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AIDS and Long-Term Care Facilities

Published online by Cambridge University Press:  21 June 2016

David W. Bentley*
Affiliation:
Infectious Diseases Units, Montore Community Hospital, Rochester, New York
Lois Cheney
Affiliation:
Infectious Diseases Units, Montore Community Hospital, Rochester, New York The Infectious Diseases Unit and Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York
*
Infectious Diseases Unit, Monroe Community Hospital, 435 East Henrietta Road, Rochester, NY 14603

Extract

Why discuss acquired immunodeficiency syndrome (AIDS) in “Topics in Long-Term Care”? It is not because there are large numbers of frail elderly patients afflicted with AIDS, although some have estimated that by 1990 there may be as many as 27,000 AIDS cases in persons over 50, and 1,100 cases in persons over 70 years of age. Nor is it the fact that large numbers of patients in long-term care facilities (LTCFs) may be infected with the human immunodeficiency virus HIV). Rather, it is the growing awareness that hospitals provide only a limited portion of the continuum of care for AIDS patients. In addition, the chronically ill and often severely disabled AIDS patient frequently requires more care than the limited community-based resources can provide. Nursing homes, with their tradition of skilled nursing care targeted toward the chronically ill and older patient, could provide an important missing component to the chronic care needs of younger AIDS patients.

Type
Special Sections
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1990

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References

1. Moss, RJ, Miles, SH. AIDS and the geriatrician. J Am Geriatr Soc. 1987;35:460464.CrossRefGoogle ScholarPubMed
2. Gropman, JE, Detsky, AS. Epidemic of the acquired immunodeficiency syndrome: a need for economic and social planning. Ann Intern Med. 1983;99:295361.CrossRefGoogle Scholar
3. Gardener, K. The continuum of care for persons with AIDS. QRB. 1989;15:23.Google Scholar
4. Andrulis, DP. The need for a long-term care strategy. In: Infeld, DL, Southby, RMF, eds. AIDS and Long- ‘&m Care: A New Dimension. Owings Mills, Md: National Health Publishing: 1989:178258.Google Scholar
5. Benjamin, AE. Long-term care and AIDS: perspectives from experience with the elderly. Milbank Mem find Q. 1988;66:415443.CrossRefGoogle ScholarPubMed
6. Rango, N. Nursing home care for people with AIDS. In: Rogers, DE, Ginzberg, E, eds. The AIDS Patient: An Action Agenda. Boulder, Colo: Westview Press Inc.; 1988:3541.Google Scholar
7. Office of the Assistant Secretary for Health. Report of the Second Public Health Service AIDS Prevention and Control Conference. Public Health Rep. 1988;103(suppl 1):3.Google Scholar
8. Centers for Disease Control. AIDS and human immunodeficiency virus infection in the United States: 1988 update. MMWR. 1989;38(suppl. 4):138.Google Scholar
9. Bentley, DW, Cromn, M, Diehl, JR, Johnson, C, Mahoney, J. A multidis-ciplinary sketch of one approach. Provider. 1987;13:2426.Google Scholar
10. Afzal, N, Wyatt, A. Long-term care of AIDS patients. QRB. 1989;15:2025.Google ScholarPubMed
11. Rochester Area Task Force on AIDS. AWS Action Plan: Five-Year Agenda for Rochester and Finger Lakes Region. Rochester, NY; Finger Lakes Health Systems Agency; 1987.Google Scholar
12. Centers for Disease Control. Classification system for human T-lymphotropic virus type III/lymphadenopathy-associated virus infections. MMWR, 1986;35:334339.Google Scholar
13. Fillit, H, Fruchtman, S, Sell, L, Rosen, N. AIDS in the elderly: a case and its implications. Geriatrics. 1989;44:6570.Google ScholarPubMed
14. Centers for Disease Control. Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome. MMWR. 1987;36:1S15S.Google Scholar
15. Bentley, DW, Cheney, L. Aids in the nursing home. In: Verghese, A, Berk, SL, eds. Infections in the Nursing Home. Zurich, Switzerland: S Karger Publishers Inc. In press.Google Scholar
16. Crossley, K, Henry, K. AIDS: implications for long-term care. Clinical Report on Aging. 1987;1:18.Google Scholar
17. Marlowe, RC. Nursing home care. In: Infeld, DL, Southby, RMF, eds. AIDS and Long-Term Caret A New Dimension. Owings Mills, Md: National Health Publishing; 1989:5970.Google Scholar
18. American Health Care Association. AIDS and the Nursing Home Patient. Washington, D.C.: The Health Education Resource Organization; 1987:1109.Google Scholar
19. Department of Labor, Department of Health and Human Services. Joint Advisory Notice: Protection Against Occupational Exposure to Hepatitis B Virus (HBV) and Human Immunodeficiency Virus (HIV). Washington, D.C.: U.S. Dept. of Labor, U.S. Dept. of Health and Human Services; 1987.Google Scholar
20. Marcus, R, CDC Cooperative Needlestick Surveillance Group. Surveillance of health care workers exposed to blood from patients infected with the human immunodeficiency virus. N Engl J Med. 1988;319:11181123.CrossRefGoogle ScholarPubMed
21. Centers for Disease Control. Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. MMWR. 1988;37:377387.Google Scholar
22. Centers for Disease Contml. Recommendations for prevention of HIV transmission in health-care settings. MMWR, 1987;36:1S18S.Google Scholar