Palliative Care Strategy for HIV and other diseases - FHI 360
Palliative Care Strategy for HIV and other diseases - FHI 360
Palliative Care Strategy for HIV and other diseases - FHI 360
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4<br />
<strong>Palliative</strong> care is also recognized as a right. According to the 1966 International Covenant<br />
on Economic, Social <strong>and</strong> Cultural Rights (ICESCR), all people with severe illness have the<br />
5, 6<br />
right to palliative care.<br />
<strong>FHI</strong> promotes <strong>and</strong> supports a model of comprehensive care, treatment, <strong>and</strong> support <strong>for</strong><br />
<strong>HIV</strong>. Providing <strong>HIV</strong> care to PL<strong>HIV</strong> <strong>and</strong> their families requires a broad range of services that<br />
Table 1. <strong>Palliative</strong> care interventions<br />
<strong>Palliative</strong> <strong>Care</strong> Interventions<br />
General<br />
Physical<br />
Emotional<br />
Social<br />
Spiritual<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
•<br />
Holistic clinical or lay assessment of physical, emotional, social,<br />
<strong>and</strong> spiritual needs of the patient <strong>and</strong> his or her family<br />
System of referrals to link clients to services that can help address<br />
problems identified<br />
Assessment, prevention, <strong>and</strong> treatment of pain<br />
Assessment, prevention, <strong>and</strong> treatment of <strong>other</strong> symptoms<br />
Assessment <strong>and</strong> treatment of medication side effects<br />
Teaching self-care skills <strong>for</strong> managing symptoms <strong>and</strong> medicine<br />
side effects in the home <strong>and</strong> recognition of danger signs<br />
Attending to physical needs during end-of-life<br />
General counseling <strong>and</strong> emotional support<br />
Treatment of psychiatric problems such as depression or anxiety<br />
Self-help groups<br />
<strong>Care</strong> of caregivers (lay <strong>and</strong> professional providers <strong>and</strong> family):<br />
support groups, counseling<br />
Bereavement support, counseling to help families with grief <strong>and</strong><br />
future planning<br />
Help with managing stigma <strong>and</strong> discrimination<br />
Support with legal issues such as preparing a will<br />
Assistance with financial <strong>and</strong> <strong>other</strong> material needs such as<br />
nutrition, housing, <strong>and</strong> education<br />
Spiritual counseling<br />
Life-review counseling<br />
Funeral <strong>and</strong> <strong>other</strong> life-completion tasks