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Supportive care for the person with dementia$
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Julian Hughes, Mari Lloyd-Williams, and Greg Sachs

Print publication date: 2009

Print ISBN-13: 9780199554133

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199554133.001.0001

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Patients with Hiv-associated dementia

Patients with Hiv-associated dementia

(p.67) Chapter 8 Patients with Hiv-associated dementia
Supportive care for the person with dementia

Mary Ann Cohen

Charles E. Schwartz

Oxford University Press

Supportive care for persons with HIV-associated dementia (HAD) presents clinicians, caregivers, families, and loved ones with special biopsychosocial challenges posed by the infectious nature of HIV, the specific modes of HIV transmission, the particular way HIV affects the brain, the age of onset, and the complex stigma of HIV superimposed on the stigma associated with all dementias. These challenges differentiate HAD from dementia of other causes, have significant clinical and public health implications, and necessitate early recognition and treatment as well as early supportive care. AIDS psychiatrists, psychosomatic medicine psychiatrists, physicians — trained in both medicine and psychiatry — and other mental health clinicians can play a vital role in recognition and care of HAD; in the prevention of HIV transmission; and in training of other clinicians to alleviate distress, reduce ongoing high risk behaviour and non-adherence; provide support for patients and families, and improve quality of life. This chapter reviews the biopsychosocial aspects of HAD and suggests strategies to address the unique challenges of this devastating and complex illness.

Keywords:   HIV, AIDS psychiatrists, supportive care, dementia

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