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

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DedicationA Clinical Guide to Supportive and Palliative Care for HIV/AIDSis dedicated to Belynda Dunn, an inspirational leader and beautiful role model,who brought hope, joy and love to so many people. Her faith was deep and powerfuland sustained her throughout her life.ACKNOWLEDGMENTSThe contributions of many special people made this guide possible.Thanks go to Magda Barini-Garcia, MD, the Project Officer, who skillfully oversawand managed the project’s progress and quality, and Joan Holloway whose gift forart and innovation assured the guide’s look and practicality. Credit is also due toKim Dickerson, who designed and produced the guide, and Susan Lawrence, whowas the copy editor.ABOUT THE EDITORSJoseph F. O’Neill is Director of the White House Office of National AIDS Policy.Prior to that he was Associate Administrator of the HIV/AIDS Bureau,Health Resources and Services Administration, U. S. Department of Healthand Human Services.Peter A. Selwyn is Director of the Palliative Care Program at Montefiore MedicalCenter as well as Professor and Chairman of the Department of Family Medicineat the Albert Einstein College of Medicine.Helen Schietinger has worked in the field of HIV/AIDS since 1981, focusingespecially on palliative and community-based care.ii
CONTRIBUTING AUTHORSCarla S Alexander, MDAssistant Professor of Medicine, MedicalDirector of Palliative Care, Institute of HumanVirology, School of Medicine, University ofMaryland, Baltimore, MDFelicity AulinoOpen Society InstituteProject on Death in AmericaNew York, NYAnthony Back, MDAssociate Professor, Department of Medicine/Oncology, University of WashingtonDirector of Palliative Care, VA Puget SoundHealth Care System, Seattle, WAMagda Barini-García, MD, MPHChief Medical Officer, Division of Training& Technical AssistanceHIV/AIDS Bureau, HRSARockville, MDConnie J Beehler, MDMedical DirectorHospice at Riverside & GrantColumbus, OHWilliam Breitbart, MDChief, Psychiatry Service, Department ofPsychiatry & Behavioral SciencesMemorial Sloan-Kettering Cancer CenterNew York, NYGary T Chiodo, DMDProfessor, Department of CommunityDentistry, School of DentistryOregon Health & Science UniversityPortland, ORJ Randall Curtis, MD, MPHAssociate Professor of MedicineDivision of Pulmonary & Critical CareUniversity of WashingtonSeattle, WANima Eshghi, JDClinical InstructorHarvard Law SchoolCambridge, MAMaria Farooqi, MDFellow, Palliative Care ProgramLombardi Cancer CenterGeorgetown University Medical CenterWashington, DCKathleen M Foley, MDDirector, Open Society InstituteProject on Death in AmericaMemorial Sloan-Kettering Cancer CenterNew York, NYMarshall Forstein, MDAssistant Professor of PsychiatryHarvard Medical SchoolThe Cambridge HospitalBoston, MASuzanne R Garnier, RN, BSN, CWOCNHealth at Home, Home Health Agency ofthe Community Health NetworkSan Francisco Department of Public HealthSan Francisco, CARobert Greenwald, JDSenior Clinical InstructorHarvard Law SchoolCambridge, MARocío Hurtado, MDClinical HIV Fellow at Brigham & Women’sHospital, Combined Infectious DiseaseFellow at Massachusetts General Hospitaland Brigham & Women’s HospitalHarvard Medical School, Boston, MANancy Hutton, MDAssociate Professor of PediatricsJohns Hopkins University School of MedicineBaltimore, MDJane M Ingham, MD, BS, FRACPDirector, Palliative Care ProgramLombardi Cancer CenterAssociate Professor, Departments of Oncology &Medicine Georgetown University MedicalCenter Washington, DCiii
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DRUGS AND THERAPIES INDEXNOTES: Ent
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