title: From One Syndrome to Many: Incorporating Geriatric Consultation Into HIV Care.
abstract: Antiretroviral therapy has enabled people to live long lives with human immunodeficiency virus (HIV). As a result, most HIV-infected adults in the United States are >50 years of age. In light of this changing epidemiology, HIV providers must recognize and manage multiple comorbidities and aging-related syndromes. Geriatric principles can help meet this new challenge, as preservation of function and optimization of social and psychological health are relevant to the care of aging HIV-infected adults, even those who are not yet old. Nonetheless, the field is still in its infancy. Although other subspecialties have started to explore the role of geriatricians, little is known about their role in HIV care, and few clinics have incorporated geriatricians. This article introduces basic geriatric nomenclature and principles, examines several geriatric consultation models from other subspecialties, and describes our HIV and Aging clinical program to encourage investigation of best practices for the care of this population.
authors.affiliation: Divisions of1Infectious Diseases.
authors.forename: Harjot K
authors.initials: HK
authors.lastname: Singh
authors.affiliation: Geriatrics and Palliative Medicine, Weill Cornell Medical College.
authors.forename: Tessa
authors.initials: T
authors.lastname: Del Carmen
authors.affiliation: Geriatrics and Palliative Medicine, Weill Cornell Medical College.|ACRIA, Center on HIV and Aging, New York.
authors.forename: Ryann
authors.initials: R
authors.lastname: Freeman
authors.affiliation: Divisions of1Infectious Diseases.
authors.forename: Marshall J
authors.initials: MJ
authors.lastname: Glesby
authors.affiliation: Geriatrics and Palliative Medicine, Weill Cornell Medical College.
authors.forename: Eugenia L
authors.initials: EL
authors.lastname: Siegler
mesh_terms: D000368:Aged; D000375:Aging; D015577:Geriatric Assessment; D015658:HIV Infections / Q000628:therapy*; D006299:Health Services for the Aged; D006801:Humans; D008875:Middle Aged; D009519:New York City; D012017:Referral and Consultation
keywords: HIV; NYC; aging; geriatric consultation