This report discusses the impact of sexually transmitted infections on the physical, mental, and emotional health of individuals. It also evaluates the role of healthcare professionals in dealing with such health issues and people living with HIV.
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Running Head: INTRODUCTION TO SEXUAL HEALTH AND STI0 Introduction to Sexual health and STI 9/4/2018
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INTRODUCTION TO SEXUAL HEALTH AND STI1 Contents Introduction...........................................................................................................2 Living with HIV...................................................................................................2 Impact of HIV on physical and emotional health and wellbeing.........................2 Importance of physical and emotional aspects for Health-care professionals......3 Evaluation of the Role of healthcare professionals..............................................4 Professional aspects of the Healthcare practice related to HIV Infected people..4 Conclusion............................................................................................................5 References.............................................................................................................6
INTRODUCTION TO SEXUAL HEALTH AND STI2 Introduction The report brings about the discussion on, ‘Sexual health on individuals, and the impact on sexually transmitted infection on the wellbeing of individuals or a group in a society. Sexual health of an individual plays an important role in affecting the overall health i.e. physical, mental, and emotional wellbeing or wellness. Sexual health and the diseases or issues associated with it include one of the most influencing and common health issue, known as HIV. It stands for human immunodeficiency virus/acquired immunodeficiency virus, is a prevalent public health issue in the society. HIV is the pandemic, which is considered as one of the most contemporary sexual health related issue affecting the human race today, especially the youth and the adults. The issue has a high and increasing impact on the health of an individual, leading to the long-term impact leading to death. As the issue is general, and commonly spread in Africa, therefore the assessment of the health issues and impact of the communicable diseases on the age group of 13-24 years(Whiteside, 2016). Living with HIV HIV is the retrovirus that leads to the acquired immunodeficiency virus, i.e. Aids. HIV virus spreads through certain fluids in the body that affects the T cells (CD4) in the human body. Over time, if not treated, it can affect the individual with severe infections and diseases. The T-cells in the body are the special skills that help an individual to fight with infections and diseases, and the untreated HIV decreases these cells in the body. Therefore, it disturbs the immune system of the human being in the long-term. The common causes or HIV is spread through vaginal or oral sex, shared needles, pregnancy or during breastfeeding. Living with HIV, is a very complicated and scary as it leads to severe impact on the health and wellbeing of an individual, but it can be dealt well with effective medical care. As like other severe diseases such as cancer, HIV also has the risk of spreading leading to AIDS. This is considered the last stage of the infection with HIV (Bourne, et.al, 2015). Impact of HIV on physical and emotional health and wellbeing One of the most serious health issues which has been largely influencing the health of the people in the modern society over years. Since the beginning of this epidemic, it has been found that more than 70 million, have been affected by the HIV and 35 million has died with the same. With the end of the year, 2017 36.9 million people are found to be suffering with the HIV infection. Considering the statistics and the prevalence of the infection, there is a severe impact on the physical and emotional health and wellbeing. As with the impact of HIV on the physical health, the impact is highly variable, it varies from person to person and their health condition. HIV impact on the various body parts and the systems in the body (Cooper, et.al, 2016). Respiratory and cardiovascular systems, HIV increase the risk of cold, influenza, and pneumonia, and put the individual at a greater risk of facing the problems like
INTRODUCTION TO SEXUAL HEALTH AND STI3 tuberculosis. It causes severe pain and aches, damage to the kidney, and the most common impact is depression, anxiety, dementia and flu-like symptoms, and fatigue. According to the National Aids Manual, it has found that the lung cancer is the most common consequence with people affected by the HIV infection. It also increases the risk of the pulmonary arterial hypertension (PAH) i.e. high blood pressure in the arteries supplying blood to the lungs. The other physical impact includes the disturbed effects on the digestive system, nervous system of an individual or the people affected by HIV. Impact on the digestion includes that when the digestive tract is affected by this infection, it makes the individual difficult to take proper diet, because of decreased appetite. Oral thrush is one of the common infections with HIV that increases inflammation forming a white film on the tongue (Kaposy, et.al, 2017). There is no such direct link or impact and significant neurological complications of AIDS. HIV and AIDS can lead to HIV associated dementia, and AIDS dementia complex, affects the cognitive balance of the human body. Another impact includes on the integumentary system that includes the effect on the skin and related factors. HIV increases the risks of rashes, shingles, and the viral skin infection to the individual. The viral skin infection in this case is known as molluscum contagiosum.Lumpsontheskin,itching,otherincludeseczema,seborrheic dermatitis, and skin cancers are other issues (Bradley, et.al, 2014). Therefore, it can be stated that along with the