Practical management of complexity in older people with HIV: approaching an international consensus
Document Type
Article
Publication Date
8-1-2023
Abstract
Globally the community of people with HIV is ageing, and some of these have increasingly complex care needs, with a known excess of non-HIV related comorbidities and related issues including consequent polypharmacy. At the 2022 International AIDS Conference in Montreal, Canada, the ``Silver Zone'' was created in the Global Village as a safe space for older people with HIV. As part of the Silver Zone activities, a session discussing global models of care for in this group was held. HIV treatment providers and advocates from diverse resource settings and with a diversity of expertise were invited to share their experience, reflections, and ideas, and this consensus statement was formed based on these discussions. Different approaches to care emerged, based on local needs and resources, and it became clear that issues of complexity and frailty need not be age limited. Despite clear regional differences, some common themes became apparent, and a consensus was established on basic principles that may be considered in diverse settings. These are discussed here, with agreement on necessary proximal steps to develop bespoke person-centred care models.
Keywords
HIV, Ageing, Complexity, Frailty, Comorbidities, Geriatric, Person-centred
Divisions
fac_med
Funders
None
Publication Title
Aids Care-Psychological and Socio-Medical Aspects of Aids/Hiv
Volume
35
Issue
8
Publisher
Routledge Journals, Taylor & Francis Ltd
Publisher Location
2-4 PARK SQUARE, MILTON PARK, ABINGDON OX14 4RN, OXON, ENGLAND