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Ethnography of Adherence to Plans of Care in the HIV Positive Patient

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Date Issued:
2007
Summary:
Human Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay this decline in health. Can clinicians expect absolute commitment to plans of care without their knowing their effects on patients' life? This study was conducted to answer the research question, "What is the culture of living with HIV as it shapes adherence to plans of care for patients in south Florida?" in order to understand HIV positive patients' responses to managing complex medical regimens. In an effort to understand the life-world and experiences of patients who are HIV positive, an ethnographic study was conducted to explore how patients manage the daily demands of living with IDV. In addition, environment of care was observed to determine if it influenced adherence to medications and plans of care. Through the use of ethnography, interviews of IDV positive patients were conducted, several of whom had significant adherence issues and one person who might be considered an ideal patient. Several different settings were included in the research to determine what impact environment had on patients' adherence to medications and plans of care. Fear, trust, self-worth, literacy, financial and disease specific themes emerged and lead to the development of a model for adherence to plans of care for IDV positive patients. This model may enhance clinician/patient collaboration to achieve maximized health and delay progression of mv disease.
Title: Ethnography of Adherence to Plans of Care in the HIV Positive Patient.
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Name(s): Saslo, Mark Christopher
Chase, Susan, Thesis advisor
Florida Atlantic University, Degree grantor
Type of Resource: text
Genre: Electronic Thesis Or Dissertation
Date Created: 2007
Date Issued: 2007
Publisher: Florida Atlantic University
Place of Publication: Boca Raton, Fla.
Physical Form: application/pdf
Extent: 124 p.
Language(s): English
Summary: Human Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay this decline in health. Can clinicians expect absolute commitment to plans of care without their knowing their effects on patients' life? This study was conducted to answer the research question, "What is the culture of living with HIV as it shapes adherence to plans of care for patients in south Florida?" in order to understand HIV positive patients' responses to managing complex medical regimens. In an effort to understand the life-world and experiences of patients who are HIV positive, an ethnographic study was conducted to explore how patients manage the daily demands of living with IDV. In addition, environment of care was observed to determine if it influenced adherence to medications and plans of care. Through the use of ethnography, interviews of IDV positive patients were conducted, several of whom had significant adherence issues and one person who might be considered an ideal patient. Several different settings were included in the research to determine what impact environment had on patients' adherence to medications and plans of care. Fear, trust, self-worth, literacy, financial and disease specific themes emerged and lead to the development of a model for adherence to plans of care for IDV positive patients. This model may enhance clinician/patient collaboration to achieve maximized health and delay progression of mv disease.
Identifier: FA00000624 (IID)
Note(s): Christine E. Lynn College of Nursing
Dissertation (Ph.D.)--Florida Atlantic University, 2007.
Subject(s): Patient compliance
Chronic diseases--Treatment
AIDS (Disease)--Treatment--Psychological aspects
Outcome assessment (Medical care)
Held by: Florida Atlantic University Digital Library
Sublocation: Boca Raton, Fla.
Held by: Florida Atlantic University Libraries
Persistent Link to This Record: http://purl.flvc.org/fau/fd/FA00000624
Sublocation: Digital Library
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Host Institution: FAU
Is Part of Series: Florida Atlantic University Digital Library Collections.