Course Code: REL-PAC-0-HTCP-C
Hours: 3
Type: Online Course
Content Expiration Date: 12/31/2024
Learning Objectives:
Define the terms HIV and AIDS.
Compare the HIV/AIDS epidemic worldwide with the epidemic in the United States.
List characteristics of the HIV/AIDS epidemic within the state of California.
Identify how the HIV virus affects the body starting with the cells.
Identify the signs and symptoms, mode of transmission, and risk factors of HIV/AIDS.
Recognize the common types of HIV complications.
Identify medications used to treat HIV and how they work in the body.
Explain the prevention, screening, and diagnosis of HIV/AIDS.
List factors that influence the risk for occupational exposure.
Identify factors influencing the risk for infections following exposure to HIV.
Explain the Centers for Disease Control and Prevention (CDC) guidelines related to infection control and exposure to HIV.
Explain the psychosocial challenges for people with HIV/AIDS.
Recognize HIV-related mental disorders.
Identify ways HIV positive people can maintain a positive mental health.
Recall end of life symptoms and explain how to care for persons with HIV/AIDS.
Outline:
Hour One
I.Module I
a.Introduction and foundational knowledge
a.Objectives
b.Course organization
b.General overview of HIV/AIDS
a.Definitions
b.HIV
c.AIDS
c.How the immune system works
a.Macrophages, antigens, helper T-cells, B-cells, and suppressor T-cells
b.Checkpoint-matching
c.HIV and the immune response
d.History and epidemiology
a.Origination of virus
b.Worldwide prevalence-United Nations report
c.United States history and prevalence
d.Understanding of HIV/AIDS
1.Types, transmission, no cure
2.Early detection, medications extend life
3.Stigma, exposure and symptoms
e.HIV/AIDS and special populations
1.Older adults
a.Misidentification/HIV
v.age related changes
b.Statistics from the CDC and growth in older than 50 population
2.Women/men, Hispanic, Black
e.How HIV affects the body
a.Signs and symptoms
1.Illness and infections
2.Destroyed immune system
3.AIDS syndrome and opportunistic infections
4.When does HIV become AIDS?
a.Diagnostic factors
5.Checkpoint-multiple choice, true/false questions
f.Stages of HIV/AIDS
a.Window period-primary infection symptoms
b.Asymptomatic period-latent infection
c.Early HIV infection-symptomatic
d.Treatment
1.Active antiretroviral therapy
a.How the drugs work
b.Side effects/barriers
g.Factors affecting HIV/AIDS in specific populations
a.Older adults
1.Case Scenario:Bill and the positive test result
2.Barriers to early identification and treatment
a.National Institutes of Health
3.Cultural barriers and impact on treatment
b.Specific populations and salient issues
1.Homosexual men
2.Injecting drug users
3.Women
4.Racial and ethnic minorities
5.Checkpoint:multiple choice/true-false questions
c.Identifying HIV/AIDS among older adults
1.Investigate concerns
2.Return to Case Scenario of Bill
3.Checkpoint:multiple choice questions
Hour Two
II. Module II
a.HIV Transmission
a.Common means of transmission
b.Chain of infection
c.Risk of infection by type of exposure
d.Specific transmission routes
1.Unprotected sex, sharing needles, mother to baby, blood products, accidental contact
2.Other risk factors
a.Dangerous behaviors
e.How to reduce risks of transmission
f.Checkpoint-multiple choice and true/false questions
b.Overview of standard precautions
a.Review transmission:how it is, and is not, spread
b.Prevent the spread of illness
1.HIV and illness
c.Exposure and standard precautions
a.Personal Protective Equipment(PPE)and practices to avoid exposure/transmission
b.Checkpoint-multiple choice question
c.Surfaces
d.Checkpoint:Case scenario and questions
d.HIV testing and diagnosis
a.When to get tested
b.Diagnosing HIV
c.Positive test results
d.Laws and standards: reporting, counseling, spousal notification
e.Rights
f.Checkpoint:multiple choice question
e.HIV exposure on the job
a.Preventing exposure and transmission
1.Follow standard infection control precautions
