THE PAIN OF HIV Mind, Body.pptVIP

THE PAIN OF HIV:Mind, Body Spirit27 August 2003 The Very Rev. Drew A. Kovach, M.D., M.Div., Director of HIV Services, Kaiser Permanente Hawaii dkovach@ (808) 432-2383 WHO I AM WHAT I DO 30 years a Family Practice Physician Medical School Faculty and Residency Director Solo Private practice; primarily gay and lesbian medicine and HIV FP in a multi-specialty group specializing in HIV medicine 27 years an ordained priest A man taking care of people living with HIV for over 20 years with a multi-level view of health, wholeness and wellness CONCEPTS OF WHOLENESS WELLNESS – MY BIAS Whole people Body Mind Spirit Whole lives Levels of Healing Life being livable not just being alive A good life HIV/AIDS The most comprehensive chronic disease Impacts all aspects of a person’s life Social Economic Physical Emotional Spiritual With an uncertain future… Holistic Approach Mind, Body, Spirit – The “trinity” of man 3 Spheres Dis-ease, distress or pain in any one affects the other two Managing whole people to make people whole Care Barriers Social Factors Cultural Factors Language Factors Religious Factors Economic Factors Physiological Factors Psychological Factors Treat the Whole Person Not just treating numbers or lab values Not just treating with pills Not just treating only the symptoms Not just treating stereotypes Not just treating to make ourselves feel better Not just treating the mind and the body Quality vs. Quantity of Life Access the Patient and Ourselves Meeting people “on the road” where they are, not where we think they should be Admit our own bias and prejudice and frustration Admit that how we feel will affect how we treat The Pain of HIV World Pain of HIV Physical Pain of HIV Emotional Pain of HIV Spiritual Pain of HIV WORLD PAIN OF HIV ONE SMALL VIRUS... ONE LARGE WORLD… Adults and children estimated to be living with HIV/AIDS as of end 2002 WORLD STATISTICS 42 million people are infected 29.4 million are in Sub-Saharan Africa 3.1 million peopl