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

A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Topic IndexRradiation therapy, 197radiculopathies, 93rash, 563real estate, distribution, 380reassurance, 142, 342relaxationbreathing exercises, 116caregivers, 419of children, 273religion. see spiritual careremains, declaration as to, 377–378residential care, 463resource allocation, 388–390, 389respiratory depression, 109, 138respiratory depression treatment, 154respite care, 421rheumatological pain syndromes, 94ringworm. see tinea corporisritualsafter death, 502grieving, 343spiritual health, 296at time of death, 502rural patients, 473–474Ssafety, 459saliva, artificial, 169salvage therapy, 482scabies, 195–196, 205sclerosing cholangitis, 89seborrheic dermatitis, 185, 200second line therapy, 482sedationairway sedation anxiety, 153–154case study, 359–362ethics, 355opioids, 109for respiratory distress, 141–142ventilator discontinuation, 140sexual abuse, 224sexual dysfunction, 244–245shelters, 317, 319side effects, double effect rule, 354significant others, 432, 434, 454signsvs. symptoms, 39symptoms monitoring, 65skilled nursing facilities, 464skin carein bed-ridden patients, 200breakdown risk, 506–507caregiver’s instruction, 468in children, 278decision tree, 510guidelines, 505interventions, 506risk assessment, 508–509skin healthassessment concerns, 177bed-ridden patients, 198–201common epidemiology, 178sleep, 470sleep disorders, 237, 237smoking, 567soaps, 183social concerns, 263social history, 52–53Social Security Disability Insurance (SSDI), 366–367Social Security programs, 366–368social workers, 435, 449–450special populations. see also individual groupsgeneral concerns, 315spiritual care. see also pastoral careAfrican Americans, 308aspects, 291–293assessment questions, 488of caregivers, 418grieving, 332, 336Hispanics, 302–305historytaking, 53of homeless persons, 320imminent death, 498overview, 289–290substance users, 263terminal illness, 290–291spirituality, defined, 290–291sputum (bloody), 152–153stigmatizationof caregivers, 412ethical concerns, 349grieving, 332in rural areas, 474stomatitis, 89stresson caregivers, 413management strategies, 418–419signs of, 414substance useaberrant behavior, 58–59bereavement, 333caregiver stress, 420comorbid conditions, 569vs. depression, 226drug diversion, 261palliative care discussions, 441response to treatment, 257risk assessment, 253–255screening, 253–254symptom assessment difficulties, 57–60vocabulary, 257–259substance use disorderspsychiatric treatment, 239–240substance userspain management, 117, 255–257, 261–263psychological, spiritual, and social concerns,263–264suffering, 350, 356–357suicidal ideation, 224suicide. see also euthanasiaevaluation, 230–231risk factor, 231supernatural experiences, 471Supplemental Security Income (SSI), 367–368support systems, 332, 420–421surrogates, 358–359survivorship, rights of, 380swallowing difficulty, 162–164, 500sweats, 125, 129symptom assessmentchallenges, 45–48, 56–60in children, 273–276clinical considerations, 46–47considerations, 61–62594U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau