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HIV AIDS Counseling

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Counseling incorporates a process of empowerment for persons with HIV. ... Patronising attitude. Directing,demanding. 10/20/09. Bharti'2K. 19 ... – PowerPoint PPT presentation

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Title: HIV AIDS Counseling


1
HIV AIDS Counseling
  • Counseling incorporates a process of empowerment
    for persons with HIV.
  • Living with HIV does not mean living despite HIV

2
Importance
  • Infection is life long
  • Diagnosis of HIV has enormous psychological
    pressure and anxiety that can delay constructive
    change or worsen illness
  • Behavioral change can prevent acquiring HIV or
    transmitting it to others

3
Introduction
  • Counseling is an interpersonal interaction
    dialogue between a client and someone who is
    trained and skilled in counseling.
  • It is a helping process where one explicitly and
    purposefully gives ones time ,attention and
    skills to assist a client explore their
    situation,identify and act upon solutions within
    the limitations of their given environment.

4
OBJECTIVES
  • 1.Provide psychosocial support to those already
    affected-may be HIVve or AIDS,
  • 2.Prevent HIV infection.

5
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 term
    needs

6
Counseling Can
  • Propose realistic actions in different situations
    for different people
  • Assist clients to accept and act on information
    on healthwell being,and
  • Help client to be well informed and appreciate
    technical,social,ethical and legal implications
    of HIV testing

7
WHERE?
  • ANYWHERE
  • Ward,clinic,blood bank,school,mandir/guruduara.

8
  • WHO?
  • Anyone
  • You,me,doctor,nurse,psychologist,LT,social
    worker,pharmacist

9
Who is a Good counselor?
  • Own values must not influence(open,non
    judgmental)
  • Must respect culture and traditions of
    client(positive regard for client)
  • Must take into account prevailing beliefs about
    ailments in general and HIV in particular(knowledg
    eable)

10
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.

11
Techniques of Counseling
  • Active listening/attending
  • Reflection of feeling
  • Questioning-open ended,not multiple choice or Y/N
    type
  • Paraphrasing-repeat clients statement in your
    own words.Essence/summary of clients words.
  • Interpretations

12
Contents of Counseling
  • Primarily to prevent reinfection
  • Basic information about HIV infection,opportunisti
    c infections and means of transmission
  • Specific information on risk reduction by
    changing risk behaviors(safe sex,safe syringes
    and safe motherhood)

13
Contents of Counseling
  • How to tell others that one is HIV positive
  • Handling hostility-fear feeling about having
    HIV
  • Supporting the process of anticipatory grief
  • Planning continued involvement of client in self
    care

14
Contents of Counseling
  • 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

15
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

16
Supportive Behavior of CounselorVERBAL
  • EncouragesI see,Yeah,go on.
  • Addresses by proper adjective,behanji,prahji etc.
  • Gives needed information.
  • Uses humor.
  • No criticism.
  • Clients language
  • Repeat clients statement
  • Explain clearly
  • Summarises
  • Respond to primary message

17
Supportive Behavior of CounselorNon Verbal
  • Use facial expressions
  • Use occasional gestures
  • Clients tone
  • Look into clients eyes
  • Nod occassionally

18
Non supportive Behavior of CounselorVerbal
  • Excess reassuring
  • Straying on the topic
  • Encouraging dependence
  • Patronising attitude
  • Directing,demanding
  • Advising
  • Preaching
  • Blaming judging
  • Cajoling
  • Interrogating

19
Non Supportive Behavior of counselorNon Verbal
  • Using unpleasant tone of speech
  • Speaking too fast or too slow
  • Moving around
  • Fidgeting.
  • Looking away
  • Keeping a distance
  • Yawning
  • Frowning
  • Blank face

20
CONCLUSIONS
  • Counseling is an art and science
  • Requires self knowledge,discipline and restraint
    besides knowledge of HIV
  • Counselor should have a balance between warmth
    and acceptability on one hand and objectivity on
    the other.

21
CONCLUSIONS
  • Approaches may be different but a counselor
    should have qualities of caring,empathy,self-aware
    ness,cultural sensitivity and patience
  • Counseling techniques include active
    attending,reflection of feeling,questioning,interp
    retation,con-frontation and summarizing

22
CONCLUSIONS
  • Counseling relationship has stages of rapport
    forming,demystifying counseling process and
    beginning the process of history taking and needs
    definition,actual work of supporting clients
    decisions,feelings and help him/her change and
    finally ending of relationship.

23
thanks
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