Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
GOAL
The goal of this module is to impart
knowledge and skills required in
Nutritional Support for Adherence.
OBJECTIVES
At the end of the session, participants will be
able to:
1. Describe nutrition in relation to HIV/AIDS
2. Describe food and Nutrition implications of
HIV
3. Describe the interactions between foods
and drugs and their effects on nutritional
status
4. Describe Nutrition related side effects of
ARV's.
5. Explain food and non-ART drug
interactions
OBJECTIVES contd
6. Recommend appropriate foods in relation
to possible side effects from common
medication use.
7. Explain the role of herbal remedies
8. Describe the role of dietary
supplementation
9. Apply the knowledge of Nutritional
Support in a drug-food plan for a PLHIV on
ARV's.
UNIT 1
NUTRITION
UNIT 2
Implications
HIV and frequent infections increase the
bodys energy and nutrient requirements.
HIV destroys the bodys immunes response
and the bodys ability to resist diseases
which leaves the body vulnerable to frequent
opportunistic infections.
HIV and opportunistic infections may also
interfere with food intake and the way
nutrients are absorbed and used in the body.
Implications cont.
If the increased energy and nutrients needs
are not met a person infected with HIV may
lose weight or become malnourished.
If a person has a compromised nutritional
status his/her bodys immune response may
be weakened even further making him/her
more vulnerable to infections and hastening
the progression to AIDS.
Increased Nutritional
needs
Reduced food intake
and increased loss of
nutrients
Impaired immune
system
HIV
Increased vulnerability to
infections
e.g. Enteric infections, flu, TB
hence Increased HIV
replication, Hastened disease
progression Increased morbidity
UNIT 3
DRUGS AND FOOD
INTERACTIONS
UNIT 4
NUTRITION RELATED SIDE
EFFECTS OF ARV's
UNIT 5
FOOD AND NON-ART DRUG
INTERACTIONS
UNIT 6
FOOD RECOMMENDATIONS
FOR POSSIBLE SIDE EFFECTS
Case study
Mr. L. is a 32-year old man whose partner and
child are also enrolled in MTCT-Plus. He has
180 CD4 cells and has been taking antiretroviral
medications for four months. He comes to a
routine clinical visit noting 2 weeks of diarrhea.
On clinical examination, he has lost 2 kgs and
appears mildly dehydrated. He does not have a
fever, abdominal pain, or blood in his stool
Question 1.
Why might Mr. L. has diarrhea?
Question 2
What are the possible interventions for the
case study?
UNIT 7
ROLE OF HERBAL REMEDIES
UNIT 8
ROLE OF DIETARY
SUPPLEMENTS
UNIT 9
DRUG-FOOD PLAN FOR PLHIV
ON ARVs
Introduction
Most first line ARVS in Kenya do not have
strict food restrictions though some
(Zidovudine, Efavirenz) should not be
taken with a high fat meal.
All drugs need to be taken as
recommended by the health worker.
Components contd.
5. Any symptoms that may affect food intake
or preferences-allergies & intolerances
6. The plan should be feasible, acceptable,
given the clients daily schedule
7. Information on what foods to avoid or
moderate e.g. alcohol, traditional herbs
etc
Date column
Medication column
Special instruction column
Symptoms column
Morning, mid-morning, lunch, midafternoon, evening/night
Discuss with the client the need to change
eating patterns to promote effectiveness of
ARVs
THANK YOU