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Managing Advanced HIV Disease

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This Week in HIV Research: The Indirect Harms of the COVID-19 Pandemic

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.

By Barbara Jungwirth and Myles Helfand
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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...

By Nancy Hutton, M.D. and James M. Oleske, M.D., M.P.H. for U.S. Health Resources and Services Administration
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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

What is culture? Culture refers to learned patterns of behaviors, beliefs and values shared by individuals in a particular social group. It provides human beings with both their identity and a framework for understanding experience.1 Wh...

By Rev. Carlos Sandoval, M.D. for U.S. Health Resources and Services Administration
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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

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...

By Joseph F. O'Neill, M.D., M.P.H. and Martha M. McKinney, Ph.D. for U.S. Health Resources and Services Administration
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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 ...

By J. Randall Curtis, M.D., M.P.H. for U.S. Health Resources and Services Administration
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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...

By Frederick J. Meyers, M.D. and John F. Linder, M.S.W., L.C.S.W. for U.S. Health Resources and Services Administration
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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

This chapter is designed to give providers the information they need and that their patients may need during the course of treatment and care. The resources are meant to be comprehensive but not exhaustive. These resources will provide ...

By Magda Barini-García, M.D., M.P.H. and Demia L. Sundra, M.P.H. for U.S. Health Resources and Services Administration
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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Overview

The advent of highly active antiretroviral treatment has not diminished the need for palliative care for people living with HIV/AIDS. In fact, because of new treatments, fewer patients are dying from HIV/AIDS in the U.S. and the total numbe...

By William Breitbart, M.D. for U.S. Health Resources and Services Administration
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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...

By Michael Wohlfeiler, M.D., J.D. for U.S. Health Resources and Services Administration
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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS

Introduction

The prevalence of skin disorders in AIDS patients treated in the palliative care setting is exceptionally high. Unfortunately, accurate diagnosis and proper treatment of skin diseases in both HIV and AIDS can be an especially challengin...

By David J. Kouba, M.D., Ph.D. and Ciro R. Martins, M.D. for U.S. Health Resources and Services Administration