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- Title
Palliative care guidelines for the management of HIV-infected people in South Africa.
- Authors
Spencer, David C.; Krause, René; Rossouw, Theresa; Moosa, Mahomed-Yunus S.; Browde, Selma; Maramba, Esnath; Jankelowitz, Lauren; Mulaudzi, Muhangwi B.; Ratishikana-Moloko, Mpho; Modupe, Oluwarotimi F.; Mahomed, Adam
- Abstract
Introduction: What is palliative care and what are its essential elements? Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention, treatment and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial or spiritual. Under normal circumstances, the clinician's mandate is the restoration of a patient's health and well-being which begins with obtaining a medical history, the examination of the patient, the formulation of a probable diagnosis, investigation, the start of remedial therapy, the monitoring of the response, a review of laboratory or radiographic data and the confirmation of the diagnosis. This committee recommends the use of the SPICT tool where ART is unlikely to improve outcome, for example, end-stage cancer and irreversible end-organ failure, or where current or future ART is judged by the medical and palliative care team to be futile. Chronic pain, that is, pain lasting >= 3 months, is common in the HIV-infected population and is often the reason for a palliative care consultation.[31] Pain in HIV-infected South Africans is likely to accompany an identifiable clinical cause and the most valuable contribution the HIV and palliative care physician can make to pain management is to identify the cause and treat it.
- Subjects
SOUTH Africa; POSTOPERATIVE nausea &; vomiting; IMMUNE reconstitution inflammatory syndrome; PALLIATIVE treatment; PHYSICIANS; MEDICAL care; HEALTH facilities; HIV infections
- Publication
Southern African Journal of HIV Medicine, 2019, Vol 20, Issue 1, p1
- ISSN
1608-9693
- Publication type
Article
- DOI
10.4102/sajhivmed.v20i1.1013