pre and post donation counselling module-2. counselling in blood banks motivate the donor at high...
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Pre and Post Donation Counselling
Module-2
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Counselling in Blood banks
• Motivate the donor at high risk to test for HIV
• Help the donor to take the right decision
• Creates awareness among the donors on HIV/AIDS and TTIs
• Encourage Voluntary Blood Donors to donate regularly.
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Aims of Counseling
• Encourage HIV testing
• Ensure Voluntary Blood Donation
• Reduce wastage
• Develop safe donor pool
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Donor Counselling
• Enables discussion on behaviours
• Ensure Confidentiality
• In other settings confidentiality might be missing combined with judgmental
response
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Checklist for a counsellor
• Greet the client and introduce yourself
• Define your role as a counselor
• Listen attentively
• Give time to what donor want s to say
• Avoid moralistic judgments
• Accept donors as they are
• Do not pretend - be informed
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The Stages of Donor Counseling
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Pre Donation Counseling• Prevention of HIV transmission
• Help for self deferral if at risk
• Acknowledge the donor for blood donation
• Assure confidentiality
• Same procedure as pre-test counselling -refer-Submodule-6 of Module-2
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Pre Donation Counselling• Donors consent for testing of blood for all tests
• Provide an opportunity to ask questions and refuse donation
• Risk history assessment
• Transfer knowledge of HIV and blood-borne infections
• Donation and test information
• Getting the reports after the tests.
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Pre Donation Counselling
• Modes of transmission of HIV
• Window period assessment
• Tests carried out on donated blood
• Confidentiality of test results
• Alternative testing site
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Assurance to the Donor
• Name will not be disclosed
• Reply on personal behaviour will not harm the donor or the recipient.
• The results will be shared only with the donor days.
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Activity - 1
Role play on Pre-donation Counselling
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Ethical Responsibilities of the Counsellor
• No coercion or pressure
• Follow the criteria for donor selection
• Assure confidentiality
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Self Exclusion and Self Deferral
• Self exclusion – donor decides not to give blood
• Self deferral – donor waits for stipulated time to donate
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Education about safe blood donation
• IEC materials on decision making and behaviour
• Self-exclusion materials on risk of HIV and TTIs
• Directory of services for referring to other agencies
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Post Donation Counselling
• Result seeking donors should be given post donation information and counseling
• laboratory tests may indicate presence of TTI
• Donors may become very anxious if they are defferred.
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Instructions to Donors after donation
• Drink more fluids in the next 4 hours.
• Do not smoke for half an hour
• Do not take alcoholic drinks for at least 6 hours.
• If there is bleeding, rise arm and apply pressure
• If there is feeling of faintness or dizziness, either lie down or sit with head between knees, if symptoms persist, consult the doctor.
• Remove the bandage/band-aid after 5-6 hrs.
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Steps to be followed during deferral
• Explain the donor in clear
• Reassure the donor about his or her health .
• Explain whether the deferral is temporary or permanent
• Give information on further follow-up
• Refer the donor to an expert.
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Counselling for donors who test positive for HIV
• Prepare them to live with HIV
• Help in deciding to disclose to family
• Information transmission and prevention
• (Refer sub module- of module – for post test counseling)
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Activity - 2
• Role play - Post donation counseling for a donor who tests Positive
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The Confidential Unit Exclusion
• Donor confidentially indicates that his or her blood should not be given to others
• For replacement donors, refusal may raise suspicion among their community
• Strict confidentiality must always be maintained
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Confirmatory tests
• Mandatory Tests are so sensitive
• Refer for confirmatory tests
• Information about ICTC centers in the area.
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Activity - 3
Time – 15 minutes.
Role Play on assessing the risk factors of the donor