• Primary care · Jun 2011

    Review

    Palliative care in the management of advanced HIV/AIDS.

    • James A Fausto and Peter A Selwyn.
    • Palliative Care Program, Department of Family and Social Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 3347 Steuben Avenue, Bronx, NY 10467, USA. JFausto@montefiore.org
    • Prim. Care. 2011 Jun 1;38(2):311-26, ix.

    AbstractThe basic elements of palliative care can be translated into practice for patients with HIV/AIDS. More than half of clinical events and deaths occurring among patients on highly active antiretroviral therapy are classified as non-AIDS illnesses. Thus, end-of-life care for patients with late-stage AIDS needs to include any palliative measures that are used for patients without AIDS. This article reviews the epidemiology of HIV/AIDS, prognostic indicators, opportunistic infections, specific AIDS-defining and non-AIDS-defining malignancies, substance abuse/liver disease, and highly active antiretroviral therapy and comfort measures for late-stage AIDS patients.Copyright © 2011 Elsevier Inc. All rights reserved.

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