physical, mental health aspects, emotional wellbeing of an individual is affected by the HIV/HIVAIDS. People diagnosed with the HIV Virus, feel isolated, and develop a fear of losing friends, and family because of the stigma attached with the disease. This indicates an impact on their emotional state of wellbeing. A number of events associated with diagnosis of HIV, disclosing it to the friends or family, dealing with the side effects, starting with the treatment of HIV, all these are the factors causing emotional imbalance. It makes the person angry, resulting in feelings of deep unhappiness, guilt, or emotional distress (Arnold, 2017). Importance of physical and emotional aspects for Health-care professionals Physical therapists and the health care professionals are in an ideal position to promote wellness and wellbeing of the people. As physical therapist or doctors can help prevent the risk of diseases and the impact on the individuals, which can affect their lives severely. The healthcare professionals need to consider the physical and emotional aspects of the health, to deal and handle the disease or infections at ease (Liu, et.al, 2016). Therefore, people in the healthcare settings such as nurse or doctors must consider the emotional and physical aspects of the health of the individual. This will help them in gaining an insight into the patient’s real self and how they are feeling with the problem, or symptoms of the disease
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INTRODUCTION TO SEXUAL HEALTH AND STI4 or infection. Understanding the patient feelings, emotions and the way react is necessary to provide effective care and treatment to them (Moradi, et.al, 2014). The perspectives of the healthcare providers must be friendly and calm towards their patients. HIV is now a chronic and manageable infection, therefore, it has found that the poor communication between the patients infected with the HIV or HIV/AIDS and the healthcare professionals results in the sub-optimal outcomes. Thus, it is essential to build a friendly and healthy atmosphere and environment in the healthcare settings to establish positive care and treatment of their patients. It further mentions about involving in the healthcare settings effective practices of treating the individual patient or people living with HIV. Adherence to the ethics in the hospitals, applying advanced listening skills, and the non-judgemental practices towards patients will help prevent the situation of HIV. Effective communication in context of the healthcare institutions refer to the ability of drawing out and identifying the patient worries, concerns and the information needs for HIV infection. It also states about involving the patient in the decision-making process regarding diagnosis or the treatment of the issue (Siegel, et.al, 2015). Evaluation of the Role of healthcare professionals Identifying and evaluating the role of healthcare professionals and the therapeutic alliances or relationships in the health institutions is essentially studied to attain positive outcomes. There has been a significant impact of the effective communication and healthy relationships in the healthcare settings. It has found that over the past two decades, the infection of HIV has been transformed. The antiretroviral therapy has been positively influencingintransformingthe threateningillnesscauseddue to HIVwith uncertain outcomes to the manageable long-term condition (Insight Start Study Group, 2015). With the effective and timely diagnosis and the treatment of the HIV and AIDS or other associated issues or diseases has contributed to the increased life expectancy of people. It has been observed that the life expectancy rates of the people living with HIV have become similar to the HIV-negative people. Therefore, it can be stated that the healthcare providers are essential factors contributing to the improved health conditions of the people diagnosed with such diseases or health illness. Health care providers or professionals have now attained expertise with the effective treatment of the individuals. The discussion also describes that it is essential for them to consider the impact of the treatment and diagnosis as well along with the impacts of the disease or health issue (Porter, et.al, 2015). Professional aspects of the Healthcare practice related to HIV Infected people HIVandtheeffectivetreatmentbythehealthcareprofessionalshavebeen considerably affecting the understanding and mind-sets of the people and groups in the society. Therefore, it can be understood that one should take care of the practices involved in the treating the patients with such disease to prevent the harmful impact on their health. The
INTRODUCTION TO SEXUAL HEALTH AND STI5 nursing ethics in the care of these patients provide the information and understanding of the ways these people should be treated. There are number of ethical issues associated in daily life with the HIV infected person. Nurses in the healthcare settings work along the continuum of HIV care, from prevention and care; leading to the sexual to overall health management through palliative care. The ethical issues in the healthcare may differ and may be complex, and it implies that the nurses have sufficient skills, knowledge, and the right attitude towards the patients and dealing with their illness (Hussen, et.al, 2014). Conclusion To conclude the above discussion, an analysis of the sexual or reproductive health of individuals has stated well in the report. It is analysed that HIV/AIDS has become the major issue in today’s scenario, which has affected lives of millions of people. Therefore, these people should be treated well on time to avoid severe health impacts. The common causes of HIV included the vaginal oral sex, sharing of tattoo equipment’s or needles, or during the phase of pregnancy and breastfeeding. Thus, these are the common causes and there has been an effective role of healthcare professionals in dealing with such health issues and the people living with HIV.
