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

A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Topic IndexCcachexia, 484–485CAGE questionnaire, 254cancer, 91, 522Candida infectionsdrug treatment, 168esophageal, 164pseudomembranous candidiasis, 173of skin, in bed-ridden patients, 199–200of skin, presentation, 193treatment options, 169–170canker sores. see aphthous stomatitiscaregiversburdens, 411–413burnout, described, 415–416care team role, 447–451comforting strategies, 468–469common fears, 460formal, burnout management, 422–423informal, burnout management, 416–422informal, overview, 410–411responsibilities, 409rewards, 414support, information resources, 520–521supporting information, 466caries, 168, 169, 173case managers, 451cellulitis, 188, 189central nervous system, 208, 223cerebral spinal fluid (CSF), 216, 220cerebrovascular events, 90chaplains, 293–294, 451chest pain, 90childrenaffective disorders, 226–227analgesics, 277anorexia, 278anxiety, 278anxiety disorders, 236care decisions, 278–285cognitive impairment treatment, 222constipation, 277depression, 278development, and grief, 340–341development continuum, 268–271diarrhea, 277dosage adjustment, 269, 269, 276dyspnea, 278as family members, 268fatigue, 278grief in, 339HIV+ concerns, 267home care planning, 459interaction guide, 271nausea and vomiting, 277neuropsychiatric disorders, 219pain, 88pain assessment instruments, 72, 74pain management, 276pediatric education resources, 397pediatric information resources, 522–524permanency planning, 247, 285, 382–385prognostication, 278–279skin care, 278special needs, 472–473supportive care, 285symptom assessment, 57, 273–276symptom assessment scale, 66–67symptom management, 272–273transition care, 464cholecystitis, 89clergy. see chaplainsclinical trials, 482–483clinicians, 7, 17–18. see also providersclosure, 498CMV (cytomegalovirus)colitis, 158encephalitis, CNS manifestations, 218esophageal infection, 164COBRA insurance, 373–374cognitive development, 270, 283cognitive impairmentBlessed Orientation-Memory-ConcentrationTest (BOMC), 76HIV dementia, 212Mini Mental State Examination (MMSE), 75subclinical presentations, 215symptom assessment, 56, 64comfort, 455, 468–469communicationadvanced AIDS patients, 487with African Americans, 309with bereaved, 342about caregivers, 416–417with children, 283–284children’s care, 285–286cultural barriers, 305cultural concerns, 435current state, 433–434documentation, 465in families, 286about herbal remedies, 565homeless persons, 318importance, 431–432last wishes, 465about palliative care, 432patient’s beliefs, 295–296shared decisionmaking, 352–353with significant others, 432, 434about spirituality, 292about surrogates, 359with surrogates, 358–359team-oriented, 434–435through proxies, 375community education, 305Community Health Approach to Palliative Care,402, 402–403compassionate release, 324compliance. see adherencecomplications contingency plan, 497condyloma accuminata, 191confidentiality, 324, 358–359confusion, vocabulary, 43congestive heart failure, 146conservators. see guardiansconsistency of care, 42constipationin children, 277opioids, 109treatment options, 159–160, 160contact dermatitis, 200control, 231, 273coping strategies, 418–419cough, 150, 152–153counseling, 294–296, 417–418creditors, 382crime, 474cryptococcosis, 193, 194588U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau