New challenges
Due to continuous medical treatment and ongoing medical care, children have enjoyed good health and normal physical development.
And while the disease was still an important aspect of their lives, it was no longer the focal point. Instead, their minds were occupied with the normal problems that affect many adolescents. Like
most young people their age in Romania, they are focused on
relationships, the acceptance from peers and finding their own
identities. Some have gone through this transition better than others.
Contents
medical and psychosocial programs had to move quickly to meet new needs
of patients, the first focal point and diagnosis was unveiling its
acceptance, but now appeared new topics. These related to anatomical changes during adolescence, love, relationships, sexuality and self esteem. As
the patients grew, the parents must also be supported to accept the
fact that it was time to let them become more independent and experience
life alone. And that was a challenge, but it turned into a lesson for each individual family.
A large and somewhat unexpected problem as the children grew was that of adherence to their treatment against HIV. It's hard to believe that these young people might forget or neglect to take their medications for their health. However,
recent data indicate that Baylor 90% of patients with detectable viral
levels at the center of Constanta have difficulty with adherence to
treatment.
Councillors should also learn to treat these young people as part of a couple. Child
psychologists and social workers had to change their attitudes and
goals focusing on torque rather than the individual, sometimes including
couples in which only one or both partners were infected with HIV. The
entire interdisciplinary team had to learn to do this route and can
adjust their working methods, as in couple counseling bring new aspects
such as diagnosis disclosure to partner, partner's infection prevention,
pregnancy (planned or unwanted), financial independence, acceptance failures, etc..
Unfortunately,
the rate of unwanted pregnancies and transmission of HIV infection
indicate that, in some cases, prevention programs have failed. Internal
reports Baylor Black Sea Foundation indicate that in 2007 there were 36
unwanted pregnancies in the first ten months of 2008 there were 27
pregnancies. In 2008, seven persons were recorded positive seroconversion while the partner was infected with HIV.
The transition to adulthood has brought other problems. To
learn how to find and keep a job, helping patients to overcome their
own fears and follow their dream, and to persuade patients to follow
treatment DIFC and remain under care clinic, in spite of geographical
mobility could occur the acquisition of new jobs and family.
It
meant becoming increasingly clear that some patients infected with HIV
failures were not due to defects of character, but disability community,
including high levels of stigma and human rights violations (such as
birth of children or sexual freedom), failure prevention and education risk
reduction for young uninfected, inefficient screening systems in the
community and lack of communication between the institutions should make
references and provide protection.