Managing Advanced HIV Disease

March 25, 2021: HIV disease progression spikes in a London hospital; neurocognitive impairment and frailty in PLWH; the smell of HIV-associated neurocognitive disorder; statin usage and physical function decline.

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...

Introduction

Major advances in highly active antiretroviral therapy (HAART) have dramatically altered the nature and duration of HIV/AIDS caregiving in the United States. Although scientists have not yet discovered a drug combination that can comple...

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 ...

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...

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...

Maintenance of skin integrity in people with HIV poses a number of challenges to health care practitioners and caregivers. Because of the nature of HIV, it can be difficult, if not impossible, to heal open wounds or ulcers once they appear. It is for...

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...

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...

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...