The role of palliative care in the current HIV treatment era in developed countries

Jessica S. Merlin, Rodney O. Tucker, Michael S. Saag, Peter A. Selwyn

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

The goal of palliative care is to minimize and prevent suffering and maximize physical function and quality of life in patients with serious illness. In the early years of the AIDS epidemic in developed countries, prognosis was poor and palliative care was often inseparable from HIV care. Despite the advent of effective antiretroviral therapy and its availability in developed countries, patients with HIV disease still present many palliative care challenges and opportunities. The cases of 3 HIV-infected patients who embody these challenges will be presented in this article: an older patient with numerous medical comorbidities, chronic pain, and severely impaired physical function; a patient with psychiatric illness and substance abuse, difficulties with adherence to antiretroviral therapy and retention in HIV primary care, and cryptococcal meningitis; and a patient with stable HIV disease and hepatitis C virus-related liver failure. These cases are being presented to stimulate a discussion between HIV and palliative care practitioners about potential areas of clinical and research collaboration.

Original languageEnglish (US)
Pages (from-to)20-26
Number of pages7
JournalTopics in antiviral medicine
Volume21
Issue number1
StatePublished - Feb 2013

Fingerprint

Palliative Care
Developed Countries
HIV
Therapeutics
Cryptococcal Meningitis
Liver Failure
Chronic Pain
Hepacivirus
Substance-Related Disorders
Psychiatry
Comorbidity
Primary Health Care
Acquired Immunodeficiency Syndrome
Quality of Life
Pain
Research

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)
  • Pharmacology
  • Virology

Cite this

The role of palliative care in the current HIV treatment era in developed countries. / Merlin, Jessica S.; Tucker, Rodney O.; Saag, Michael S.; Selwyn, Peter A.

In: Topics in antiviral medicine, Vol. 21, No. 1, 02.2013, p. 20-26.

Research output: Contribution to journalArticle

Merlin, Jessica S. ; Tucker, Rodney O. ; Saag, Michael S. ; Selwyn, Peter A. / The role of palliative care in the current HIV treatment era in developed countries. In: Topics in antiviral medicine. 2013 ; Vol. 21, No. 1. pp. 20-26.
@article{d13c7ad723154c13bb28e4bdb9b30659,
title = "The role of palliative care in the current HIV treatment era in developed countries",
abstract = "The goal of palliative care is to minimize and prevent suffering and maximize physical function and quality of life in patients with serious illness. In the early years of the AIDS epidemic in developed countries, prognosis was poor and palliative care was often inseparable from HIV care. Despite the advent of effective antiretroviral therapy and its availability in developed countries, patients with HIV disease still present many palliative care challenges and opportunities. The cases of 3 HIV-infected patients who embody these challenges will be presented in this article: an older patient with numerous medical comorbidities, chronic pain, and severely impaired physical function; a patient with psychiatric illness and substance abuse, difficulties with adherence to antiretroviral therapy and retention in HIV primary care, and cryptococcal meningitis; and a patient with stable HIV disease and hepatitis C virus-related liver failure. These cases are being presented to stimulate a discussion between HIV and palliative care practitioners about potential areas of clinical and research collaboration.",
author = "Merlin, {Jessica S.} and Tucker, {Rodney O.} and Saag, {Michael S.} and Selwyn, {Peter A.}",
year = "2013",
month = "2",
language = "English (US)",
volume = "21",
pages = "20--26",
journal = "Topics in antiviral medicine",
issn = "2161-5853",
publisher = "International Antiviral Society",
number = "1",

}

TY - JOUR

T1 - The role of palliative care in the current HIV treatment era in developed countries

AU - Merlin, Jessica S.

AU - Tucker, Rodney O.

AU - Saag, Michael S.

AU - Selwyn, Peter A.

PY - 2013/2

Y1 - 2013/2

N2 - The goal of palliative care is to minimize and prevent suffering and maximize physical function and quality of life in patients with serious illness. In the early years of the AIDS epidemic in developed countries, prognosis was poor and palliative care was often inseparable from HIV care. Despite the advent of effective antiretroviral therapy and its availability in developed countries, patients with HIV disease still present many palliative care challenges and opportunities. The cases of 3 HIV-infected patients who embody these challenges will be presented in this article: an older patient with numerous medical comorbidities, chronic pain, and severely impaired physical function; a patient with psychiatric illness and substance abuse, difficulties with adherence to antiretroviral therapy and retention in HIV primary care, and cryptococcal meningitis; and a patient with stable HIV disease and hepatitis C virus-related liver failure. These cases are being presented to stimulate a discussion between HIV and palliative care practitioners about potential areas of clinical and research collaboration.

AB - The goal of palliative care is to minimize and prevent suffering and maximize physical function and quality of life in patients with serious illness. In the early years of the AIDS epidemic in developed countries, prognosis was poor and palliative care was often inseparable from HIV care. Despite the advent of effective antiretroviral therapy and its availability in developed countries, patients with HIV disease still present many palliative care challenges and opportunities. The cases of 3 HIV-infected patients who embody these challenges will be presented in this article: an older patient with numerous medical comorbidities, chronic pain, and severely impaired physical function; a patient with psychiatric illness and substance abuse, difficulties with adherence to antiretroviral therapy and retention in HIV primary care, and cryptococcal meningitis; and a patient with stable HIV disease and hepatitis C virus-related liver failure. These cases are being presented to stimulate a discussion between HIV and palliative care practitioners about potential areas of clinical and research collaboration.

UR - http://www.scopus.com/inward/record.url?scp=84878873124&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878873124&partnerID=8YFLogxK

M3 - Article

VL - 21

SP - 20

EP - 26

JO - Topics in antiviral medicine

JF - Topics in antiviral medicine

SN - 2161-5853

IS - 1

ER -