Rehabilitation has important contributions to make throughout the care continuum including when someone is feeling well and asymptomatic.
Table 1.8: Rehabilitation along the HIV care continuum
Status of the person living with HIV | |||||
---|---|---|---|---|---|
Feeling well, asymptomatic | Minor symptoms | Acute illness | Recovering from acute illness | Palliative | |
Goal of rehabilitation | Prehabilitation to prevent future disability | Address specific impairments with goal of optimizing function and participation in typical roles | Address acute cardiorespiratory, neurological, musculoskeletal or other impairments to recover from acute illness | Improve function and independence to return to typical function and participation | Pain management, maintaining function to optimize comfort |
Settings for rehabilitation | Community, Work place, Home, Gym, Rehabilitation clinic (private) | Rehabilitation clinic, Community Home | Hospital, Home | Hospital, Rehabilitation clinic, Community | Home, Hospice, Hospital |
Examples | Aerobic and progressive resistance exercise prescription and education | Interventions to help manage impairments related to peripheral neuropathy in feet | Chest physiotherapy | Stroke rehabilitation | Specific pain management techniques, providing adaptive equipment to assist with function while patient becomes weaker |