aadcc326e71ab4b24f17049787ad1595 documento-para-el-cuidado-enfermero-experto-de-personas-con-vih.pdf dd4ac07ecc7b81f305d4f65f9b0e39b6d0dcb522 documento-para-el-cuidado-enfermero-experto-de-personas-con-vih.pdf e5f300ae1902368b4f097695fa10de61070e647c6a91ef405ef4af3847d28b05 documento-para-el-cuidado-enfermero-experto-de-personas-con-vih.pdf Title: 3280 - Documento para el cuidado enfermero experto de personas con VIH Author: SI-Health Creator: Serif Affinity Publisher 2 2.6.3 Producer: PDFlib+PDI 10.0.0p1-i (macOS (arm64)) CreationDate: Mon Jun 23 10:58:53 2025 CEST ModDate: Tue Dec 16 13:06:16 2025 CET Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 128 Encrypted: no Page size: 841.89 x 595.276 pts (A4) Page rot: 0 File size: 2914586 bytes Optimized: yes PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- OXFKSA+TitilliumWeb-SemiBold CID TrueType Identity-H yes yes yes 2667 0 LQRTSW+TitilliumWeb-Regular CID TrueType Identity-H yes yes yes 2671 0 BMQAED+Material-Design-Iconic-Font CID TrueType Identity-H yes yes yes 2675 0 OANESG+OpenSans-Regular CID TrueType Identity-H yes yes yes 2679 0 YIKRGC+TitilliumWeb-Light CID TrueType Identity-H yes yes yes 2531 0 AYPNSZ+ArialMT CID TrueType Identity-H yes yes yes 2537 0 DGSHAV+Poppins-Regular CID TrueType Identity-H yes yes yes 2538 0 HPHTWV+Poppins-SemiBold CID TrueType Identity-H yes yes yes 2543 0 JFGNCI+Poppins-Light CID TrueType Identity-H yes yes yes 2547 0 OJAXEA+Poppins-Medium CID TrueType Identity-H yes yes yes 2567 0 OSHPQH+Poppins-MediumItalic CID TrueType Identity-H yes yes yes 2568 0 SHPONG+Poppins-LightItalic CID TrueType Identity-H yes yes yes 2569 0 NSDKTC+TitilliumWeb-SemiBoldItalic CID TrueType Identity-H yes yes yes 2552 0 IFBFMZ+ZapfDingbatsITC CID TrueType Identity-H yes yes yes 2573 0 TIEFBF+Poppins-SemiBoldItalic CID TrueType Identity-H yes yes yes 2577 0 MHQDCW+Helvetica CID TrueType Identity-H yes yes yes 2581 0 SIVBLE+Poppins-Bold CID TrueType Identity-H yes yes yes 2587 0 CTAKKC+LucidaGrande CID TrueType Identity-H yes yes yes 2591 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-12-17 04:00:43 CET RepresentationInformation: documento-para-el-cuidado-enfermero-experto-de-personas-con-vih.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-12-16 13:07:31 CET Size: 2914586 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul InfoMessage: Too many fonts to report; some fonts omitted.: Total fonts = 1471 ID: PDF-HUL-136 MIMEtype: application/pdf Profile: Linearized PDF PDFMetadata: Objects: 0 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: es Outlines: Item: Title: Equipo de trabajo multidisciplinar Destination: 1 Item: Title: 1. Contextualización en el proyecto National Policy Destination: 1 Item: Title: 2. Metodología de trabajo Destination: 1 Item: Title: 3. Prestaciones desarrolladas por la EECPVIH en el cuidado de personas con VIH Destination: 1 Item: Title: Paciente con infección por VIH, con comorbilidades y/o fragilidad y/o dependiente Destination: 1 Item: Title: Paciente con infección por VIH, con comorbilidades y/o fragilidad y/o dependiente Destination: 1 Item: Title: Detección precoz de falta de adherencia y de reacciones adversas. Destination: 1 Item: Title: Detección precoz de falta de adherencia y de reacciones adversas. Destination: 1 Item: Title: Educación para la salud en comorbilidades y factores de riesgo. Destination: 1 Item: Title: Educación para la salud en comorbilidades y factores de riesgo. Destination: 1 Item: Title: Educación y refuerzo sobre polimedicación​. Destination: 1 Item: Title: Educación y refuerzo sobre polimedicación​. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación de dependencia. Destination: 1 Item: Title: Evaluación de dependencia. Destination: 1 Item: Title: Evaluación de deterioro cognitivo. Destination: 1 Item: Title: Evaluación de deterioro cognitivo. Destination: 1 Item: Title: Evaluación fragilidad. Destination: 1 Item: Title: Evaluación fragilidad. Destination: 1 Item: Title: Evaluación psicológica. Destination: 1 Item: Title: Evaluación psicológica. Destination: 1 Item: Title: Fomentar y potenciar la coordinación fluida entre equipos. Destination: 1 Item: Title: Fomentar y potenciar la coordinación fluida entre equipos. Destination: 1 Item: Title: Identificar personas significativas