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).