AIDS and potential death: what have STD/HIV/AIDS specialized health services done in relation to PLWHA (2006)
- Authors:
- USP affiliated authors: PAIVA, VERA SILVIA FACCIOLLA - IP ; AYRES, JOSE RICARDO DE CARVALHO MESQUITA - FM ; JUNIOR, IVAN FRANÇA - FSP
- Unidades: IP; FM; FSP
- Assunto: SÍNDROME DE IMUNODEFICIÊNCIA ADQUIRIDA
- Language: Inglês
- Abstract: Background: Despite the decreasing mortality rates in Brazil in the last years due to the access to HAART, AIDS death is still a reality that may result in orphanhood. We aim to describe possible strategies for specialized services concerning PLWHA’s care before the possible death of patients attending the clinics and, consequently, the children who are more likely to be orphaned – the potential orphanhood. Methods: In-dept interviews were conducted with 14 health professionals (infectious diseases physicians, pediatricians, psychologists, social workers, nurses, and mid-level professionals) from three STD/HIV/AIDS specialized health services in São Paulo, the AIDS epidemic epicenter. Situations involving HIV+ patients who have died (with or without children) were explored. Based on dense description, we have selected the actions taken by the professionals. Results: Given the efforts addressed to treatment adherence, death was not a subject usually handled by professionals. In general, it was not possible to observe routines/strategies indicating approaches to death and potential orphanhood in the clinical setting. In the case of HIV+ children, the professionals sought after caretakers only after the patient’s death had occurred. Group therapy was mentioned as an appropriate setting to discuss death, especially after the death of an attending patients. Conclusions: The construction of strategies that incorporate delicate issues such as death and its impact on social and family contexts (e.g. orphanhood and future guardianship) poses a challenge to health services. Therefore, it is vital to criticize the misconception of treatment in detriment of care, and to know the patients’ social and family networks in order to respond effectively at service level to the emotional and social aspects concerning death.
- Imprenta:
- Publisher: International AIDS Society
- Publisher place: Toronto
- Date published: 2006
- Source:
- Título: Abstract
- Conference titles: International AIDS Conference
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ABNT
COSTA, J et al. AIDS and potential death: what have STD/HIV/AIDS specialized health services done in relation to PLWHA. 2006, Anais.. Toronto: International AIDS Society, 2006. . Acesso em: 21 jan. 2026. -
APA
Costa, J., Oliveira, L., Kurokawa, S., Blessa, C., Paiva, V. S. F., Ayres, J. R. de C. M., & França Junior, I. (2006). AIDS and potential death: what have STD/HIV/AIDS specialized health services done in relation to PLWHA. In Abstract. Toronto: International AIDS Society. -
NLM
Costa J, Oliveira L, Kurokawa S, Blessa C, Paiva VSF, Ayres JR de CM, França Junior I. AIDS and potential death: what have STD/HIV/AIDS specialized health services done in relation to PLWHA. Abstract. 2006 ;[citado 2026 jan. 21 ] -
Vancouver
Costa J, Oliveira L, Kurokawa S, Blessa C, Paiva VSF, Ayres JR de CM, França Junior I. AIDS and potential death: what have STD/HIV/AIDS specialized health services done in relation to PLWHA. Abstract. 2006 ;[citado 2026 jan. 21 ] - Orfandade por AIDS: episódios de estigma e discriminação (ED) no âmbito escolar e nos serviços de saúde [resumo]
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