EACS 2023_Abstracts

EACS2023: 1087 Many healthcare providers, one disoriented patient S. Mihale , E. Melinte Rizea , A.-M. Schweitzer Baylor Black Sea Foundation, Constanta, Romania Title Clinical case title: Many healthcare providers, one disoriented patient Clinical case body Text: Polypharmacy is usually associated with older age. PLWHA may face unrecognized polypharmacy issues even in the younger generation. We present the case of a 33-year-old woman diagnosed with HIV when she was five and enrolled in care at Baylor Black Sea Foundation’s HIV Clinic. At 20, she was lost to follow up for five years, then resumed HIV treatment. For mental health issues, she was referred to a psychiatrist. She received in 2013 medication for bipolar disorder and epilepsy. Her daily medication schedule included five types of medication and several side effects (agitation, amenorrhea). She was on and off psychological care at the Baylor clinic during 2013-2018; contact has been lost since 2018. Her case was brought to the attention of the psychosocial team by the patient’s mother in 2021, who indicated her daughter’s progressing agoraphobia. The clinical psychologist reassessed the factors influencing the patient: concerns about medication safety, fear of anticipated seizures, and untreated affective disorder. The intervention unfolded for eight months and focused on helping the patient reassess her beliefs about medication, empowering her to ask for second opinions from another psychiatrist, develop skills to navigate the health system, and provide social support to solve problems such as facing side effects or communicating with healthcare professionals. Her progress consists of being adherent to HIV and psychiatric medication, being able to leave the house, driving her car, and living independently. This case illustrates the dangers of fragmented care and lack of communication between healthcare professionals. This patient with mental health issues was in a position where she did not know how to integrate elements of care (HIV care versus psychiatric care), and her quality of life was affected. More straightforward patient pathways need to be developed to prevent the loss of follow-up of vulnerable patients. General conditions 1. I confirm that I previewed this clinical case and that all information is correct. I accept that the content of this clinical case cannot be modified or corrected after the submission deadline and I am aware that it will be published exactly as submitted.: Yes 2. I confirm that the submission of this clinical case constitutes the consent to publication (e.g. conference website, programmes, other promotions, etc.).: Yes 3. I herewith confirm that the contact details saved in this system are those of the corresponding author, who will be notified about the status of the clinical case. The corresponding author is responsible for informing the other authors about the status of the clinical case.: Yes 4. I agree that all data provided may be used (saved, stored, processed, transmitted and deleted) in compliance with theprivacy policy to provide the services described.: Yes 1 1 1 1 859