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VCUHS TELEMEDICINE. Caring for Inmates with HIV/AIDS. Jane Settle, FNP, MS, RN. Infectious Disease Clinic VCUHS. TOPICS. Technology of Telemedicine VCUHS Telemedicine Program Values and Limits of Telemedicine HIV Care for DOC Inmates Follow up Care. EQUIPMENT. - PowerPoint PPT Presentation

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VCUHS TELEMEDICINE

VCUHS TELEMEDICINECaring for Inmates with HIV/AIDS

1Jane Settle, FNP, MS, RNInfectious Disease ClinicVCUHS2TOPICSTechnology of TelemedicineVCUHS Telemedicine ProgramValues and Limits of TelemedicineHIV Care for DOC InmatesFollow up Care3EQUIPMENTVideoconferencing SystemHand held cameraStethoscopeComputer terminal4

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7VCUHS Telemedicine network sites Virginia Department of Corrections sites:Augusta CCBland CCBrunswick CCBuckingham CCCoffeewood CCDeerfield CCDillwyn CCFluvana CCGreen Rock CCGreensville CCHaynesville CCIndian Creek CCKeen Mountain CCLawrenceville CCLunenburg CCMarion CCMecklenburg CCNottoway CC

Pocahontas CCPowhattan CCRed Onion state prisonSt. Brides CCSussex I state prisonSussex II state prisonWallenridge state prisonVirginia Correctional Center for Women

Outreach Program sites: Rappahannock General HospitalRiverside Tappahannock HospitalOutpatient Telemedicine Clinic in TappahannockSouth Hill Community Memorial Health CenterVirginia Center for Behavioral RehabilitationThree Rivers Health DistrictBay Aging at Colonial Beach

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10Value of TelemedicineDecreased travelDecreased security issuesCost effectiveAccess to specialty careRegular interaction with nursing and medical staff who are providing primary careImmediate problem solving11LimitationsDifficult to visualize fine detailDependent on the skills of the person assisting with exam and presenting informationMay see less than whole picture12HIV CareAll inmates in DOC identified with HIVServe about 450 inmatesNew patient or follow up careMore than consultant care we prescribe HART and order labs (done through VCUHS)Direct the treatment of HIV related symptoms and infectionsMake recommendations as appropriate13ThemesClinical careImmunizationsDiet and exerciseHIV education and preventionLife issues substance abuse, mental health, education, job skills, family issues14Follow up CarePlanning for releaseMedical needs HIV and otherSeamless transition programHousing and social supportSubstance abuse and mental health issuesVirginia Center for Behavioral Rehabilitation15Bridge Program

Need for improved psychosocial assessment in order to better understand behaviorsGoal (long term) to identify or design services to help individuals engage in medical care and access social support.Target recently released inmates for detailed assessment and getting neuropsych testing done if needed

16Results of Neuropsych TestingHistory of head injuriesDementiaPTSDADHDDepressionAnxietySocial isolation17Client NeedsNavigating social/financial systemsMental health and SA servicesOngoing care for non-HIV related medical problemsLife skillsFinancial assistance

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