The Treatment Of The Patient 's Burden

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Another aspect of the patient’s burden is the treatment centers’ obligation placed on the patient. Second Chances presents the idea of the ‘therapeutic clientship’. This is the model that a HIV-positive individual is a client, rather than a patient, of a treatment center because the role of the HIV positive individual consists of an exchange that occurs between them and their treatment center. In order for the client to reap the benefits that the treatment center has to offer, the individual is required to follow through on the obligations (rules) determined by the treatment center such as coming in for check-ups, adherence and practicing preventative measures. This can be a burden for patients because of the difficulties that can come…show more content…
Another common situation was some treatment centers had residency requirements. Because of this requirement, for participants to be able to seek treatment at their selected center, they had to move. Often they would find residence in a house within their kinship network that was closest to their treatment center. However, this caused inequality in the management of resources within the kinship-housing network. Another finding that the researchers reported was the issues associated with adherence and food availability. The authors recounted the story of Hassan, a man who was able to obtain food because of his HIV status, but felt obligated to share this food with his family network. While Hassan, fortunately, was able to keep up with the burden of hunger within his familial system, many other participants could not. This is the burden of food insecurities. While having a balanced diet was an important aspect of treatment, individuals found that it was very difficult for them to eat the handouts they received due to their HIV status and not share with everyone around them who does not have HIV but were still hungry and in need of food. The lack of food resources had an impact on adherence because the treatment needed to be taken with food. If taken without food, the side effects discouraged people from taking their medications. However, the current mechanisms in place to provide food services
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