o referentes para la persona con VIH. En grandes dependientes identificar sobrecarga del/la cuidador/a y recursos para el/la cuidador/a. Destination: 1 Item: Title: Identificar personas significativas o referentes para la persona con VIH. En grandes dependientes identificar sobrecarga del/la cuidador/a y recursos para el/la cuidador/a. Destination: 1 Item: Title: Valoración de dolor crónico de manera independiente. Estrategias farmacológicas y no farmacológicas. Destination: 1 Item: Title: Valoración de dolor crónico de manera independiente. Estrategias farmacológicas y no farmacológicas. Destination: 1 Item: Title: Valoración de la estabilidad de cada una de las otras patologías, además del VIH. Monitorización de indicadores de comorbilidades (tensión arterial, frecuencia cardiaca, peso, glucemia, etc.).​ Destination: 1 Item: Title: Valoración de la estabilidad de cada una de las otras patologías, además del VIH. Monitorización de indicadores de comorbilidades (tensión arterial, frecuencia cardiaca, peso, glucemia, etc.).​ Destination: 1 Item: Title: Paciente con infección por VIH, con necesidades sociales, mal adaptado al sistema y con problemas de inserción social Destination: 1 Item: Title: Paciente con infección por VIH, con necesidades sociales, mal adaptado al sistema y con problemas de inserción social Destination: 1 Item: Title: Conocer la red de apoyo y personas significativas para la persona con VIH. Destination: 1 Item: Title: Conocer la red de apoyo y personas significativas para la persona con VIH. Destination: 1 Item: Title: Detección de necesidades sociales y/o de la situación administrativa. Destination: 1 Item: Title: Detección de necesidades sociales y/o de la situación administrativa. Destination: 1 Item: Title: Detección precoz de la falta de adherencia y/o pérdida de seguimiento y facilitar la revinculación de los pacientes que interrumpen el seguimiento. Destination: 1 Item: Title: Detección precoz de la falta de adherencia y/o pérdida de seguimiento y facilitar la revinculación de los pacientes que interrumpen el seguimiento. Destination: 1 Item: Title: Educación en las competencias de autocuidados adaptando las medidas a la situación de vulnerabilidad. Entrenar las habilidades de identificación y demanda de cuidados en el entorno comunitario. Destination: 1 Item: Title: Educación en las competencias de autocuidados adaptando las medidas a la situación de vulnerabilidad. Entrenar las habilidades de identificación y demanda de cuidados en el entorno comunitario. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluar deficiencias de información sobre el sistema sanitario, comprensión del idioma y barreras socioculturales. Destination: 1 Item: Title: Evaluar deficiencias de información sobre el sistema sanitario, comprensión del idioma y barreras socioculturales. Destination: 1 Item: Title: Potenciar el vínculo terapéutico y dar respuesta a las demandas imprevistas de cuidados. Destination: 1 Item: Title: Potenciar el vínculo terapéutico y dar respuesta a las demandas imprevistas de cuidados. Destination: 1 Item: Title: Potenciar habilidades de interacción social y participación en la comunidad en personas con VIH. Destination: 1 Item: Title: Potenciar habilidades de interacción social y participación en la comunidad en personas con VIH. Destination: 1 Item: Title: Valoración de necesidades de cuidados para la coordinación con recursos sociales en personas con VIH. Destination: 1 Item: Title: Valoración de necesidades de cuidados para la coordinación con recursos sociales en personas con VIH. Destination: 1 Item: Title: Paciente en su primer año de tratamiento para el VIH tras el diagnóstico Destination: 1 Item: Title: Paciente en su primer año de tratamiento para el VIH tras el diagnóstico Destination: 1 Item: Title: Control de la adherencia y tolerancia al TAR​. Destination: 1 Item: Title: Control de la adherencia y tolerancia al TAR​. Destination: 1 Item: Title: Disponibilidad para atender dudas de el/la paciente fuera de las consultas pactadas. Destination: 1 Item: Title: Disponibilidad para atender dudas de el/la paciente fuera de las consultas pactadas. Destination: 1 Item: Title: Educación para la salud dirigida a la infección por VIH y hábitos saludables que permita el autocuidado. Destination: 1 Item: Title: Educación para la salud dirigida a la infección por VIH y hábitos saludables que permita el autocuidado. