Biomedical subjects

I Bischofberger

Publications and source records attributed to I Bischofberger.

10 recordsLinked to original sources

PubMed2002

[Developing and establishing an expanded and more comprehensive HIV/AIDS nursing practice].

Developing and establishing an advanced nursing practice is an essential step toward future-oriented nursing care. An action research process was initiated to establish advanced nursing practice at the HIV clinic of the outpatient department at the University Hospital Basel with the goal to offer advanced nursing care to patients. Participatory action research allows generating knowledge about a social system while at the same time tempts to promote social change. The most important goal is to constantly analyse, improve, and evaluate nursing care for patients and family caregivers. Advanced nursing practice in HIV/AIDS is based on solid knowledge regarding the illness and current therapies. Central concepts are caring, clinical experiences, evidence based practice, and patient preferences. Through a systematic step-by-step process, the nurses at the HIV clinic are being better educated and more experienced in these concepts. An essential aspect of advanced nursing practice is the specialization of each nurse in a self selected topic within HIV/AIDS care. These nurses now offer new services such as medication management and adherence support, health maintenance and prevention, and symptom management. This ongoing process of learning while establishing advanced nursing practice in HIV/AIDS, enables the nurses to face future changes in health care in a proactive way.

Acquired Immunodeficiency Syndrome↗

PubMed2000

[Families living with HIV and Aids--review of the literature].

This article presents the current state of the art regarding the concept of families living with HIV and Aids. The literature reflects a comprehensive view including families of origin, families of choice and partnerships. It is evident that family networks of homosexual men are most systematically described in the literature; to a lesser extent families with hemophilia and i.v. drug users and even fewer studies are found regarding families with a heterosexual transmission background and especially female family caregivers. This paper also focuses on the wide range of support offered by these family systems. The acute and mostly terminal infectious disease Aids, as observed in the 80 Dies, has now become a predominantly chronic-progressive illness. Since the mid 90 Dies, the new antiretroviral therapies have further decreased morbidity and mortality, leading to less personal care, high-tech nursing requirements and household support. This development places families in a position of providing more emotional and advocatory support and companionship over a considerably longer time span. The discussion identifies strengths and weaknesses of the current literature in order to define deficits in the Anglo-American as well as in the German speaking area. From a nursing science point of view, the characteristics of HIV/Aids care must be further acknowledged, described and systematically studied, and results must be made accessible. This is important because the knowledge acquired by studying families affected by HIV and Aids is of interest for other family systems dealing with chronically ill family members. Finally, research recommendations are listed regarding family-oriented care and future study designs.

Acquired Immunodeficiency Syndrome↗

PubMed2000