Managing the Older Adult Patient with HIV
Samenvatting
This concise, clinically focused pocket guide offers a complete overview of HIV in the older patient and reviews the latest guidelines, treatment options, clinical trials, and management of HIV within this subgroup. The easily accessible text offers infectious disease specialists and other health care professionals with an excellent quick reference tool, with full color tables and figures enhancing the text further. HIV is a chronic disease that affects the immune system, leading to AIDS. As treatments have progressed and patients with HIV are living longer a new aspect has to be taken in to consideration when treating HIV and other conditions. Comorbidities are rife within older adults with HIV, as many of the treatments for HIV cause long-term side effects, such as heart conditions and cancer. Special consideration must be taken to ensure no toxic drug-drug interactions between treatments.
Specificaties
Inhoudsopgave
<p>References</p>
<p> </p>
<p>2. Pathophysiology of HIV/AIDS</p>
<p>Key points</p>
<p>2.1 Immunodeficiency, immune activation, and chronic inflammation </p>
<p>2.2 HIV and immunosenescence </p>
<p>2.3 Evolving clinical profile</p>
<p>References</p>
<p> </p>
<p>3. HIV associated non-AIDS conditions in patients aging with HIV</p>
<p>Key points</p>
<p>3.1 HIV-associated non-AIDS conditions versus comorbidities</p>
<p>References</p>
<p> </p>
<p>4. Comorbid conditions and older adults with HIV</p>
<p>Key points</p>
4.1 Multimorbidity<p></p>
<p>4.2 Accentuated versus accelerated aging</p>
<p>4.3 Aging versus aged</p>
<p>References</p>
<p> </p>
<p>5. Frailty in HIV</p>
<p>Key points</p>
<p>5.1 Defining frailty</p>
<p>5.2 Measuring frailty</p>
<p>5.3 The utility of measuring frailty</p>
<p>5.4 Frailty in the context of HIV</p>
<p>References</p>
<p> </p>
<p>6. Disability</p>
<p>Key points</p>
<p>6.1 Overview</p>
<p>6.2 Functional impairment and disability in patients with HIV</p>
<p>6.3 Tools to measure disability</p>
6.4 Conclusion<p></p>
<p>References</p>
<p> </p>
<p>7. Geriatric syndromes</p>
<p>Key points</p>
<p>7.1 Definition</p>
<p>7.2 Falls</p>
<p>7.3. Delirium</p>
<p>7.4 Conclusion</p>
<p>References</p>
<p> </p>
<p>8. HIV prevention and screening in older adults</p>
<p>Key points</p>
<p>8.1 Age-related risk factors</p>
<p>8.2. Barriers to prevention</p>
<p>8.3. Screening and counselling opportunities</p>
<p>References</p>
<p> </p>
<p>9. Multidimensional geriatric assessment in older patients with HIV</p>
Key points<p></p>
<p>References</p>
<p> </p>
<p>10. Antiretroviral treatment in older patients</p>
<p>Key points</p>
<p>10.1 When to start antiretroviral therapy</p>
<p>10.2 What to start</p>
<p>10.3 What to change</p>
<p>10.4 Future perspectives</p>
<p>References</p>
<p> </p>
<p>11. HIV, aging, and polypharmacy</p>
<p>Key points</p>
<p>References</p>
<p> </p>
<p>12. Nutrition and physical exercise in older patients with HIV</p>
<p>Key points</p>
<p>12.1 Overview</p>
<p>12.2 Assessment of risk of malnutrition</p>
12.3 Intervention<p></p>
<p>12.4 Sarcopenic obesity</p>
<p>12.5 Physical exercise</p>
<p>12.6 Conclusion</p>
<p>References</p>
<p> </p>
<p>13. Smoking cessation in patients with HIV </p>
<p>Key points</p>
<p>13.1 Pharmacological strategies to treat nicotine dependence</p>
References<p></p>
<p> </p>
<p>14. Self-management</p>
<p>Key points</p>
<p>References </p>