HIV Post-Test Discussion
Whilst pre- and post- test discussion is generally associated with testing for HIV, components of pre- and post- test discussion apply to testing for many sexually transmissible and blood-borne infections.
A negative result:
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Review:
- risk behaviours
- what test tells and does not tell
- window period: may require repeat test if exposure still within window period
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Prevention:
- maximise educational opportunity
- don’t let people go away with the idea a negative test somehow confers immunity on them for future risk taking behaviour.
A positive result:
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Before giving the result, check that the person has come for the result. The person may have come for a different reason and may not be ready for you to launch into a discussion of a positive result
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Allow plenty of time
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Explain the result and what it means
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Be straightforward
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Listen, encourage questions
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Be willing to talk
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How much information to give? – be guided by the person’s response and do not overload
Arrange follow-up:
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Offer ongoing medical and psychological support
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Offer referral to another support agency such as Queensland Positive People and the Queensland AIDS Council, as necessary
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Offer referral for management as necessary
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Check there is a trusted support person available
Discuss lifestyle changes as necessary:
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safe sex
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alcohol (hep B, C)
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other issues
Contact tracing:
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timing of contact tracing will vary according to circumstances
- if others are at immediate risk, contact tracing is a priority
- if a person understands the risk to others and is having difficulty adjusting to the diagnosis, contact tracing may be deferred
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refer to Guidelines for Contact Tracing.
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