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

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A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 3: Assessment of Physical SymptomsTable 3-3: Clinical Symptom AssessmentHISTORY26 picas• Medical historyDiagnosisChronologyTherapeutic interventionsIncluding of otherHIV-related illnessesIncluding antiretroviral therapies• Assessment• Psychosocial issuesPatient’s knowledge of currentextent of diseasePast history of other medical,surgical, psychiatric problemsReview of systemsFor each symptom:Family historySocial resourcesImpact of disease and symptomson patient and familySubstance abuse history andaberrant drug-related behaviorsGoals of careIncluding the oft-neglectedpsychiatric reviewChronology, frequency, severityAggravating and alleviating factorsDegree of distressImpact on functionOther clinical characteristicsImpact of each symptom onother symptomsPatient perception of etiologyPrior treatment modalities andtheir efficacyOther factors that modulatedistress associated with specificsymptoms, e.g., coping strategiesand supports46U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau
A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 3: Assessment of Physical SymptomsTable 3-3: Clinical Symptom Assessment (continued)• Global symptomimpact26 picasGlobal symptom distressImpact of overall symptomdistress on quality of lifeIIIImpact of symptoms onquality of lifePhysical conditionPsychological statusSocial interactionsFactors that modulate globalsymptom distress, e.g., copingstrategies and family supports• Current medicationsCurrent and prior use ofprescription medicationsCurrent and prior use ofantiretrovial therapiesCurrent and prior use ofnonprescription drugs includingalternative or complementarymedical therapies• Drug allergies andprevious adversedrug reactionsPhysical examinationAssessment ofavailable laboratoryand imaging dataConclusions ofdiagnostic process• Pathophysiology(for each symptom)Inferred pathophysiologyRelationship to other symptomsDiffering pathophysiologiesSame pathophysiologyCausal pathology induced byanother symptomCausal factor is treatmentdirected at another symptomSources: Adapted from Ingham JM, Portenoy RK. Symptom Assessment. In Cherny NI, Foley KM, eds. Hematology/Oncology Clinics ofNorth America. Philadelphia: W.B. Saunders; 1996. p. 21-40. Also, Ingham JM, Portenoy RK. The measurement of pain and othersymptoms. In Doyle D, Hanks GWC, MacDonald N, eds. Oxford Texbook of Palliative Medicine. 2nd ed. Oxford: Oxford University Press;1998. p. 203-21.U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau 47
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DedicationA Clinical Guide to Suppo
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Chapter 6.26 picasPulmonary Symptom
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Chapter 11.26 picas Substance Use P
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Chapter 14.26 picasCulture and Care
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Chapter 15.26 picasSpecial Populati
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Chapter 17.26 picasEthical IssuesLy
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Chapter 18.26 picasLegal and Financ
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Chapter 19.Palliative 26 picas Care
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Chapter 26.26 picasResourcesMagda B
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DRUGS AND THERAPIES INDEXNOTES: Ent
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The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

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