INTRODUCTION TO SEXUAL HEALTH AND STI6 References Arnold, E. M., Desmond, K. A., Rotheram-Borus, M. J., Scheffler, A., Comulada, W. S., Johnson, M. O., & Healthy Living Project Group. (2017). Drug use and emotional distressdifferentiateunstably-versusstably-housedadultslivingwithHIVwho engage in unprotected sex.Journal of health psychology,22(3), 302-313. Bourne, A., Reid, D., Hickson, F., Torres-Rueda, S., & Weather burn, P. (2015). Illicit drug use in sexual settings and HIV/STI transmission risk behaviour among gay men in South London: findings from a qualitative study.Sex Transm Infect,91(8), 564-568. Bradley, H., Hall, H. I., Wolitski, R. J., Van, M. H., Stone, A. E., LA Flam, M., ... & Patel, R. (2014). Vital signs: HIV diagnosis, care, and treatment among persons living with HIV--United States, 2011.MMWR. Morbidity and mortality weekly report,63(47), 1113-1117. Cooper, V., Clatworthy, J., Youssef, E., Llewellyn, C., Miners, A., Lagarde, M., & Sabin, C. (2016). Which aspects of health care are most valued by people living with HIV in high-income countries? A systematic review.BMC health services research,16(1), 677. Darlington, C. K., & Hutson, S. P. (2017). Understanding HIV-related stigma among women in the Southern United States: a literature review.AIDS and Behaviour,21(1), 12-26. Hussen, S. A., Chahroudi, A., Boylan, A., Camacho-Gonzalez, A. F., Hackett, S., & Chakraborty, R. (2014). Transition of youth living with HIV from paediatric to adult- oriented healthcare: a review of the literature.Future virology,9(10), 921-929. Insight Start Study Group. (2015). Initiation of antiretroviral therapy in early asymptomatic HIV infection.New England Journal of Medicine,373(9), 795-807. Kaposy, C., Greenspan, N. R., Marshall, Z., Allison, J., Marshall, S., & Kitson, C. (2017). Clinical ethics issues in HIV care in Canada: an institutional ethnographic study.BMC medical ethics,18(1), 9. Liu, A. Y., Cohen, S. E., Vittinghoff, E., Anderson, P. L., Doblecki-Lewis, S., Bacon, O., & Liegler, T. (2016). Preexposure prophylaxis for HIV infection integrated with
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INTRODUCTION TO SEXUAL HEALTH AND STI7 municipal-and community-based sexual health services.JAMA internal medicine, 176(1), 75-84. Moradi, G., Mohraz, M., Gouya, M. M., Dejman, M., Seyedalinaghi, S., Khoshravesh, S., & Ardakani, H. M. (2014). Health needs of people living with HIV/AIDS: From the perspective of policy makers, physicians and consultants, and people living with HIV/AIDS.Iranian journal of public health,43(10), 1424. Porter, K. E., Brennan-Ing, M., Burr, J. A., Dugan, E., & Karpiak, S. E. (2015). Stigma and psychological well-being among older adults with HIV: The impact of spirituality and integrative health approaches.The Gerontologist,57(2), 219-228. Siegel, J., Yassi, A., Rau, A., Buxton, J. A., Wouters, E., Engelbrecht, M. C., & Nophale, L. E. (2015). Workplace interventions to reduce HIV and TB stigma among health care workers–Where do we go from here?Global public health,10(8), 995-1007. Whiteside, A. (2016).HIV & AIDS: A very short introduction. United Kingdom: Oxford University Press.