What Does Aging with HIV Mean for Nursing Homes?

Justice, Amy C.; Akgün, Kathleen M.

doi:10.1111/jgs.15950

Cited by 5 publications

(4 citation statements)

References 20 publications

(32 reference statements)

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“… Preparation for long-term care needs to maintain older PWH in the community and to create safe and caring environments in long-term care facilities. 134 …”

Section: Discussion: Are We Doing Enough?mentioning

confidence: 99%

Treatment Regimens and Care Models for Older Patients Living with HIV: Are We Doing Enough?

Frey¹,

Johnston²,

Siegler³

2023

HIV

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With improved access to antiretroviral therapy throughout the world, people are aging with HIV, and a large portion of the global population of people with HIV (PWH) is now age 50 or older. Older PWH experience more comorbidities, aging-related syndromes, mental health challenges, and difficulties accessing fundamental needs than the population of older adults without HIV. As a result, ensuring that older PWH are receiving comprehensive healthcare can often be overwhelming for both PWH and the providers. Although there is a growing literature addressing the needs of this population, gaps remain in care delivery and research. In this paper, we suggest seven key components to any healthcare program designed to address the needs of older people with HIV: management of HIV, comorbidity screening and treatment, primary care coordination and planning, attention to aging related-syndromes, optimization of functional status, support of behavioral health, and improved access to basic needs and services. We review many of the difficulties and controversies related to the implementation of these components, which include the absence of screening guidelines for this population and the challenges of care integration, and we suggest key next steps.

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“… Preparation for long-term care needs to maintain older PWH in the community and to create safe and caring environments in long-term care facilities. 134 …”

Section: Discussion: Are We Doing Enough?mentioning

confidence: 99%

Treatment Regimens and Care Models for Older Patients Living with HIV: Are We Doing Enough?

Frey¹,

Johnston²,

Siegler³

2023

HIV

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“…As the number of new PLWH enter long‐term care facilities and nursing homes increases, steps should be taken to ensure that the staff caring for these patients are competent in meeting the unique needs of older (or even younger) PLWH (Justice & Akgün, 2019; Olivieri‐Mui, 2021). Multidisciplinary health care teams are vital to deal with the complex clinical and psychosocial issues facing this population.…”

Section: Methodsmentioning

confidence: 99%

“…professionals advocate for continued funding of Medicare/Medicaid and full implementation of the ACA. Ready availability of health insurance navigators is also vital since they can help guide older PLWH through the complexities of obtaining affordable health insurance and help make certain they have the correct coverage for their specific medical needs.As the number of new PLWH enter long-term care facilities and nursing homes increases, steps should be taken to ensure that the staff caring for these patients are competent in meeting the unique needs of older (or even younger) PLWH(Justice & Akgün, 2019;Olivieri-Mui, 2021). Multidisciplinary health care teams are vital to deal with the complex clinical and psychosocial issues facing thispopulation.…”

mentioning

confidence: 99%

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

Zdanowicz,

Valdes,

Salani

2024

Public Health Nursing

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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.

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“…Providers must also help patients and patients loved ones recognize when a transition from independent living to supported care and end‐of‐life planning are indicated. Nursing homes and other extended care facilities and home care programmes will need to integrate increasing numbers of PLHIV into their care, with appropriate expertise and without stigma . These decisions will require thoughtful discussion with patients and their loved ones.…”

mentioning

confidence: 99%

Ageing with and without HIV: will advanced age bring equity or greater disparity?

Justice

Tate

2019

J Intern AIDS Soc

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What Does Aging with HIV Mean for Nursing Homes?

Abstract: This editorial comments on the article by https://doi.org/10.1111/jgs.15949.

Cited by 5 publications

References 20 publications

Treatment Regimens and Care Models for Older Patients Living with HIV: Are We Doing Enough?

Treatment Regimens and Care Models for Older Patients Living with HIV: Are We Doing Enough?

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

Ageing with and without HIV: will advanced age bring equity or greater disparity?

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