June 2012 Clinicians should be aware of triggers that can cause mental distress, such as: Learning of HIV status and disclosure to sex partners, family, and friends Physical illness, diagnosis of an STI, introduction of ART medications, AIDS diagnosis Hospitalization (particularly first hospitalization) Life changes (death of a significant other, end of relationship, job loss) … Continue reading “HIV-Related Triggers of Mental Distress”
Lead authors: Mary Dyer, MD, and Christine Kerr, MD, with the Medical Care Criteria Committee; February 2021 Download Table 5 PDF Table 5: Primary Prevention for Adults With HIV Type Recommended Guideline(s) Comments Tobacco smoking USPSTF: Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions (2015) USPSTF: Screen all adults for tobacco use. Recommend cessation. … Continue reading “Table 5: Primary Prevention for Adults With HIV”
Lead authors: Mary Dyer, MD, and Christine Kerr, MD, with the Medical Care Criteria Committee; February 2021 Download Table 2 PDF Guide to the tables: Although the tables are comprehensive in scope, this committee supports a flexible approach in using this guide to elements that should be included in a comprehensive initial history and physical. All aspects of the patient … Continue reading “Table 2: Psychosocial, Behavioral Health, Sexual Health, and Well-Being Assessment of Adults With HIV”
Lead authors: Mary Dyer, MD, and Christine Kerr, MD, with the Medical Care Criteria Committee; February 2021 Download Table 1 PDF Guide to the tables: Although the tables are comprehensive in scope, this committee supports a flexible approach in using this guide to elements that should be included in a comprehensive initial history and physical. All aspects of the patient … Continue reading “Table 1: HIV, Medications, and General Medical Status and History for Adults With HIV”
Lead authors: Mary Dyer, MD, and Christine Kerr, MD, with the Medical Care Criteria Committee; February 2021 Patients with HIV receive care in diverse settings [Cheng, et al. 2014]. A patient may receive primary care from an HIV or infectious diseases specialist with a strong, disease-specific focus or may seek HIV care from a primary care provider … Continue reading “Goals of Primary Care for Adults With HIV”
The purpose of this guidance is to inform NYS clinicians who provide primary care to adolescents about existing regulations that allow minors (<18 years old) to consent for and receive confidential HIV and STI screening and treatment and biomedical HIV prevention in the form of pre- or post-exposure prophylaxis (PrEP or PEP). Go to guidance | Download PDF
The Perinatal Transmission Guideline Prevention Committee recommends that clinicians follow the DHHS guideline Management of Infants Born to Women with HIV Infection in addition to these good practices specific to New York State.
Go to the NYS Good Practices | Download the PDF
Lead author: Eugenia L. Siegler, MD, with the Medical Care Criteria Committee; July 2020 Resource: The “5M” Assessment Domains for Older People With HIV and Selected Tools and Resources Assessment Source Tools and Resources MIND Cognition Hartford Institute for Geriatric Nursing The Lawton Instrumental Activities of Daily Living (IADL) Scale Montreal Cognitive Assessment (MoCA) MoCA© Test (Note: … Continue reading ““5M” Assessment Domains for Older People with HIV and Selected Tools and Resources”
Lead author: Eugenia L. Siegler, MD, with the Medical Care Criteria Committee; July 2020 GOOD PRACTICES With patients who have HIV and are ≥50 years old, discussing the effects of aging can help identify medical priorities and evaluate physical function. Such conversations may also prompt consideration of advance directives and help patients recognize effects of … Continue reading “Recognizing and Addressing Effects of Aging in Older Patients With HIV”
NYSDOH AIDS Institute, June 2020 Requirements: Organizations that employ health professionals or others who are at risk for occupational exposure to blood, body fluids, or other potentially infectious materials are generally required to establish policies and procedures that guide the management of such exposures. Employers must conform to the OSHA Bloodborne Pathogens Standard (OSHA Bloodborne Pathogens Standard … Continue reading “Employer Responsibilities in PEP Management to Prevent HIV Infection Following an Occupational Exposure”