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M94A0182.TXT
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1994-10-08
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Document 0182
DOCN M94A0182
TI Palliative care in acquired immunodeficiency syndrome (AIDS): problems
and practicalities.
DT 9412
AU Glare PA; Central Sydney Area Palliative Care Service, Australia.
SO Ann Acad Med Singapore. 1994 Mar;23(2):235-43. Unique Identifier :
AIDSLINE MED/94361440
AB The World Health Organisation estimates that over 1.5 million human
immunodeficiency virus (HIV) infections have occurred to date in South
and South East Asia. As most of these patients will develop acquired
immunodeficiency syndrome (AIDS) in the coming decade, health services
in the region face a major challenge in meeting their needs. While
treatments are available which prolong the lives of patients with AIDS,
most will eventually die of their disease, and attention needs to be
given to controlling pain and other symptoms and improving quality of
life. Providing palliative care for patients with AIDS raises complex
issues not normally encountered in traditional palliative care practice.
Based on the author's experience with the Central Sydney Area Palliative
Care Service in Sydney, Australia, this paper discusses the problems and
practicalities involved in palliative care for adult patients with
advanced AIDS, such as clinical decision making, pain and other symptom
control, psychosocial issues and terminal care. Representative case
histories are described to illustrate how the palliative care physician
can start to approach some of the dilemmas created by this demanding yet
growing area of palliative care.
DE Acquired Immunodeficiency Syndrome/COMPLICATIONS/PSYCHOLOGY/ *THERAPY
Adult Case Report Clinical Protocols Decision Making Health Services
Needs and Demand Human Male Middle Age Pain/ETIOLOGY/THERAPY
Palliative Treatment/*METHODS Prognosis Quality of Life Severity of
Illness Index Terminal Care/*METHODS JOURNAL ARTICLE REVIEW REVIEW,
TUTORIAL
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).