What portions of each goal and/or strategy do you feel are most challenging for the United States? Why?
Intensification of HIV prevention efforts in the communities where HIV is most heavily concentrated is the most challenging for United States in the first goal 1. This is due to the fact that the most affected communities may experience stigma and alienation from the other communities. According to this strategy, the black community is the most affected; black men and women, black youth aged 13 to 24, black gay and bisexual men and black transgender women. The strategy will focus most of its efforts on these high risk populations than the other populations. Due to the fear of stigmatization and alienation, the high risk areas and communities may shun the intensified efforts. This is likely to lead to poor results of preventing new infections than the expected results. This means that the National Aids Strategy should not over focus their efforts on particular communities to avoid stigmatization. Since racism is still being experienced in some regions, over emphasize of prevention efforts of HIV on the blacks and the Latinos may intensify it. This is due to the fact they may be viewed as a sick race and hence discriminated more.
Step 2A in goal 2 is the most challenging for United States. This is due to the fact that, linking people to care immediately after diagnosis is not enough. Those linked to the care must be ensured that they stay in the care through out so as to ensure that they...
fully get the benefits of early treatment as well as reduce the risk of transmission. So as to ensure that people stay in the care, medical assistance programs should be established so as to support such people to cover the medical costs of care and treatment. This should be ensured since without such retention support, most people are likely to drop out from the linked care due to lack of funds. This step will also have to ensure that it re-engages people who were previously diagnosed with HIV but they fell out of care. This means that this step will not only be focused on people who have just been diagnosed hence it might be a challenge in identifying and re-engaging those who were previously diagnosed with HIV.
Where do you feel that as a nurse, you could have the most impact? Why?
As a nurse, I would have the most impact in Step 2C in increasing access to care and improving health outcomes for people living with HIV. This is due to the fact this step is mainly focused on coordinated patient centered care where as a nurse I would play a very significant role. On this care which establishes a partnership among practitioners, patients and their family, I would ensure that the patients’ needs, wants and preferences are respected or standard. As a nurse, I would help in the achievement of optimal clinical outcomes of people living with HIV by coordinating non-medical services and assistance such as advice on how to effectively manage the diseases through good nutrition and exercises. I would
also engage the people living with HIV especially in family centered care so as to reduce post traumatic stress disorder and partner violence. This is due to the fact that they have these conditions have the capability to hinder both adherence and stability of the care hence resulting to poor outcomes. As a nurse, I will also ensure comprehensive care for the people living with HIV so as ensure that their health outcomes greatly improves.
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