The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 19: Palliative Care in Resource-Poor Settings5. In light of the financial, emotional, physical and social burdens carried by family memberswho are willing to care for people with HIV/AIDS at home, governments shouldconsider establishing formal systems of remuneration for the principal family caregivers.26 picas6. Governments should recognize the singular importance of home-based care for peoplewith HIV/AIDS and ensure that hospitals are able to offer appropriate back-up andsupport.7. Governments should ensure the availability of both opioid and nonopioid analgesics.Further, they should make realistic determinations of their opioid requirements andensure that annual estimates submitted to the International Narcotics Control Boardreflect actual needs.8. Governments should ensure that their drug legislation makes full provision for thefollowing:• Regular review, with the aim of permitting importation, manufacture, prescribing,stocking, dispensing and administration of opioids for medical reasons• Legally empowering physicians, nurses, pharmacists and, where necessary, othercategories of healthcare workers to prescribe, stock, dispense and administeropioids• Review of the controls governing opioid use, with a view to simplification, so thatdrugs are available in the necessary quantities for legitimate use404U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau