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1.8 – When is rehabilitation clinical intervention useful along the HIV care continuum?

Rehabilitation has important contributions to make throughout the care continuum. Although people often present for care late in their HIV disease, rehabilitation also has an important role to play in preventing disability when someone with HIV is feeling well and is 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
Rehabilitation clinic,
Community
Home
Hospital,
Home
Hospital,
Rehabilitation clinic,
Community
Home,
Hospice,
Hospital
Examples Aerobic and progressive resistance exercise prescription 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