Sunday, December 17, 2017

OCMA Blog

Orange County Public Healthcare Update: OC In+Care

OC In+Care: Newsletter for providers serving people living with HIV/AIDS in Orange County


Orange County In+Care Goals:

  • Increase the proportion of newly diagnosed individuals linked to clinical care within three months of diagnosis.
  • Increase the proportion of PLWH who are in continuous care.
  • Increase the proportion of PLWH with suppressed viral loads (less than 200 copies per mL).


Barriers to Treatment Adherence

 

Although a patient's ability to commit to a treatment plan should be assessed prior to initiating treatment, unexpected changes in the patient's life can disrupt treatment adherence. There may be many barriers that prevent a patient from adhering to their treatment regimen. Some barriers that may arise are:
 
* Active substance abuse (drugs and/or alcohol)
* Patient feels healthy
* Food requirement
* Forgot or busy
* Away from home
* Traveling
* Change in daily routine
* Side effects
* Depression or illness
* Lack of interest
* Desire to have a drug "holiday"
* Treatment fatigue 


Strategies to Treatment Adherence

 

It is important for the medical provider to understand and be aware of the patient's overall situation. During the appointment, ask the patient if there are any changes in their lifestyle or daily routine that may affect their medication intake. Education should include potential consequences of not adhering strictly to the treatment plan. Let them know that changes in lifestyle may disrupt their treatment plan and remind them of their treatment regimen. Emphasize the importance of committing to the plan even with these changes.
 
A common reason for why many patients discontinue their treatment regimen is because they do not feel sick. Encourage patients to continue their medication even when they are physically feeling well.
 
Communication between the doctor, case manager, and pharmacist (with appropriate release of information) is key to helping them continue to commit to their treatment plan.
 
Some patients may find using a diary or medication log useful in remembering what medications to take and when to take them.
 

The patient can include individuals to support them in their treatment plan. This can be a family member, peer, or friend whom they feel comfortable with and have disclosed their HIV/AIDS status.


The Pharmacist's Role
 
The pharmacist's role in HIV care is essential. A patient may see multiple providers with prescribing privileges, but typically goes to one pharmacy. Because of this, their pharmacy becomes the "hub" for the patient's care. As noted before, it is important for doctors, pharmacists, and case managers (if applicable) to have a good relationship. Doctors should contact the pharmacy to follow up on a patient's treatment plan and more importantly, learn of any other drugs the patient is taking that may lead to drug-drug interactions.
 
Pharmacists should contact the doctor if a patient's treatment plan may lead to adverse effects. Contacting the doctor or case manager may also be necessary if patients are not picking up their medications (non-adherence). 


Orange County Resources
 
Check out HIV THRIVE (hivthrive.com), for information on living with HIV/AIDS and improving overall wellness.
 
Peer Support Services (PSS) offers support to individuals who are living with HIV/AIDS. For more information on PSS, contact Bobby Avalos at (714) 868-1829 or e-mail bobbyonstage@hotmail.com 

Click here to the view the full OC In+Care newsletter.

OC In+Care is a project of the Orange County HIV Quality Management Committee. The HIV Quality Management Committee works to increase the quality of Ryan White services. For more information about the committee, please call (714) 834-8711.
 
Click here to subscribe to the OC In+Care newsletter.
 
If you have feedback or topic suggestions for future newsletters, please contact Melissa Corral at MCorral@ochca.com.

 


Award Created for OCMA Past President

The first Standiford Helm, M.D., award bestowed upon Dr. Helm last Saturday

Orange County – The California Society of Interventional Pain Physicians (CASIPP) presented Standiford Helm, M.D., M.B.A., with an award that was also named in his honor on Saturday, September 21, 2013. 

The Standiford Helm, M.D., award will be presented to individuals who demonstrate outstanding service in promoting and protecting the specialty of Interventional Pain Management. Recipients of the award will be chosen by the board of directors based on an exceptional record of commitment to advancing the field of Interventional Pain Management through scholarly activity and advocacy on behalf of the specialty. 

“I am both humbled and honored to have such an award named after me,” Dr. Helm said. “I have dedicated my career to ensuring that patients suffering from chronic pain conditions have access to safe, quality care that allows them to live as fully as possible. CASIPP’s creation of an award recognizing that work will hopefully encourage other physicians in the specialty to keep working toward better solutions for patients.” 

Dr. Helm is a past president of CASIPP, the Immediate Past President of the Orange County Medical Association (OCMA), and a member of the Board of Trustees of the California Medical Association (CMA), representing over 37,000 physicians statewide. He was named one of the “Top Docs” by US News & World Report in 2012.

“We are lucky to have physicians like Dr. Helm as part of CMA and in the workforce treating patients,” said Paul R. Phinney, M.D., CMA president. "The management of chronic pain is complex but vitally important for affected patients and their families, all of whom stand to benefit greatly by Dr. Helm's tireless commitment."   

Dr. Helm has been practicing interventional pain management since 1982 and both works and lives in Orange County. He is the Medical Director at The Helm Center for Pain Management. The presentation of this first Standiford Helm, M.D., Award took place during the Annual Meeting of CASIPP at the Terranea Resort in Ranchos Palos Verdes. 

Home   |   About Us   |   Membership   |   For Physicians   |   News   |   For Patients   |   Advocacy   |   Events
Copyright (c) 2017 Orange County Medical Association