Attachment 031-490-B - Points to Cover for a Positive HIV Result

Current through 2022-14, April 6, 2022

Emotional impact of test

____ Emotional/coping assessment

____ Support system assessment

____ Suicide assessment

____ Follow-up appointment if necessary

Meaning of test

____ Anonymity/Confidentiality and restrictions on release of test results

____ Nature and reliability

____ Difference between HIV and AIDS; HIV disease progression

Medical follow-up

____ Prompt medical evaluation

____ Importance of early treatment

____ Immune system protection

____ Co-factors

____ STD / HEP / TB screening

____ Pregnancy options

Risk reduction

____ Importance of risk reduction for health maintenance and protection of partners

____ Risk/harm reduction plan formulated

Partner Counseling and Referral Services

____ Importance of informing sex/needle-sharing partner(s)

____ Assistance offered (coaching, role-play, or actually talking with partners)

____ Offer and explain Maine CDC Anonymous Partner Notification

____ Request assistance from Maine CDC

____ Client will: ____ use Maine CDC PCRS

____ History of blood/ semen/body fluid/organ donation discussed

COUNSELOR SIGNATURE / DATE:

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