The importance of pharmaceutical performance in orientation and reception to HIV patients : can we make a difference ?

The objective of this work was to carry out a bibliographic review highlighting the social importance of the pharmaceutical professional in welcoming and guiding people living with HIV / AIDS (PLHIV). This is a narrative-type bibliographic review, which included articles, monographs, dissertations and theses published during the years 2007 to 2020. It is possible to verify that the reception provides a closer contact between pharmacists and PLHIV. In this way, it can directly contribute to improvements in terms of adherence and effectiveness of pharmacotherapy, observed from the decrease in viral load, hospitalizations, medical care and exams. In addition, there is a reduction in complications inherent to HIV, such as the incidence of opportunistic diseases that can lead those affected to hospitalizations and death. Research, Society and Development, v. 9, n. 9, e134996605, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.6605 3 Thus, the pharmacist who receives and advises patients with HIV has proved to be a key part in adhering to treatment, improving health and reducing costs for the Sistema Único de Saúde.


Introduction
The welcoming of the patient can be understood as an action that allows greater approximation and/or inclusion of the individual to a specific health servisse (Brazil, 2010).
So, this process must be performed when the patient arrives at the health establishment, making him feel comfortable and supported in this environment. Thereafter, the construction of trusting relationships with professionals begins, thus contributing to the process of adhering to the treatment that will be proposed.
The "Política Nacional de Humanização" places patient reception as one of its guidelines, characterizing it as the qualified listening offered by health professionals to the user. Thus, allowing health practices to be more effective, especially in vulnerable groups, such as people living with the acquired immunodeficiency virus (PLHIV) (Brazil, 2013).
In Brazil, in 2017, 15,653 people were diagnosed with AIDS, the majority being male (in a total of 10,945 cases). In the same year, 13,751 hospitalizations were registered for the treatment of conditions associated with HIV/AIDS (Brazil, 2018).
The people who suffer most from exposure to the HIV virus are those who live in a state of extreme poverty, reinforcing the action of this disease with social exclusion and / or those who belong to minority groups. In this context, the involvement of women, homosexuals and drug users is mainly evident. In addition, due to prejudice and oppression, these groups become more vulnerable (Silva & Silva, 2011).
In the Acquired Immunodeficiency Syndrome (AIDS) the associated vulnerability is quite accentuated, since there are sudden changes in the lives of patients, such as the use of large quantities of medication, the appearance of opportunistic diseases, fear of death and changes in the context social, family and professional. In this way, the patient needs to go to the doctor constantly, must undergo various tests and treatments and faces difficulties in dealing with the disease and with routine pharmacotherapy, making the individual's positive perception of feeling welcomed essential for to continue in the fight against the disease (Silveira & Carvalho, 2002).
The reception of the patient is the first step for him to recognize and accept his illness.
From this acceptance, it is possible to proceed with greater security for the treatment, and the pharmacist may be important for the pharmacotherapeutic adherence of these patients, since he is the professional responsible for dispensing the medication. At the time of dispensing, the pharmacist must promote conditions for the patient to use the medication correctly, and it is important that this professional does the pharmacotherapeutic monitoring of this individual.
It is important to emphasize that HIV patients also seek health services as a source of support for the social difficulties they face. Considering that the pharmacist is the last professional that these patients will have contact before starting or continuing drug treatment, the present study has the goal of realize a bibliographic review highlighting the social importance of the pharmacist in receiving and guiding patients living with HIV/AIDS. Research, Society andDevelopment, v. 9, n. 9, e134996605, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i9.6605