HIV and the Elderly: changing requirements for HIV +ve geriatrics.pptx

A look at the dynamics of aging and HIV treatment.

1. HIV & The ELDERLY

2. GPH: ART Tx as at 22.03.2023 AGE BAND [years] NUMBER IN AGE BAND <5 28 5-9 15 10-14 52 15-19 76 20-24 139 25-29 156 30-34 214 35-39 315 40-44 497 45-49 546 50+ 1184

3. wHY ? Because of effective HIV medicines , there is an increasing number of older people who are living with HIV. New cases of HIV in the elderly. Prevention (biomedical + psychosocial interventions).

4. CHALLENGES Living with HIV presents certain challenges, no matter what your age. But older people with HIV may face different issues than their younger counterparts, including greater social isolation and loneliness . Conditions , such as heart disease or cancer , that are more common in older people and require additional medical care. Side effects from HIV medicines and other medicines may occur more frequently in older people with HIV than in younger people with HIV. The increased risk of drug interactions in an older person taking HIV medicines and medicines for another condition. Age-related changes that can affect an older person’s ability to think or remember , which can make it harder to stick to an HIV treatment regimen.

5. Implications for the COE Educate older people about preventing risky behaviors, utilizing age-sensitive information and education. Screen patients of all ages for HIV. Treat ment support. Timely initiation of ART is all the more important for older patients given the reduced immune reconstitution ART in discordant or high-risk partnerships, and (potentially) pre-exposure prophylaxis

6. Sources Bendavid , E., Ford, N., &amp; Mills, E. J. (2012). HIV and Africa's elderly. AIDS, 26(Supplement S1). https://doi.org/10.1097/qad.0b013e3283558513 Manfredi R. (2004). HIV infection and advanced age emerging epidemiological, clinical, and management issues. Ageing research reviews, 3(1), 31–54. https://doi.org/10.1016/j.arr.2003.07.001 National Institutes of Health. (n.d.). HIV and older people. National Institutes of Health. Retrieved March 22, 2023, from https://hivinfo.nih.gov/understanding-hiv/fact-sheets/hiv-and-older-people Pathways Home Health and Hospice. (2017, September 14). HIV risk factors in the elderly population. Pathways Home Health and Hospice. Retrieved March 22, 2023, from https://pathwayshealth.org/home-health-topics/hiv-risk-factors-elderly-population/