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Children's Palliative Care in Africa$
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Justin Amery

Print publication date: 2009

Print ISBN-13: 9780199567966

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199567966.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 16 June 2021

HIV/AIDS *

HIV/AIDS *

Chapter:
(p.207) Chapter 12 HIV/AIDS*
Source:
Children's Palliative Care in Africa
Author(s):

Justin Amery

Jenny Sengooba

Ivy Kasiyre

Michelle Meiring

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199567966.003.0012

AIDS is by far the biggest and the main non-acute cause of childhood death in Africa. Even in the era of antiretroviral therapy (ART), palliative care remains a crucial part of HIV/AIDS care because treatment sometimes fails, and, more often, is not available or affordable. Palliative care also has an enormous role to play in the relief of distressing symptoms and immune reconstitution illnesses. HIV/AIDS brings a huge physical, psychological, and social burden to infected children and their families. HIV/AIDS is a multi-system, multi-organ disease, not just a disease of the immune system. Most symptoms caused by HIV/AIDS can be managed successfully, using the same principles as with symptoms due to other pathologies. Providing palliative care to children with HIV/AIDS generates some very difficult ethical dilemmas.

Keywords:   Africa, palliative care, psychosocial issues, antiretroviral therapy, immune system, childhood death

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