RT Book, Section A1 Gandhi, Monica A1 Spinelli, Matthew A. A1 Katz, Mitchell H. A2 Papadakis, Maxine A. A2 McPhee, Stephen J. A2 Rabow, Michael W. A2 McQuaid, Kenneth R. SR Print(0) ID 1193134741 T1 HIV Infection & AIDS: Course & Prognosis T2 Current Medical Diagnosis & Treatment 2023 YR 2023 FD 2023 PB McGraw-Hill Education PP New York, NY SN 9781264687343 LK accessmedicine.mhmedical.com/content.aspx?aid=1193134741 RD 2024/10/07 AB With improvements in therapy, patients who are adherent with treatment should have near normal life spans. A population-based study conducted in Denmark found that people aged 25 years living with HIV without hepatitis C had a life expectancy similar to that of a 25-year-old without HIV. Unfortunately, not all people living with HIV have access to treatment. Studies consistently show less access to treatment for Black people living with HIV and those experiencing homelessness or who inject drugs. For patients whose disease progresses even though they are receiving appropriate treatment, palliative care must be provided (see Chapter 5), with attention to pain control, spiritual needs, and family (biologic and chosen) dynamics.