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Prim Care. 2011 Jun;38(2):311-26, ix. doi: 10.1016/j.pop.2011.03.010.

Palliative care in the management of advanced HIV/AIDS.

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1
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

Abstract

The 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.

PMID:
21628041
DOI:
10.1016/j.pop.2011.03.010
[Indexed for MEDLINE]
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