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Managing Advanced HIV Disease

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

All HIV clinicians, whether they care for adults or children, need to understand the basic issues and needs of children and adolescents in order to provide palliative care. Pediatric HIV providers must have the knowledge and skills to p...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Why Patient-Clinician Communication About Palliative Care Is Important in HIV Disease

Patients with chronic and terminal diseases like AIDS, cancer, and end-stage lung and heart disease frequently do not talk with their clinicians about the kind of ...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

The focus of this chapter is planning for and facilitating the transition from curative to palliative care, with emphasis on the initiation of either home-based support services or institutional care. The interdisciplinary team approach...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

Well-informed patients can optimize their quality of life through partnership with their physician in clinical decisionmaking. This collaborative process is particularly important for patients with advanced AIDS and their families. This...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

This chapter discusses medical care at the end-of-life, and is organized into four sections, as follows:

Dying in the Era of HAART

Preparing Patients and Families for Imminent Death

Clinical Management of Imminently Dying Patients

A...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

Patients receiving palliative care for HIV disease have the potential for numerous drug interactions, given the complex drug regimens used to treat both early as well as advancing HIV disease. It is estimated that at any point, up to 50...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

This chapter will focus on basic methods of treating the suffering and distress caused by common pulmonary symptoms in AIDS patients. The approaches offered below are useful in relieving discomfort, even when the underlying disease is n...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

Constitutional symptoms, reported by more than 50% of people with advanced HIV disease, often significantly compromise both physical functioning and quality of life.1-3 The most common constitutional symptoms include weight loss, fatigu...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

Gastrointestinal (GI) and hepatobiliary symptoms are ubiquitous in HIV disease. It is estimated that up to 93% of patients will have significant GI symptoms at some point during the course of their HIV illness.1 Further, as HIV progress...

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

People who are HIV positive face many challenges, including oral health problems. While most oral health problems are no different from the problems faced by people who are HIV-negative, there are some distinct differences. Further, whi...