Peer Educators Program Adolescent HIV Prevention

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Peer Educators Program Adolescent HIV Prevention

• Alma I. Vega ARNP-BC, MSN
• University of Miami
• Pediatric Immunology
• FAETC Faculty

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Disclosure of Financial Relationships

• This speaker has no significant financial
  relationships with commercial entities to
  disclose.

This slide set has been peer-reviewed to ensure
that there are no conflicts of interest
represented in the presentation.
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Peer Educator ProgramObjectives

• Discuss common roles of peer educators member of
  the health team, families, etc
• Identify the HIV viral replication cycle
• Discuss the three most commonly groups of ARTs
• Develop a plan for adherence to medication
  schedule with the family

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Peer Educator ProgramObjectives

• State the resources available on the web on
  community agencies
• Recognize common symptoms of opportunistic
  infections
• Discuss the role of the peer educator in
  reporting OIs and working with families.

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Curriculum for Developing a Peer Educator

• What is a Peer Educator?
• A smorgasbord of stress stoppers!
• Potential role models! Bandura (2004)
• Introduction to HIV
• What is the immune system
• How is HIV transmitted and how it is not
• HIV as a chronic illness
• Antiretroviral Therapy
• -Role of therapy- prevention of replication OF
  HIV
• Groups of drugs-
• -NRTI, NNRTI, PI, Fusion Inhibitors

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Curriculum for Developing a Peer Educator

• Goal of therapy
• Long-term management with Pediatrics
• Prevention of opportunistic infections (OI)s
• Drug combinations to prevent viral mutations

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Curriculum for Developing a Peer Educator

• When to initiate therapy
• Complication of ART therapy
• Antiretroviral Toxicities
• Anemia, fatigue, diarrhea, liver problems,
  increased blood sugar levels, elevated bad
  fats, hypersensitivity-allergies, affect on
  organs

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Curriculum for Developing a Peer Educator

• Drug Interactions
• Over the counter meds- Must be reported
• Negative interactions from drugs and ARTs
• Adherence Strategies
• Peer support and local resources
• Medication schedule- strategies
• Evaluate familys schedule, plan for misses

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Curriculum for Developing a Peer Educator

• Opportunistic Infections
• Immune Systems ability to fight off infections

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Curriculum for Developing a Peer Educator

• Common signs of OIs
• Coughing, changes in mental status, diarrhea,
  fever, rash, painful swallowing, vaginal
  itchiness, among a few
• Report OIs, work with family to recognize OIs and
  call healthcare provider (HCP)!
• Assist with antibiotic and or other prescribed
  medications for OIs
• Remind family Take ALL antibiotic DONT SAVE!

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Role Modeling(Banduras Theory)

• Encourage Health Heart Lifestyle
• No smoking, alcohol use, illicit drugs, rest, and
  need for exercise
• Engage in social activities with families
  advocacy
• Assist with enrollment in health plans

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References

• Human Resources Adminstration/Department of
• Social Services. (2006). HIV/AIDS Services
  Administration. 2006-
• Full Document. Retrieved on October 4,
  2006 from
• http//www.nyc.gov/html/hra/html/medical_insurance
  /hasa.shtmlcomm
• nityaffairs
• Bandura, A. (2004). Health promotion by social
  cognitive means. Health Education Behavior,
  31(2), 143-164. Retrieved February 15, 2005, from
  the ProQuest database.
• Fulton, C., Vega, A. (2006, April 1).
  Transitioning through adolescence. Symposium 15th
  annual HIV conference, Florida AIDS Education
  Training Center, Orlando, FL.
• Ortho-Bitech (2003). Strength for caring
  Building your strength to support and care for
  the person with HIV/AIDS. Resource Guide
• USF-FAETC (2006). HIV/AIDS Primary Care Guide.
  Norwalk, CT Crown House Publishing