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integrated management of adolescent and adult illnesses Acute

integrated management of adolescent and adult illnesses Acute

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Published by: dianne maydee mandal on Apr 24, 2010
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03/06/2013

 
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Acute Care
I
NTEGRATED
M
ANAGEMENT OF
A
DOLESCENT AND
A
DULT
I
LLNESS
INTERIM GUIDELINES FORFIRST-LEVEL FACILITY HEALTH WORKERS AT HEALTH CENTRE AND DISTRICT OUTPATIENT CLINIC 
    O   c   t   o    b   e   r    2    0    0    5
WHO/CDS/IMAI/2004.1 Rev. 2
 
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 This is one of 4 IMAI modules relevant for HIV care:
 Acute Care
—this module is for adolescents and adults.For children use the IMCI-HIV adaptation.
Chronic HIV Care with ARV Therapy 
General Principles of Good Chronic Care
Palliative Care: Symptom Management and End-of-Life Care
 These are interim guidelines released for country adaptation and use to help with theemergency scale-up of antiretroviral therapy (ART) in resource-limited settings. These interimguidelines will be revised soon based on early implementation experience. Please sendcomments and suggestions to: 3by5help@who.int. The IMAI guidelines are aimed at first-level facility health workers and lay providers in low-resource settings. These health workers and lay providers may be working in a health centreor as part of a clinical team at the district clinic. The clinical guidelines have been simplifiedand systematized so that they can be used by nurses, clinical aids and other multi-purposehealth workers, working in good communication with a supervising MD/MO at the districtclinic. Acute Care presents a syndromic approach to the most common adult illnessesincluding most opportunistic infections. Instructions are provided so the health workerknows which patients can be managed at the first-level facility, and which require referralto the district hospital or further assessment by a more senior clinician. Preparing first-levelfacility health workers to treat the common, less-severe opportunistic infections will allowthem to stabilize many clinical stage 3 and 4 patients prior to ARV therapy without referral tothe district. This module cross-references the IMAI
Chronic HIV Care with ART 
guidelines and
PalliativeCare: Symptom Management and End-of-Life Care
. If these are not available, nationalguidelines for HIV care, ART and palliative care can be substituted.Integrated Management of Adolescent and Adult Illness (IMAI) is a multi-departmentalproject in WHO producing guidelines and training materials for first-level facility healthworkers in low-resource settings.For more information about IMAI, please visit
http://www.who.int/hiv/toolkit/arv/ 
 or contact
3by5help@who.int 
.WHO HIV Department—IMAI Project
© World Health Organization 2004. The World health Organization does not warrant that the information contained in this publication is complete and correct, and shall not beliable for any damages incurred as a result of its use. The mention of specific companies or of certain manufacturers’ products does not implythat they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned.
 
Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.
 
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