Increasing survival with HIV: impact on nursing care.
The introduction of highly active antiretroviral therapy (HAART) has transformed human immunodeficiency virus (HIV) infection from a rapidly progressive catastrophic illness to a chronic condition. Individuals with HIV are living longer and developing conditions usually associated with aging, as well as complications from pre-existing or subsequently acquired conditions. In addition, toxicities associated with HAART may precipitate or exacerbate comorbid conditions. As opportunistic infections account for fewer admission and lower mortality rates, new patterns of illness are emerging. Complex interactions among multiple, sometimes overlapping conditions require focused yet comprehensive attention in care and management. Nurses will encounter HIV-infected patients in an increasing range of care settings, and an understanding of the range and interaction of potential comorbidities and their treatments with HIV and its treatment will be required to provide safe and effective care.
Halloran
James
J
Department of Veterans Affairs, Public Health Strategic Healthcare Group, Center for Quality Management in Public Health, San Antonio, USA. james.halloran@va.gov
D000375:Aging; D019380:Anti-HIV Agents / Q000009:adverse effects / Q000145:classification / Q000627:therapeutic use*; D023241:Antiretroviral Therapy, Highly Active / Q000451:nursing*; D002908:Chronic Disease; D015897:Comorbidity; D003266:Continuity of Patient Care; D018450:Disease Progression; D004347:Drug Interactions; D016903:Drug Monitoring / Q000451:nursing; D015658:HIV Infections / Q000401:mortality / Q000523:psychology / Q000628:therapy* / Q000821:virology; D015497:HIV-1 / Q000187:drug effects / Q000254:growth & development; D006301:Health Services Needs and Demand; D006801:Humans; D008136:Longevity; D024802:Nurse's Role; D009730:Nursing Assessment; D010347:Patient Care Planning; D010353:Patient Education as Topic; D018802:Patient-Centered Care / Q000458:organization & administration; D018570:Risk Assessment; D017751:Safety Management; D015996:Survival Rate
D019380:Anti-HIV Agents