HIV Patient Monitoring & Support Checklist

17 items · Health · Medium difficulty · 30 min

Quick clinic checklist for routine monitoring and support of HIV-positive patients.

• Confirm patient identity and current ART regimen

  Verify name, ID, and current medicines.

• Ask about missed doses and barriers to taking ART

  Record any missed doses, reasons, and timing since last visit.

• Provide adherence counselling and issue ART refill

  Give brief counselling, problem-solve barriers, and supply medicines.

• Check viral load result or collect sample if due

  Review latest viral load; collect a sample if it's time per local schedule.

• Review CD4 count if indicated and order test if needed
• Screen for TB symptoms (cough, fever, night sweats, weight loss)
• Collect sputum or refer for TB testing when symptoms present

  Arrange testing or urgent referral if TB symptoms are reported.

• Examine mouth for oral thrush and provide treatment or referral

  Look for white patches and treat locally or refer for care.

• Ask about other new symptoms (skin problems, prolonged diarrhea, fever)
• Measure and record weight; compare to previous visit

  Note weight change and flag rapid loss or gain.

• Offer brief nutritional counselling or refer for support

  Give diet advice and refer to nutrition services if underweight.

• Screen for depression, anxiety, or substance use and refer if needed

  Use simple questions and arrange mental health support when concerns arise.

• Ask about STI symptoms and offer testing or treatment
• Discuss family planning needs and offer pregnancy testing or contraception referral
• Review vaccination needs and arrange missing vaccines per local guidance
• Assess home and community support and refer to peer groups or services

  Ask about support at home and link to community resources when needed.

• Plan the next clinic visit, document findings, and update records

  Set follow-up timing and note actions in the patient's file.

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