following is NOT mentioned as part of the HIV dental management strategy?
What role does the Ryan White Funds play in HIV dental care?
What role does the Ryan White Funds play in HIV dental care?
Which factor is recommended for assessment in the dental management of HIV patients?
Which factor is recommended for assessment in the dental management of HIV patients?
Which of the following interventions is emphasized for PLWHA regarding tobacco?
Which of the following interventions is emphasized for PLWHA regarding tobacco?
What is the focus of the clinical management approach mentioned in the content?
What is the focus of the clinical management approach mentioned in the content?
Why might dental care for PLWHA be inadequate?
Why might dental care for PLWHA be inadequate?
What is one of the primary objectives of the course mentioned?
What is one of the primary objectives of the course mentioned?
Which organization is not mentioned as a resource in addressing HIV/AIDS stigma?
Which organization is not mentioned as a resource in addressing HIV/AIDS stigma?
What aspect of health care does the material indicate persons with HIV experience differently compared to the general population?
What aspect of health care does the material indicate persons with HIV experience differently compared to the general population?
What is a suggested focus for person management and oral disease prevention strategies?
What is a suggested focus for person management and oral disease prevention strategies?
What factor may contribute to the reduced access to oral and general health care for patients with HIV?
What factor may contribute to the reduced access to oral and general health care for patients with HIV?
Among the topics discussed, which of the following refers to a comparison made regarding patients with HIV?
Among the topics discussed, which of the following refers to a comparison made regarding patients with HIV?
What is an expected outcome from the reflection activity using Qualtrics?
What is an expected outcome from the reflection activity using Qualtrics?
Which type of barriers are highlighted in regard to HIV patients receiving care?
Which type of barriers are highlighted in regard to HIV patients receiving care?
What primary function does the Human Immunodeficiency Virus (HIV) serve in the body?
What primary function does the Human Immunodeficiency Virus (HIV) serve in the body?
What is one of the common barriers to compliance with HIV medication?
What is one of the common barriers to compliance with HIV medication?
Which of the following is a common side effect experienced by patients taking ART medications?
Which of the following is a common side effect experienced by patients taking ART medications?
What is the primary goal of antiretroviral therapy (ART) for HIV patients?
What is the primary goal of antiretroviral therapy (ART) for HIV patients?
How does HIV primarily transmit from one person to another?
How does HIV primarily transmit from one person to another?
Which of the following is noted as a consequence of untreated HIV infection?
Which of the following is noted as a consequence of untreated HIV infection?
What could be classified as a significant challenge in long-term treatment adherence for HIV?
What could be classified as a significant challenge in long-term treatment adherence for HIV?
Which symptom is typically not associated with HIV medication side effects?
Which symptom is typically not associated with HIV medication side effects?
Flashcards
PLW
PLW
A person who is living with HIV.
Implicit Bias
Implicit Bias
Unconscious, automatic assumptions we hold about others.
Bias Training
Bias Training
Training that aims to reduce unconscious bias and improve fairness in interactions with others.
Impact of Implicit Bias
Impact of Implicit Bias
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Medical Management of HIV
Medical Management of HIV
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Culturally Competent Care
Culturally Competent Care
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Access to Healthcare as a Human Right
Access to Healthcare as a Human Right
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Patient-Provider Interaction
Patient-Provider Interaction
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What is HIV?
What is HIV?
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What is a retrovirus?
What is a retrovirus?
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How is HIV spread?
How is HIV spread?
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What does HIV attack?
What does HIV attack?
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How is HIV treated?
How is HIV treated?
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What is ART?
What is ART?
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What are some common side effects of HIV medications?
What are some common side effects of HIV medications?
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What are some common compliance barriers for HIV medications?
What are some common compliance barriers for HIV medications?
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Xerostomia
Xerostomia
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Higher incidence of Caries
Higher incidence of Caries
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Oral health issues in PLWHA
Oral health issues in PLWHA
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Red band gingivitis
Red band gingivitis
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Burning Mouth Syndrome
Burning Mouth Syndrome
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Oral Hairy Leukoplakia
Oral Hairy Leukoplakia
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Thrush
Thrush
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HIV-Dental Management: Prevention is key
HIV-Dental Management: Prevention is key
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Lab Considerations in HIV Dental Management
Lab Considerations in HIV Dental Management
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Why do many PLWHA not receive regular dental care?
Why do many PLWHA not receive regular dental care?
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Ryan White Funds: Oral health care
Ryan White Funds: Oral health care
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ACP: A Dental Tool for PLWHA
ACP: A Dental Tool for PLWHA
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Comprehensive Dental Assessment in HIV
Comprehensive Dental Assessment in HIV
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Tobacco Cessation in HIV Dental Care
Tobacco Cessation in HIV Dental Care
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Medical Consult in HIV Dental Management
Medical Consult in HIV Dental Management
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HIV/AIDS Stigma in Healthcare
HIV/AIDS Stigma in Healthcare
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Study Objective: Provider Attitudes
Study Objective: Provider Attitudes
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Data Collection Method
Data Collection Method
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Oral Health and HIV/AIDS
Oral Health and HIV/AIDS
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Barriers to Dental Care for PLWHA
Barriers to Dental Care for PLWHA
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Managing People with HIV/AIDS
Managing People with HIV/AIDS
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Study Acknowledgments and Resources
Study Acknowledgments and Resources
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Addressing HIV/AIDS Stigma
Addressing HIV/AIDS Stigma
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Institutionalized
Institutionalized
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HIV Stigma
HIV Stigma
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HIV Discrimination
HIV Discrimination
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Labeling and Stereotyping
Labeling and Stereotyping
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Social Exclusion
Social Exclusion
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Power Relation
Power Relation
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The HIV Epidemic
The HIV Epidemic
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The AIDS Epidemic
The AIDS Epidemic
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The Epidemic of Stigma-Discrimination-Denial
The Epidemic of Stigma-Discrimination-Denial
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Study Notes
D2 DENT 8004 Module IV: Person Centered Care - Persons Diagnosed with HIV
- Learning Outcomes:
- Recognize that certain disease states and patient factors can marginalize individuals from receiving oral and general health care, and provide examples.
