
Contents
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Defining Palliative Care Defining Palliative Care
-
Palliative Care Issues and Challenges in AIDS Palliative Care Issues and Challenges in AIDS
-
Pain and symptom management Pain and symptom management
-
Pain Management Pain Management
-
Management of other physical symptoms Management of other physical symptoms
-
-
Management of behavioral symptoms Management of behavioral symptoms
-
Violent behavior Violent behavior
-
Suicidal ideation Suicidal ideation
-
-
Treatment failure Treatment failure
-
Multiple medical problems and coexisting diagnoses Multiple medical problems and coexisting diagnoses
-
Fluctuation in condition and difficulty determining terminal stage Fluctuation in condition and difficulty determining terminal stage
-
-
Communication about End-of-Life Issues Communication about End-of-Life Issues
-
Cross-cultural issues in the care of the dying Cross-cultural issues in the care of the dying
-
Doctor–patient communication Doctor–patient communication
-
-
Programs and Models of HIV Palliative Care Delivery Programs and Models of HIV Palliative Care Delivery
-
Spiritual Care Spiritual Care
-
Assessing spirituality Assessing spirituality
-
Treatment of spiritual suffering Treatment of spiritual suffering
-
Meaning-centered interventions Meaning-centered interventions
-
Defining Palliative Care Defining Palliative Care
-
Dignity-conserving care Dignity-conserving care
-
Communicating about spiritual issues Communicating about spiritual issues
-
-
-
Role of the Psychiatrist and Other Clinicians at Time of Death and Afterward Role of the Psychiatrist and Other Clinicians at Time of Death and Afterward
-
Grief and bereavement Grief and bereavement
-
Anticipatory grief Anticipatory grief
-
Acute grief and time course of bereavement Acute grief and time course of bereavement
-
Complicated grief Complicated grief
-
Grief therapies Grief therapies
-
-
-
Conclusion Conclusion
-
References References
-
-
-
-
-
30312 Palliative and Spiritual Care of Persons with HIV and AIDS
Get access-
Published:May 2010
Cite
Abstract
Palliative care of persons with HIV and AIDS has changed over the course of the first three decades of the pandemic. The most radical shifts occurred in the second decade with the introduction of combination antiretroviral therapy and other advances in HIV care. In the United States and throughout the world, progress in prevention of HIV transmission has not kept pace with progress in treatment, thus the population of persons living with AIDS continues to grow. Furthermore, economic, psychiatric, social, and political barriers leave many persons without access to adequate HIV care. As a result, persons who lack access to care may need palliative care for late-stage AIDS while persons with access to AIDS treatments are more likely to need palliative care for multimorbid medical illnesses such as cardiovascular disease, cancer, pulmonary disease, and renal disease. Palliative care of persons with HIV and AIDS cannot be confined to the end of life. We present palliative care on a continuum as part of an effort to alleviate suffering and attend to pain, emotional distress, and existential anxiety during the course of the illness. We will provide guidelines for psychiatric and palliative care and pain management to help persons with AIDS cope better with their illnesses and live their lives to the fullest extent, and minimize pain and suffering for them and their loved ones. This chapter reviews basic concepts and definitions of palliative and spiritual care, as well as the distinct challenges facing clinicians involved in HIV palliative care. Finally, issues such as bereavement, cultural sensitivity, communication, and psychiatric contributions to common physical symptom control are reviewed. The terms palliative care and palliative medicine are often used interchangeably. Modern palliative care has evolved from the hospice movement into a more expansive network of clinical care delivery systems with components of home care and hospital-based services (Butler et al., 1996; Stjernsward and Papallona, 1998). Palliative care must meet the needs of the “whole person,” including the physical, psychological, social, and spiritual aspects of suffering (World Health Organization, 1990).
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
October 2022 | 1 |
February 2024 | 1 |
April 2024 | 1 |
June 2024 | 1 |
January 2025 | 1 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.