Aids Counselling

8/14/2019 Aids Counselling

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HIV AIDS CounselingHIV AIDS Counseling

Counseling incorporates aprocess of empowerment for

persons with HIV.

Living with HIV does not mean

living despite HIV


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Importance

Infection is life long

Diagnosis of HIV has enormous

psychological pressure and anxiety thatcan delay constructive change or worsen

illness

Behavioral change can prevent acquiringHIV or transmitting it to others


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Introduction

Counseling is an interpersonalinteraction & dialogue between aclient and someone who is trained and

skilled in counseling. It is a helping process where one

explicitly and purposefully gives onestime ,attention and skills to assist a

client explore their situation,identifyand act upon solutions within thelimitations of their given environment.


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OBJECTIVES

1.Provide psychosocial support to

those already affected-may be

HIV+ve or AIDS,

2.Prevent HIV infection.


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Counseling as a process

can

Ensure passing on correct information

Provide support at time of crisis

Encourage change when required

Help the client identify immediate & long termneeds


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Counseling Can

Propose realistic actions in different

situations for different people

Assist clients to accept and act oninformation on health&well being,and

Help client to be well informed and

appreciate technical,social,ethical andlegal implications of HIV testing


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WHERE?

ANYWHERE

Ward,clinic,bloodbank,school,mandir/guruduara.


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WHO?

Anyone You,me,doctor,nurse,psychologist,LT

,social worker,pharmacist


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Who is a Good counselor?

Own values must not

influence(open,non judgmental)

Must respect culture and traditions ofclient(positive regard for client)

Must take into account prevailing

beliefs about ailments in general andHIV in particular(knowledgeable)


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GOOD COUNSELOR

Must help clients and families to discover

culturally acceptable ways of expressing

emotions,anger,guilt,fear,sadness(cultura-

lly sensitive)

Patient and good listener

Able to maintain confidentiality

Objective with clarity.


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Techniques of Counseling

Active listening/attending

Reflection of feeling

Questioning-open ended,not multiplechoice or Y/N type

Paraphrasing-repeat clients statement

in your own words.Essence/summary

of clients words.

Interpretations


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Contents of Counseling

Primarily to prevent reinfection

Basic information about HIVinfection,opportunistic infections and means

of transmission

Specific information on risk reduction bychanging risk behaviors(safe sex,safe

syringes and safe motherhood)


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How to tell others that one is HIVpositive

Handling hostility-fear & feeling abouthaving HIV

Supporting the process of anticipatorygrief

Planning continued involvement ofclient in self care


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Establishing a supportive network to

provide physical and emotional care

during the course of the disease Exploring the ways of taking care of

survivors

Accepting fear of death and continue

to provide emotional support


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STAGES

Forming rapport and gaining trust

Defining and understanding roles ,boundaries

and needs

Process of ongoing,supportive counseling

Closure or ending counseling relationship.it

can be tapered off like we taper steroids


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Supportive Behavior of

CounselorVERBAL Clients

language

Repeat clientsstatement

Explain clearly

Summarises Respond to

primary message

Encourages:Isee,Yeah,go on.

Addresses by properadjective,behanji,prahji etc.

Gives needed

information. Uses humor.

No criticism.


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Supportive Behavior of Counselor

Non Verbal Clients tone

Look into

clients eyes

Nodoccassionally

Use facial expressions

Use occasional

gestures


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Non supportive Behavior of

Counselor

Verbal Advising

Preaching

Blaming &

judging

Cajoling

Interrogating

Excess reassuring

Straying on the topic

Encouragingdependence

Patronising attitude

Directing,demanding


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Non Supportive Behavior of

counselor

Non Verbal Looking away

Keeping a

distance Yawning

Frowning

Blank face

Using unpleasant tone

of speech

Speaking too fast ortoo slow

Moving around

Fidgeting.


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CONCLUSIONS

Counseling is an art and science

Requires self knowledge,discipline

and restraint besides knowledge ofHIV

Counselor should have a balance

between warmth and acceptability on

one hand and objectivity on the other.


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CONCLUSIONS

Approaches may be different but a

counselor should have qualities of

caring,empathy,self-awareness,culturalsensitivity and patience

Counseling techniques include active

attending,reflection of

feeling,questioning,interpretation,con-frontation and summarizing


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CONCLUSIONS

Counseling relationship has stages of

rapport forming,demystifying

counseling process and beginning theprocess of history taking and needs

definition,actual work of supporting

clients decisions,feelings and help

him/her change and finally ending ofrelationship.


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thanks

Documents

Aids Counselling