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Module Description

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The goal of this session is to prepare learners to use evidenced-based strategies to provide team-based care for a patient with antiretroviral therapy (ART) non-adherence. The session will highlight respectful communication and collaborative leadership and employ reflective practice.

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Objectives

By the end of the module, the learner will be able to:

  1. List potential causes of non-adherence, including contribution of contextual factors
  2. Demonstrate how to communicate respectfully and effectively to assess adherence and to encourage patient engagement in care
  3. Describe an approach to management of intermittent and persistently detectable HIV RNA levels in persons receiving ART
  4. Describe a shared decision-making approach and the roles of all team members to address causes of non-adherence (IPE)
  5. Use the 5 WHYs to address why a HIV RNA result may have been lost (QI)

Optimizing Team-Based Care to Achieve High Quality HIV Care

Central to this module, facilitators should prompt all learners to consider how they can deliver care that fosters optimized team-based care to ensure high quality HIV care. Consider how the case enables learners to gain greater competency in the following domains:

  • Values and ethics: Work with individuals of other professions to maintain a climate of mutual respect and shared values.
  • Roles/responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.
  • Interprofessional Communication: Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease.
  • Teams and Teamwork: Apply the values and principles of team dynamics to build relationships and perform effectively in different team roles to plan, deliver and evaluate person-centered care and population health programs and policies that are safe, timely, efficient, effective and equitable.

ABBREVIATIONS

ART     antiretroviral therapy
HIV     Human Immunodeficiency Virus
HIV RNA HIV ribonucleic acid or viral load measured by PCR (polymerase chain reaction)