Palliative care in the management of advanced HIV/AIDS.
Autor: | Fausto JA Jr; 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, Selwyn PA |
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Jazyk: | angličtina |
Zdroj: | Primary care [Prim Care] 2011 Jun; Vol. 38 (2), pp. 311-26, ix. |
DOI: | 10.1016/j.pop.2011.03.010 |
Abstrakt: | 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. (Copyright © 2011 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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