title: Palliative HIV care: opportunities for biomedical and behavioral change.
abstract: Advances in treatment are contributing to substantial increases in life expectancy for individuals living with HIV, prompting a need to develop care models for the effective management of HIV as a chronic illness. With many individuals continuing to experience symptoms and complications that add to the disease burden across the spectrum of HIV disease, the discussion herein explores the complementary role that early palliative care can play in HIV primary care as a strategy for enhancing long-term quality of life. After first defining the concept of early palliative care, its scope in the context of current clinical realities in HIV treatment and implications for HIV care models is described. After reviewing the emerging extant research literature on HIV palliative care outcomes, a program description is offered as an illustration of how palliative care integration with HIV primary care can be achieved.
authors.affiliation: Emory University School of Medicine, Grady Infectious Disease Program, 341 Ponce de Leon Avenue, Atlanta, GA, 30308, USA, efarber@emory.edu.
authors.forename: Eugene W
authors.initials: EW
authors.lastname: Farber
authors.forename: Vincent C
authors.initials: VC
authors.lastname: Marconi
mesh_terms: D044966:Anti-Retroviral Agents / Q000627:therapeutic use; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D015658:HIV Infections / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D010166:Palliative Care / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D011788:Quality of Life
chemical_list: D044966:Anti-Retroviral Agents
references.citation: J Pain Symptom Manage. 2007 May;33(5):486-93
references.pmid: 17482035
references.citation: MMWR Morb Mortal Wkly Rep. 2011 Dec 2;60(47):1618-23
references.pmid: 22129997
references.citation: Psychosom Med. 2008 May;70(4):505-11
references.pmid: 18378865
references.citation: Curr Opin HIV AIDS. 2014 Jul;9(4):371-8
references.pmid: 24824887
references.citation: Mt Sinai J Med. 2012 Sep-Oct;79(5):579-85
references.pmid: 22976363
references.citation: J Acquir Immune Defic Syndr. 2012 Oct 1;61(2):164-70
references.pmid: 22766967
references.citation: JAMA Intern Med. 2013 Jul 22;173(14):1337-44
references.pmid: 23780395
references.citation: Sex Transm Infect. 2005 Feb;81(1):5-14
references.pmid: 15681714
references.citation: N Engl J Med. 2010 Aug 19;363(8):733-42
references.pmid: 20818875
references.citation: AIDS. 2013 Mar 27;27(6):973-979
references.pmid: 23698063
references.citation: Am J Med Sci. 2004 Jul;328(1):37-47
references.pmid: 15254440
references.citation: Lancet. 2013 Nov 2;382(9903):1525-33
references.pmid: 24152939
references.citation: Immunity. 2013 Oct 17;39(4):633-45
references.pmid: 24138880
references.citation: J Health Psychol. 2009 May;14(4):578-86
references.pmid: 19383658
references.citation: AIDS Patient Care STDS. 2013 Jan;27(1):5-16
references.pmid: 23305257
references.citation: J Palliat Med. 2003 Jun;6(3):461-74
references.pmid: 14509496
references.citation: J Palliat Med. 2003 Jun;6(3):475-87
references.pmid: 14509497
references.citation: J Pain Symptom Manage. 2010 Jul;40(1):31-4
references.pmid: 20619211
references.citation: Am Psychol. 2013 May-Jun;68(4):197-209
references.pmid: 23688088
references.citation: AIDS Patient Care STDS. 2013 Jul;27(7):398-407
references.pmid: 23829330
references.citation: Psychiatr Serv. 2007 May;58(5):681-8
references.pmid: 17463350
references.citation: Lancet Infect Dis. 2014 Apr;14(4):281-90
references.pmid: 24602844
references.citation: J Palliat Med. 2013 Aug;16(8):934-7
references.pmid: 23477304
references.citation: AIDS. 2012 Sep 10;26(14):1735-8
references.pmid: 22614888
references.citation: AIDS Patient Care STDS. 2013 Apr;27(4):223-30
references.pmid: 23565926
references.citation: J Neurovirol. 2012 Aug;18(4):247-55
references.pmid: 22205585
references.citation: Ann Fam Med. 2011 Mar-Apr;9(2):100-3
references.pmid: 21403134
references.citation: J Acquir Immune Defic Syndr. 2011 Oct 1;58(2):181-7
references.pmid: 21857529
references.citation: J Antimicrob Chemother. 2007 Sep;60(3):461-3
references.pmid: 17609196
references.citation: Curr Opin HIV AIDS. 2012 Mar;7(2):157-63
references.pmid: 22258503
references.citation: Pain Pract. 2014 Mar;14(3):207-16
references.pmid: 23551857
references.citation: N Engl J Med. 2011 Aug 11;365(6):493-505
references.pmid: 21767103
references.citation: Palliat Med. 2013 Feb;27(2):101-2
references.pmid: 23381144
references.citation: BMC Infect Dis. 2012 Nov 06;12:288
references.pmid: 23130740
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Dec 3;59(47):1550-5
references.pmid: 21124295
references.citation: J Pain Symptom Manage. 2012 Mar;43(3):638-45
references.pmid: 22115794
references.citation: AIDS Patient Care STDS. 2013 Jul;27(7):408-15
references.pmid: 23829331
references.citation: Ann Intern Med. 2007 Jan 16;146(2):87-95
references.pmid: 17227932
references.citation: J Pain Symptom Manage. 2010 Jul;40(1):6-8
references.pmid: 20619204
references.citation: Expert Rev Anti Infect Ther. 2011 Oct;9(10):877-89
references.pmid: 21973300
references.citation: Clin Infect Dis. 2011 Dec;53(11):1043-50
references.pmid: 22021928
references.citation: AIDS Care. 2007 Nov;19(10):1304-6
references.pmid: 18071975
references.citation: Science. 1977 Apr 8;196(4286):129-36
references.pmid: 847460
references.citation: JAMA. 2003 Aug 13;290(6):806-14
references.pmid: 12915434
references.citation: AIDS Care. 2013;25(7):795-804
references.pmid: 23113572
references.citation: Int J Palliat Nurs. 2013 May;19(5):218, 220-5
references.pmid: 23971305
references.citation: AIDS Care. 2014;26(3):320-5
references.pmid: 23869624
references.citation: J Palliat Med. 2005 Dec;8(6):1248-68
references.pmid: 16351539
references.citation: Sex Transm Infect. 2010 Dec;86(7):520-4
references.pmid: 20551235
references.citation: J Pain Symptom Manage. 2007 May;33(5):578-83
references.pmid: 17482051
references.citation: Clin Infect Dis. 2011 Mar 15;52(6):793-800
references.pmid: 21367734
references.citation: J Acquir Immune Defic Syndr. 2013 Jul 1;63(3):362-6
references.pmid: 23591637
references.citation: BMC Med. 2013 Nov 27;11:251
references.pmid: 24283830
references.citation: Int J Tuberc Lung Dis. 2012 Jul;16(7):917-23
references.pmid: 22687498
references.citation: Lancet Infect Dis. 2012 Jul;12(7):571-5
references.pmid: 22691838
references.citation: HIV Med. 2011 Jan;12(1):61-4
references.pmid: 20561080
references.citation: J Pain Symptom Manage. 2011 Nov;42(5):734-53
references.pmid: 21620647
references.citation: Arch Gen Psychiatry. 2001 Aug;58(8):721-8
references.pmid: 11483137
references.citation: Curr Opin HIV AIDS. 2012 Mar;7(2):111-6
references.pmid: 22227586
references.citation: Curr Opin HIV AIDS. 2014 Jul;9(4):325-31
references.pmid: 24824890