Nursing home admission of aging HIV patients: Challenges and obstacles for medical and nursing staffs

Naudet, D.; Decker, Lindsay; Chiche, Laurent; Doncarli, C.; Ho-Amiot, V.; Bessaud, Maël; Alitta, Quentin; Rétornaz, F.

doi:10.1016/j.eurger.2016.12.003

Cited by 2 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Simultaneously, HIV stigma and age discrimination made older PWH separate from informal support networks [ 13 , 14 ]. One study [ 15 ] found that more than 70% of older PWH lived alone, and only 15% had a lifetime partner. Another study pointed out that social isolation was common among older PWH [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, older PWH were not well-accepted by nursing homes. A survey of 53 nursing homes in France [ 15 ] found that nursing home physicians and staff were not yet ready to face the admission of PWH, and only four physicians had admitted PWH to their nursing home. From 1989 to 2000, several surveys on nursing home staff were conducted in the US.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preference for care models among older people living with HIV: cross-sectional study

Li,

Ren,

Luo

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

Background The number of people living with HIV (PWH) aged 50 and above is increasing. The question of care among older PWH (aged ≥ 50 years) is an increasing concern. Understanding the care preference of older people can better provide care services for them. The purpose of this study was to investigate the care preference (home-based care, self-care, institutional care, community-based care, and mutual-aid care) among older PWH and identify the factors affecting their care preference. Methods A cross-sectional survey was conducted among older PWH (aged ≥ 50 years) about care preference from May to November 2021. We enrolled 319 participants using convenience sampling. We designed a questionnaire to assess the care preference of older PWH. The Chi-square test and Fisher’s exact test were used to conduct univariate analysis of care preference. Multinomial logistic regression was used to identify factors influencing care preference. Results Most older PWH (72.7%) preferred home-based care, and few (15.7%) preferred self-care. Fewer older PWH preferred community-based care (5.3%), institutional care (5.0%) and mutual-aid care (1.3%). Multivariate analysis showed that older PWH with a house, spouse and more children were more inclined to choose home-based care (p < .05). Older PWH living alone, having higher monthly income and higher HIV stigma preferred to choose self-care (p < .05). Conclusion Home-based care was the most preferred model of older PWH, and self-care ranked second. The number of those who preferred institutional care, community-based care and mutual-aid care were few. Nation and government should take measures to allocate care resources for older adults reasonably to better meet the care needs of older PWH. It is important to strengthen social security, reduce internalized HIV stigma, improve social support, and explore diversified care models for improving the quality of life of older PWH.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preference for care models among older people living with HIV: cross-sectional study

Li,

Ren,

Luo

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

Management of HIV in the older adults: Clinical and public health challenge

Zdanowicz,

Valdes,

Salani

2024

Public Health Nursing

View full text Add to dashboard Cite

As a result of significant advances in antiretroviral therapy (ART), the number of people living with human immunodeficiency virus (PLWH) who are alive well into their senior years has increased significantly in recent years. While increased life expectancy is a highly desired outcome for PLWH, it brings with it a number of challenges that are only now starting to be understood and fully appreciated. These challenges include higher rates of co‐morbidities, polypharmacy, drug side effects, and cognitive deficits, as well as numerous psychosocial issues such as stigma, loneliness, and depression. Older PLWH also face challenges related to housing, health insurance, and long‐term care. This review will discuss many of the challenges faced by older PLWH and present clinical and public health responses with suggested interventions that may improve outcomes for this population.

show abstract

Nursing home admission of aging HIV patients: Challenges and obstacles for medical and nursing staffs

Cited by 2 publications

References 21 publications

Preference for care models among older people living with HIV: cross-sectional study

Preference for care models among older people living with HIV: cross-sectional study

Management of HIV in the older adults: Clinical and public health challenge

Contact Info

Product

Resources

About