2.PPE
3.Hand hygiene
4.Cleaning, disinfecting common areas and surfaces
5.Respiratory hygiene
6.Waste disposal
a.Regulations for biohazardous waste
b.Record keeping
7.Safe injections and disposal of sharps
8.Checkpoint:multiple choice, true/false questions
b.When exposure occurs
1.Needlesticks
2.Medical evaluation
3.Post exposure preventative treatment(prophylaxis)
4.Testing
a.Person exposed
b.Source
c.Assistance from employer/local health department
5.Checkpoint:multiple choice, true/false questions
Hour Three
III. Module III
a.Introduction to psychosocial Issues in HIV/AIDS and end-of-life care
a.Case Scenario:Jordan
b.Trajectory of Illness in older adults and its effects on mental health
a.Increased stress and coping
b.Impaired cognitive function=poor mental health
c.Resiliency and AIDS related factors
1.Depression
2.Uncertainty about the future
3.Stigma
4.Social isolation and loneliness
5.Checkpoint:multiple choice questions
6.Building resilience and coping
a.Disease coping
b.Practical coping
c.Emotional coping
d.Factors that interfere with coping
i.Poor social support
ii Poor cognitive function
iii.Pain
e.Supports
f.Checkpoint
d.Promoting well-being
1.Good care
2.Healthy habits
3.Stress reduction
4.Adherence to treatment
5.Observation, monitoring and quick response to changes in condition
6.Privacy
7.Person-centered care
8.Safe, supportive environment
9.Checkpoint:True/false and multiple choice questions
c.Advanced illness
a.Facing mortality
b.Palliative care approach
1.Goals of care
2.Advance care planning
a.Advance directives:power of attorney
b.Physician’s Orders for Life-Sustaining Treatment(POLST)
c.Access
d.Final affairs
e.Checkpoint:multiple choice questions
3.Family care
c.Talking about dying
1.Open the conversation
2.Tips
3.Checkpoint:multiple choice questions
d.Understanding prognosis
e.Referral to hospice
f.Causes of death
g.Checkpoint:True/false questions
d.End-of-life care
a.Caregiving at end of life
b.The dying process
1.EOL changes and the caregiving response
2.Signs and symptoms that death is near
c.When death happens
1.Caregiver experience
2.Handling grief, loss, and mourning
e.Summary and conclusion
f.Final exam(posttest)
Instructor: Cynthia McDaniel, MSN, RN
Cynthia McDaniel MSN RN, is a nurse and administrative consultant in long term care. She is the CEO of ElderWise Inc, a senior living consulting and education group. Cynthia has worked as a nurse consultant for the States of Oregon and Washington, a geriatric care manager, a regional director of clinical operations for a senior living company, and an assistant professor at Oregon Health & Science University School of Nursing. Her research in assisted living focused on the characteristics of residents in assisted living communities and the role of the nurse in assisted living. Cynthia holds a Master's of Science in Nursing from Gonzaga University in nursing education. She is a Fellow of the Sigma Theta Tau/John A. Hartford Foundation Geriatric Nursing Leadership Academy.
Instructor: Vicki McNealley, PhD, MN, RN
Instructor: Catherine Zimmerman, LICSW, ACHP-SW, CSW-G
Catherine Zimmerman is a licensed independent clinical social worker who has a private practice providing counseling services to people of all ages and all stages of their lives. She is a freelance healthcare writer and speaker specializing in mental health, ethics, hospice and palliative care, gerontological topics, substance misuse, caregiving, stress and trauma. Zimmerman received her master's degree from Portland State University thirty years ago and is certified in clinical social work-Gerontology. Zimmerman supervises and mentors therapists seeking licensure in Oregon or Washington states. She is the current President of the Washington chapter of the National Association of Social Workers and has provided public presentations on over twenty topics and has numerous published works.
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Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.