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Ofrecer información actualizada que facilite la gestión del impacto emocional y social del VIH.​ Destination: 1 Item: Title: Ofrecer información actualizada que facilite la gestión del impacto emocional y social del VIH.​ Destination: 1 Item: Title: Ofrecer información sobre recursos sanitarios y comunitarios disponibles.​ Destination: 1 Item: Title: Ofrecer información sobre recursos sanitarios y comunitarios disponibles.​ Destination: 1 Item: Title: Realizar asesoramiento en primera visita y ofrecer posibilidad de realizar asesoramiento con contactos sexuales a los que quiera comunicar su estado serológico. Destination: 1 Item: Title: Realizar asesoramiento en primera visita y ofrecer posibilidad de realizar asesoramiento con contactos sexuales a los que quiera comunicar su estado serológico. Destination: 1 Item: Title: Paciente con infección por VIH consumidor de sustancias psicoactivas con dependencia física y/o psíquica Destination: 1 Item: Title: Paciente con infección por VIH consumidor de sustancias psicoactivas con dependencia física y/o psíquica Destination: 1 Item: Title: Capacitar en las competencias de autocuidado. Destination: 1 Item: Title: Capacitar en las competencias de autocuidado. Destination: 1 Item: Title: Detección precoz de falta de adherencia y/o pérdida de seguimiento​. Destination: 1 Item: Title: Detección precoz de falta de adherencia y/o pérdida de seguimiento​. Destination: 1 Item: Title: Detección precoz y gestión de pacientes con consumo activo de sustancias psicoactivas. Destination: 1 Item: Title: Detección precoz y gestión de pacientes con consumo activo de sustancias psicoactivas. Destination: 1 Item: Title: Educación sanitaria en hábitos saludables y prevención secundaria. Destination: 1 Item: Title: Educación sanitaria en hábitos saludables y prevención secundaria. Destination: 1 Item: Title: Educación sanitaria en reducción de daños. Destination: 1 Item: Title: Educación sanitaria en reducción de daños. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Intervención en situación de emergencia relacionada con la salud mental o el consumo de sustancias. Destination: 1 Item: Title: Intervención en situación de emergencia relacionada con la salud mental o el consumo de sustancias. Destination: 1 Item: Title: Potenciar habilidades de interacción social y participación en la comunidad en personas con VIH consumidoras de sustancias psicoactivas con dependencia física y/o psíquica. Destination: 1 Item: Title: Potenciar vínculo terapéutico​. Destination: 1 Item: Title: Potenciar vínculo terapéutico​. Destination: 1 Item: Title: Paciente con infección por VIH y prácticas sexuales de riesgo Destination: 1 Item: Title: Paciente con infección por VIH y prácticas sexuales de riesgo Destination: 1 Item: Title: Asesoramiento legal y social. Destination: 1 Item: Title: Asesoramiento legal y social. Destination: 1 Item: Title: Detección precoz de la falta de adherencia y/o pérdida de seguimiento y facilitar la revinculación. Destination: 1 Item: Title: Detección precoz de la falta de adherencia y/o pérdida de seguimiento y facilitar la revinculación. Destination: 1 Item: Title: Educación para la salud sobre la infección por VIH y otras ITS y hábitos saludables que permita el autocuidado. Destination: 1 Item: Title: Educación para la salud sobre la infección por VIH y otras ITS y hábitos saludables que permita el autocuidado. Destination: 1 Item: Title: Entrenar las habilidades de identificación y uso de recursos comunitarios disponibles. Destination: 1 Item: Title: Entrenar las habilidades de identificación y uso de recursos comunitarios disponibles. Destination: 1 Item: Title: Estudio de contactos. Destination: 1 Item: Title: Estudio de contactos. