Palliative care at Home: Case Studies of end-stage HIV patients

Abstract

The study aimed to compare palliative end-of-life care at home in end-stage HIV-infected patients with complications. Criteria for inclusion: End-stage HIV patients with a PPS score < 40 points (symptoms between stable and end-stage) referred from hospital for care at home. Research methods: Study of HIV patients. There were 2 cases in the final stage with complications. Data collection tools consisted of a patient health status assessment form. End-of-life care assessment (PPS), ability to perform daily activities (ADL) assessment, ST-5 stress assessment, 2-question depression assessment (2Q) and 9-question depression assessment (9Q ) The research tool consists of a 5-step nursing process applied according to guidelines for palliative care for end-of-life patients.

               The research results found that Case study of a female, age 50 years, marital status, has a caregiver, has a trading career. There is a history of father, mother and older sister dying from lung cancer. Diagnosed with HIV infection and lung cancer that has spread to lymph nodes. and treated with anti-HIV drugs along with pain relievers. PPS score = 40% (symptoms between stable and terminal). No dependency. Stress is moderate. no depression Patients and relatives adjust to illness. and also seeking alternative medicine As for case study 2, male, 33 years old, marital status, widow, has a caretaker, has no income, has never been tested for HIV, has been diagnosed with spread of infection to the brain, has not received anti-HIV medication. Received pain relief medication, PPS score = 10% (symptoms are in the final stage), had dependency, and were depressed. And the father still couldn't adjust because he had lost his son. The management of the problems in both cases followed guidelines for end-of-life care. And what must be considered is the mental preparation of relatives to be able to face the loss.