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Ethnography of Adherence to Plans of Care in the HIV Positive Patient
Title
Ethnography of Adherence to Plans of Care in the HIV Positive Patient.
Creator
Saslo, Mark Christopher, Chase, Susan, Florida Atlantic University
Abstract/Description
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...
Show moreHuman 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.
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Date Issued
2007
PURL
http://purl.flvc.org/fau/fd/FA00000624
Subject Headings
Patient compliance, Chronic diseases--Treatment, AIDS (Disease)--Treatment--Psychological aspects, Outcome assessment (Medical care)
Format
Document (PDF)
relationship of self transcendance, social interest, and spirituality to well-being in HIV-AIDS adults
Title
The relationship of self transcendance, social interest, and spirituality to well-being in HIV-AIDS adults.
Creator
Sperry, Jonathan J., College of Education, Department of Counselor Education
Abstract/Description
This study investigates the relationship of three protective factors : self transcendance, social interest, and spirituality to well-being among adults living with HIV or AIDS. It is the first study to explore the relationships of these protective factors to well-being. A convenience sample of 115 adults living with HIV or AIDS completed the Self-Transcendance Scale, the Social Interest Index- Short Form-Revised, the Spiritual Perspective Scale, and the Index of Well-Being. The participants...
Show moreThis study investigates the relationship of three protective factors : self transcendance, social interest, and spirituality to well-being among adults living with HIV or AIDS. It is the first study to explore the relationships of these protective factors to well-being. A convenience sample of 115 adults living with HIV or AIDS completed the Self-Transcendance Scale, the Social Interest Index- Short Form-Revised, the Spiritual Perspective Scale, and the Index of Well-Being. The participants were adults diagnosed with HIV or AIDS residing in a large southeastern U.S. city. Data were analyzed with correlational and multiple regression methods. Statistically significant positive moderate to strong relationships were found between well-being and self transcendance (r=.66, p<.001 ), social interest (r=.51, p<.001), and spirituality (r=.39, p<.001). A stepwise regression demonstrated that self transcendance held the highest variance on well-being among the three protective factors (43%). Additionally, self-transcendane and social interest accounted for 45% of the variance in well-being. In short, the hypothesized positive relationship among these protective factors with well-being was supported. This study provides theoretical and empirical support for linking self transcendance, social interest, and spirituality to well-being among adults living with HIV or AIDS. The clinical implications of these findings are also discussed.
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Date Issued
2011
PURL
http://purl.flvc.org/FAU/3320105
Subject Headings
Medical ethics, Religious aspects, AIDS (Disease), Social aspects, AIDS (Disease), Patients, Care, Spirituality, Self-actualization (Psychology)
Format
Document (PDF)
effects of meditation on global and factor scores on the BSI: A secondary analysis
Title
The effects of meditation on global and factor scores on the BSI: A secondary analysis.
Creator
Buti, Rebecca Leigh., Florida Atlantic University, Freeman, Edward
Abstract/Description
This study was a secondary analysis or data collected by Freeman, E., Ruppenthal, B., and Flinders, R. entitled "Meditation on a Passage and Repetition of a Mantram to Enhance Self-Care of Persons with HIV Infection" (1992). Selected data were re-analyzed considering the Self-Care Deficit Nursing Theory (Orem, 1995). Self-care consisted of daily repetition of an inspirational passage and mantra, which served as the interventions for the primary study. The primary researchers noted that Brief...
Show moreThis study was a secondary analysis or data collected by Freeman, E., Ruppenthal, B., and Flinders, R. entitled "Meditation on a Passage and Repetition of a Mantram to Enhance Self-Care of Persons with HIV Infection" (1992). Selected data were re-analyzed considering the Self-Care Deficit Nursing Theory (Orem, 1995). Self-care consisted of daily repetition of an inspirational passage and mantra, which served as the interventions for the primary study. The primary researchers noted that Brief Symptom Inventory (BSI) scores rose significantly after the intervention. Thus, secondary analysis focused on the relationships of the basic conditioning factors (BCF) to the global and factor scores on the BSI before and after the intervention of meditation. Secondary analysis revealed a difference in scores between entry and exit on the Global Severity Index (GSI) of the BSI in reference to the basic conditioning factor of age. By the end of the 10 weeks of meditation, age was no longer a factor in causing GSI scores to increase.
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Date Issued
1998
PURL
http://purl.flvc.org/fcla/dt/15541
Subject Headings
HIV-positive persons, AIDS (Disease)--Patients, Psychodiagnostics, Self-care, Health
Format
Document (PDF)
Medicaid incentive reimbursement programs in long-term care: An evaluation of the Florida Medicaid AIDS nursing home admission program
Title
Medicaid incentive reimbursement programs in long-term care: An evaluation of the Florida Medicaid AIDS nursing home admission program.
Creator
Cruise, Peter L., Florida Atlantic University, Clare, Donald A.
Abstract/Description
This study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home...
Show moreThis study evaluated the Florida Medicaid Acquired Immunodeficiency Syndrome (AIDS) nursing home admission incentive program using goal attainment and constituency satisfaction criteria. The program provides additional reimbursement to nursing homes which admit Medicaid-covered persons with AIDS (PWAs). Goal attainment, i.e., increasing the rate of PWA admissions, was assessed using ICD-9-CM coded (for AIDS) Medicaid-covered hospital discharges to nursing homes as a surrogate nursing home admission measure. To assess satisfaction, both program constituencies--hospitals (N = 120) which place and nursing homes (N = 308) which agree to admit PWAs--were surveyed in 10 counties. For both constituencies, the surveys were designed to measure satisfaction along two dimensions: (1) the degree of satisfaction with the Florida program, and (2) the level of agreement with the general concept of incentive reimbursement. For nursing homes, the survey also measured: institutional characteristics, financial characteristics, and medical and technological issues. The goal attainment results revealed that the PWA admission rate showed no meaningful change over the five years studied. The constituency satisfaction results revealed that both constituencies were moderately satisfied with the Florida program and incentive programs generally, but that such satisfaction was not related to the number of PWAs admitted to nursing homes. Nursing home institutional characteristics and medical issues were not related to the number of PWAs admitted, but financial characteristics and technological issues were significantly (but negatively) related. The following policy implications were drawn. Although the Florida program did not meet its goal, both constituencies were satisfied with the program and incentives generally, leaving open the possibility for program modification. The previously unconfirmed concern that nursing homes fear intergenerational problems if PWAs were to be admitted was supported by the findings, but nursing home assertions that their lack of appropriate technology restricts PWA admissions were not.
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Date Issued
1995
PURL
http://purl.flvc.org/fcla/dt/12397
Subject Headings
Nursing homes--Florida--Cost control, Medicaid--Florida, AIDS (Disease)--Patients--Services for--Florida--Cost effectiveness, AIDS (Disease)--Patients--Long-term care--Florida--Cost effectiveness
Format
Document (PDF)