Yaralla House, a comprehensive high care residential facility for people living with HIV (PLHIV)

Stream: Rapid Papers 2
Date: Friday, 1 April 2016
Time: 11.15 am – 1.00 pm

Abstract

Yaralla House, Sydney is the only public residential facility in the world that specifically accommodates PLHIV who require high level care as a result of HIV associated dementia. The house currently has 11 permanent male residents, aged between 42 and 64 years plus one respite bed. Services at Yaralla house consist of the medical team which includes a medical consultant, registrar, psychiatrist, nursing unit manager, nurses and access to the neighbouring public hospital for any acute care. The allied health team includes a social worker, occupational therapist, physiotherapist, divisional therapist and dietitian. All food provided is cooked fresh and the house is professionally cleaned. Social activities are part of the prescribed care and cultural celebrations part of the yearly diary. The resource to resident ratio is high and this is necessary to manage any challenging behaviour of residents, provide regular medical monitoring and intervention, assist with activities of daily living and provide a safe living environment. The level of care provided at Yaralla House has proven to be effective that some admissions once established then stabilised on a medical regime are able to be transferred to a low care facility where they are able to live more independently. Whilst those that remain in care live with undetectable viral loads, stable CD4 counts in an environment where importance is placed upon their quality of life. As there is no single or definitive cause for HIV associated dementia and no complete cure, then Yaralla House remains part of health care for PLHIV.

Authors

Rosalind Moxham (Presenter), Positive Central
Rosalind is a community dietitian who has been working in the community for several years specifically with people living with HIV. She is employed by the Sydney Local Health District as a clinician for Positive Central. Positive Central is a comprehensive allied health team who work to assist those living with HIV.

Pene Manolas, Positive Central
Pene has been working in the community for many years specifically with people living with HIV. Pene is employed by the Sydney Local Health District as the manager for Positive Central. Positive Central is a comprehensive allied health team who work to assist those living with HIV

Kerry Foley, Yaralla House
Kerry had been the nursing unit manager of Yaralla House (formerly known as The Bridge) for several years. She has very recently terminated her employment with the Sydney Local Health District to pursue other professional interestes