Ungvarski P J
Visiting Nurse Service of New York, New York, New York, USA.
Nurs Clin North Am. 1996 Mar;31(1):81-95.
This article describes the development and implementation of the AIDS home care program at the Visiting Nurse Service of New York (VNSNY). The challenges to VNSNY staff are diverse and include (1) dealing with staff who are infected or affected by HIV in their own families; (2) working with other community-based case managers; (3) working in high crime areas and dealing with substance abuse; (4) managing families in crisis; (5) dealing with violence and abuse in the home, including staff abuse; (6) managing problems with informal caregivers; (7) managing clients who participate in unsafe sexual activities; and (8) dealing with issues of HIV confidentiality.
本文介绍了纽约访问护士服务机构（VNSNY）艾滋病家庭护理项目的开展与实施情况。VNSNY的工作人员面临着各种各样的挑战，包括：（1）应对自身家庭成员感染或受艾滋病毒影响的员工；（2）与其他社区个案管理员合作；（3）在高犯罪率地区工作并处理药物滥用问题；（4）管理处于危机中的家庭；（5）处理家庭中的暴力和虐待问题，包括员工受虐情况；（6）处理与非正式护理人员相关的问题；（7）管理参与不安全性行为的客户；以及（8）处理艾滋病毒保密问题。
