Adapting Systems of Care for People Aging With HIV
Adapting Systems of Care for People Aging With HIV
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DOI：
10.1016/j.jana.2017.05.006
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发表时间：
2017-09-01
影响因子：
2
通讯作者：
Brennan-Ing, Mark
中科院分区：
文献类型：
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作者：
Siegler, Eugenia L.;Brennan-Ing, Mark
艾滋病毒感染者的医疗和心理需求超出了艾滋病毒服务网络所能提供的。艾滋病毒提供者可能缺乏管理多发病或衰老的功能后果的经验。社会支助服务可能无法为日益虚弱或面临认知障碍的艾滋病毒感染者提供必要的服务。艾滋病毒提供者将照顾老年艾滋病毒感染者，与耻辱感、心理健康需求、社会孤立、多发病和衰老相关综合征的重大负担相比，艾滋病毒管理似乎很简单。虽然做法可以纳入老年人的专业知识和发展设施与老龄服务网络，更全面的整合将适应现有的老年人长期护理模式，为那些老年人与艾滋病毒。老龄化PLWH的多样性和健康安全网的脆弱性将需要内容专家和社会服务机构之间的创新和灵活的合作。版权所有（C）2017艾滋病护理护士协会
People aging with HIV have medical and psychosocial needs that require more than the HIV services network can provide. HIV providers may lack experience managing multimorbidity or the functional consequences of aging. Social support services may be unable to provide necessary services for people living with HIV (PLWH) who are becoming increasingly frail or facing cognitive impairment. HIV providers will be caring for aging PLWH whose HIV management may seem simple compared with the significant burdens of stigma, mental health needs, social isolation, multimorbidity, and aging-related syndromes. Although practices can incorporate geriatric expertise and develop facility with the aging services network, a more comprehensive integration would adapt existing geriatric long-term care models for those aging with HIV. The diversity of aging PLWH and the tenuousness of the health safety net will necessitate innovative and flexible collaboration between content experts and social service agencies. Copyright (C) 2017 Association of Nurses in AIDS Care