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HIV and Aging

2008 Edition, March 27, 2008

Complete Document



Detail Summary

Active, Most Current

EN
Additional Comments:
ISBN: 978-1-4200-6598-5
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Product Details:

  • Revision: 2008 Edition, March 27, 2008
  • Published Date: March 27, 2008
  • Status: Active, Most Current
  • Document Language: English
  • Published By: CRC Press (CRC)
  • Page Count: 154
  • ANSI Approved: No
  • DoD Adopted: No

Description / Abstract:

Preface

People with HIV are graying. More than two decades into the HIV epidemic, many who have access to antiretroviral medications are entering the senior class. Aging patients have an additional set of medical problems to be addressed. This book is for clinicians who wish to provide optimal comprehensive care to this growing population of HIV-infected people. Our goal is to cover specific body systems that have been shown to be affected by HIV and by aging. Some of the focus areas have been well researched, and there is a significant body of knowledge from which best practices can be gleaned. In other areas, information is formative and will require further research.

Aging changes the course of HIV disease. HIV infection impacts aging. The medications used to control HIV interact with the changing physiology over time. Understanding the interactions of these three factors may help clinicians provide better recommendations and treatment choices for patients who are growing older with HIV.

In the 1980s, when I began to provide care for those with AIDS, the goal of HIV care was to shore up the immune system and avoid the opportunistic infections that invariably shortened the lives of those who were infected with HIV. In the new century, in the developed world, that goal has shifted for those who have access to and respond to medications. Antiretroviral medications can effectively control HIV and diminish the impact of opportunistic infections. Patients are living longer. Clinicians are expanding from a focus on the basics of shutting down the virus and maintaining vigilance for opportunistic infections to looking ahead at the common ailments of aging and how HIV and HIV treatment impacts aging.

Questions about the intersection of the pathophysiology of HIV and of aging and the dual impact on body systems are becoming more pertinent as more people survive longer with chronic HIV and experience long-term consequences of anti-HIV treatments. This book is meant to help clinicians caring for people with HIV disease to better understand the interactions between aging and HIV and to better prepare and treat patients for the cumulative effects of these processes. It is dedicated to those who struggle to provide care and to those who seek care in these changing times.