- Understand the epidemiological impact of persons with HIV.
- Understand the prevalence of caries and periodontal disease in HIV-positive individuals compared to the general population.
- Identify barriers to accessing care for persons with HIV and similar populations.
- Apply person-centered management, dental management, and oral disease prevention strategies.
Information for today's session:
- Safe space: Create a safe and supportive learning environment.
- Information: Provide essential background information.
- Knowledge: Equip you with relevant knowledge.
- Intellectual awareness: Encourage critical thinking about the topic.
- Emotional awareness: Acknowledge and address potential emotional responses.
- Opportunity for pre-clinical interaction with patients: Preparing you for clinical encounters with patients with HIV, allowing for reflective time before direct patient interaction.
HIV: Pre-reflection Activity
- Reflect on treating people living with HIV/AIDS (PLWHA).
- Consider how friends, family, or significant others might react to treating PLWHA.
- Reflect on your personal biases and potential discomfort treating individuals who are different from yourself or live with other disadvantages.
- Think about the impact on patient care when dealing with implicit bias or personal prejudices.
HIV Medical Overview
- Human Immunodeficiency Virus (HIV) can lead to Acquired Immunodeficiency Syndrome (AIDS).
- HIV is a retrovirus.
- HIV spreads through certain body fluids.
- HIV attacks the body's immune system, targeting CD4/T cells.
- HIV can render the body defenseless against infections, diseases, cancers, and opportunistic infections.
- Treatment involves antiretroviral therapy (ART) to slow viral progression.
- ART reduces viral load in the blood and body fluids.
- Viral suppression to undetectable levels can be achieved within 6 weeks with ART.
HIV Medications and Compliance Barriers
- Common compliance barriers include difficulty swallowing pills, busy schedules, work/travel demands, illness, depression, treatment fatigue, and side effects.
- Newer ARTs often have mild and manageable side effects.
HIV-Epidemiology Canada
- The prevalence of HIV in Canada is increasing since 2014, around 5%.
- In 2016, an estimated 63,110 Canadians lived with HIV.
- The HIV prevalence rate is 173 per 100,000 Canadians.
HIV-Epidemiology U.S.
- Today, approximately 1.1 million people in the U.S. are living with HIV.
- In 2015, 38,500 new HIV infections occurred.
- The prevalence of HIV among different populations in the U.S. is reported.
HIV Diagnoses by Age
- Data shows significant numbers of diagnoses across different age groups.
- An increasing number of people aged 50+ are diagnosed with HIV in recent years.
HIV-Epidemiology: Prevalence and Incidence
- Prevalence is the proportion of persons with a disease in a population at a specified moment or time period.
- Incidence refers to new cases of a disease or injury within a specific timeframe.
Caries Epidemiology
- 91% of U.S. adults aged 20-64 have had dental caries.
- 27% of U.S. adults have untreated dental decay.
- Root caries are a major cause of tooth loss among the elderly.
HIV-Oral Clinical Manifestations
- Oral health problems are frequently observed in PLWHA (an acronym for People Living with HIV/AIDS).
- HIV can cause oral conditions in 30-60% of patients.
- Xerostomia (dry mouth) is a significant concern.
- Other common findings include: Candidiasis, Herpes Simplex Virus outbreak, Kaposi's sarcoma, canker sores, mouth ulcers, red band gingivitis, ulcerative periodontitis, oral hairy leukoplakia, and burning mouth syndrome.
HIV Oral Clinical Manifestations: Unmet Needs
- PLWHA have higher unmet oral health needs compared to the general population.
- Oral health needs exceed unmet medical needs.
HIV-Dental Management
- Prevention of dental problems is key.
- Comprehensive oral health assessments, including nutrition counseling.
- Collection of detailed medical and dental histories to understand the patient's unique circumstances and needs.
- Consideration of medical lab results in treatment planning.
- Identification of caries and periodontal disease risks.
- Assessment for oral cancer and xerostomia.
- Support for tobacco cessation.
HIV-Stigma and Discrimination
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Stigma is widespread and affects people living with HIV/AIDS (PLWHA).
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Negative beliefs, feelings, and attitudes towards PLWHA are detrimental.
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PLWHA are frequently discriminated against.
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Stigma can influence and reinforce other social determinants of health such as poverty, race, sex, and sexual orientation.
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Stigma has negative impacts on mental health and treatment compliance.
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Barriers to Dental Care for PLWHA: Lack of insurance, limited income, lack of available providers, limited awareness, and stigma.
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Other Issues and Considerations in Study: Training and education related to HIV for healthcare professionals is crucial. Focus on appropriate emotional and cognitive factors.
The Results:
- Qualtrics post reflection questionnaire is due next Monday, with a link to be sent on the current day.
Module IV Summary
- This module focuses on person-centered care in relation to individuals living with HIV, covering epidemiology, medical management, common oral manifestations, dental management, and the significant impact of stigma and discrimination on access to care.
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