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When Does HIV Care Go Too Far?

Doing Too Much For Our Patients May Not Be the Right Thing to Do

By Mark Cichocki, R.N., About.com

Updated: December 17, 2008

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

As family members, loved ones, or health care providers, we have dedicated our lives to assist our patients and family in every way possible. For those people who are too sick to even carry on the most basic day-to-day activities, we are there, making appointments, seeing them in clinic, and nursing them back to health. For these people, no amount of caring is too much. But when does our care go too far? In other words is there a point when our caring becomes a barrier for our patients or loved ones to care for themselves?

Studies show that people who are invested in their own care do much better than those who are not. People who take an active role in their own care generally live healthier, more productive lives. If we as caregivers assume responsibility for all aspects of a patient's health care, that person has no reason to be involved at all. It has been shown that people who take an interest in their own care do much better over the long term. Ideally, the patient-provider relationship should be one where both parties of responsibilities and expectations. When we as caregivers assume all the responsibility and expectations, the patients well being can actually suffer.

Provider Expectations

  • To care for the client to the best of our ability.
  • To stay current regarding all HIV treatment options.
  • To encourage patients to take an active role in their care.
  • Most importantly, we must be aware that sometimes a little care and encouragement goes a long way and too much is not always a good thing.

Patient Expectations

  • Taking an active role in their own care at a level their current health condition allows.
  • They should know their disease to the best of their ability.
  • They should make every effort to live a healthy and safe life style.
  • They should attend regular health care visits with their doctor.

So What Can We as Caregivers Do?

To help our patients we must:
  • Assess the needs, abilities, and knowledge level of our patients.
  • Structure our care plans in a manner which allows patients to participate in their own care while optimizing their health.

Choosing the Right HIV Specialist

By doing these simple things, we allow the person living with HIV to be invested in their own care, which in turn results in a better long term outcome. Like the old saying goes..."too much of a good thing...."

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