       Document 0554
 DOCN  M9460554
 TI    The changing HIV/AIDS epidemic. Emerging psychosocial challenges for
       nurses.
 DT    9404
 AU    Durham JD; Indiana University School of Nursing, Indianapolis.
 SO    Nurs Clin North Am. 1994 Mar;29(1):9-18. Unique Identifier : AIDSLINE
       MED/94167273
 AB    Several changes in the map of the HIV epidemic have important
       implications for psychiatric-mental health nurses. Increasingly women
       and children, members of ethnic minority groups, injection drug users,
       and sex workers--seen as economically and politically disadvantaged,
       disenfranchised, and marginalized by the larger society--are feeling the
       effects of HIV and AIDS. These groups of people, representative of the
       new AIDS epidemic, are loosely organized and have few resources and
       advocates. Themes of loss, stigma, prejudice, and discrimination take on
       added meaning for these groups now bearing the brunt of the HIV-AIDS
       epidemic. Nurses can assume a stance of advocacy to ensure that these
       persons' voices are heard and that their needs are addressed through
       changes in public policy, funding, research and health care access.
       Psychiatric-mental health nurses also are in an excellent position to
       provide efficacious, cost-effective mental health services to infected
       clients who look to them for professional care, which must necessarily
       include compassion, understanding, and emotional support within
       individual and group contexts. Through direct care, care management,
       networking, support, and referral, psychiatric-mental health nurses can
       positively influence the quality of HIV-infected persons' lives.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/*NURSING/  PSYCHOLOGY
       Adolescence  Child  *Disease Outbreaks  Female  Human  *Psychiatric
       Nursing  Sociology  United States/EPIDEMIOLOGY  JOURNAL ARTICLE  REVIEW
       REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