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Facilitar el acceso a las herramientas de prevención combinada. Destination: 1 Item: Title: Facilitar el acceso a las herramientas de prevención combinada. Destination: 1 Item: Title: Potenciar vínculo terapéutico que permita la detección de ITS de forma precoz. Destination: 1 Item: Title: Potenciar vínculo terapéutico que permita la detección de ITS de forma precoz. Destination: 1 Item: Title: Pruebas diagnósticas de ITS y gestión de tratamientos prescritos en caso necesario. Destination: 1 Item: Title: Pruebas diagnósticas de ITS y gestión de tratamientos prescritos en caso necesario. Destination: 1 Item: Title: Valoración del riesgo de ITS. Destination: 1 Item: Title: Valoración del riesgo de ITS. Destination: 1 Item: Title: Valoración de vacunas actualizada. Destination: 1 Item: Title: Valoración de vacunas actualizada. Destination: 1 Item: Title: Paciente con infección por VIH y embarazada Destination: 1 Item: Title: Paciente con infección por VIH y embarazada Destination: 1 Item: Title: Controles protocolizados según evolución de la gestación y posparto inmediato (puerperio). Destination: 1 Item: Title: Controles protocolizados según evolución de la gestación y posparto inmediato (puerperio). Destination: 1 Item: Title: Detección precoz de la falta de adherencia y/o pérdida de seguimiento. Facilitar la revinculación de las personas que interrumpen el seguimiento. Destination: 1 Item: Title: Detección precoz de la falta de adherencia y/o pérdida de seguimiento. Facilitar la revinculación de las personas que interrumpen el seguimiento. Destination: 1 Item: Title: Educación para la salud en relación a la infección por VIH: deseo gestacional, transmisión vertical, lactancia materna, interrupción voluntaria del embarazo, cuidados del bebe, parto y puerperio. Destination: 1 Item: Title: Educación para la salud en relación a la infección por VIH: deseo gestacional, transmisión vertical, lactancia materna, interrupción voluntaria del embarazo, cuidados del bebe, parto y puerperio. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Potenciar la relación terapéutica interdisciplinar (ginecología/obstetricia-unidad de VIH- pediatría y farmacia) y facilitar herramientas de comunicación fluida entre la paciente y los profesionales de salud implicados. Destination: 1 Item: Title: Recomendaciones específicas: hábitos saludables (alimentación, ejercicio y hábitos no saludables) y gestión del TAR durante el embarazo. Destination: 1 Item: Title: Recomendaciones específicas: hábitos saludables (alimentación, ejercicio y hábitos no saludables) y gestión del TAR durante el embarazo. Destination: 1 Item: Title: Paciente con infección por VIH controlada, autónomo, sin comorbilidades y sin conductas de riesgo, psicológicamente bien y con buen soporte familiar Destination: 1 Item: Title: Paciente con infección por VIH controlada, autónomo, sin comorbilidades y sin conductas de riesgo, psicológicamente bien y con buen soporte familiar Destination: 1 Item: Title: Cribados de cáncer no definitorio de sida. Destination: 1 Item: Title: Cribados de cáncer no definitorio de sida. Destination: 1 Item: Title: Cribado de factores de riesgo y comorbilidades más prevalentes. Destination: 1 Item: Title: Cribado de factores de riesgo y comorbilidades más prevalentes. Destination: 1 Item: Title: Detección precoz de falta de adherencia y/o pérdida de seguimiento. Destination: 1 Item: Title: Detección precoz de falta de adherencia y/o pérdida de seguimiento. Destination: 1 Item: Title: Educación para la salud dirigida a la infección por VIH y hábitos saludables que permitan el autocuidado. Destination: 1 Item: Title: Educación para la salud dirigida a la infección por VIH y hábitos saludables que permitan el autocuidado. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Evaluación CVRS. Destination: 1 Item: Title: Ofrecer información sobre recursos sanitarios y comunitarios disponibles. Destination: 1 Item: Title: Ofrecer información sobre recursos sanitarios y comunitarios disponibles. Destination: 1 Item: Title: Potenciar el vínculo terapéutico. Destination: 1 Item: Title: Potenciar el vínculo terapéutico. Destination: 1 Item: Title: Realizar asesoramiento con la pareja serodiferente. Destination: 1 Item: Title: Realizar asesoramiento con la pareja serodiferente. Destination: 1 Item: Title: Valoración de tolerancia al TAR e interacciones. Destination: 1 Item: Title: Valoración de tolerancia al TAR e interacciones. Destination: 1 Item: Title: Valoración del calendario vacunal. Destination: 1 Item: Title: Valoración del calendario vacunal. Destination: 1 Item: Title: 4. 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