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Palliative Care and End-of-Life Support 

Palliative Care and End-of-Life Support
Palliative Care and End-of-Life Support

Paul W. DenOuden

and Jonathan S. Appelbaum

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date: 31 October 2020

Hospice and palliative care are part of the active care continuum. Hospice care involves an interdisciplinary approach to diagnosing and managing suffering and addressing the physical, psychosocial, and spiritual needs of patients and their families. Hospice care should be considered when no further interventions or treatments can cure or prolong the life of a terminally ill patient with an estimated life expectancy of 6 months or less. Making the decision for hospice care is often challenging for the patient, family, and clinicians alike in the antiretroviral therapy era of HIV treatment. Evaluation and treatment of terminal syndromes such as delirium, pain, dyspnea, nausea, and dry mouth are reviewed in this chapter.

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