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The increasing incidence and prevalence of HIV in the older adults needs to serve as a reminder to nurses,
healthcare providers, and public health officials that holistic care should be the goal for our population
regardless of their age and life style. Information regarding HIV and AIDS is widely available by the media for
young people but must be directed at the population as a whole, as this virus affects the population as a whole.
For individual healthcare providers, a sexual and social history needs to be obtained and discussed with all
patients in a confidential, nonjudgemental and caring manner. A few leading questions could initiate an important
discussion that an older person may have wanted to have but did not know how to begin the often difficult and
sensitive conversation. If by initiating this coversation and providing a subsequent educational opportunity
prevents even one person from getting HIV, it is worthwhile and has contributed not only to the quantity and
quality of life for a single patient, but contributed to the health of society as a whole.
References
Altschuler, J., Katz, A.D., & Tynan, M. (2004). Developing and implementing an HIV/AIDS educational
curriculum for older Adults. The Gerontologist, 44(1), 121-126
Berman, A., Snyder, S., Kozier, B., Erb, G. (2008). Kozier & Erb’s fundamentals of nursing: Concepts,
process, and practice. Upper Saddle River, NJ: Pearson Education Inc.
Center for Disease Control and Prevention a. (2008, February). HIV/AIDS among persons aged 50 and older.
Retrieved November 21, 2008, from http://www.cdc.gov/hiv/topics/over50/resources/factsheets/pdf/over50.pdf
Center for Disease Control and Prevention b. (2008) Human immunodeficiency virus testing. Early Release of
Selected Estimates Based on Data from the 2007 National Health Interview Survey. Retrieved on January 18, 2009,
from http://www.cdc.gov/nchs/data/nhis/earlyrelease/200806_10.pdf
Center for Disease Control and Prevention c. (2008) HIV prevalence estimates---United States
2006. Morbidity and Mortality Weekly Rates. Retrieved on March 1, 2009, from
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5739a2.htm
Center for Disease Control and Prevention d. (2007). Seniors need condoms to prevent spread of HIV among
elderly. AIDS Policy & Law , 4.
Center for Disease Control and Prevention e. (2007). HIV/AIDS Surveillance Report. Retrieved on February 28,
2008, from, http://www.cdc.gov/hiv/topics/surveillance/resources/reports
/2007report/pdf/2007SurveillanceReport.pdf
Crisologo, S., Campbell, M. H., & Forte, J. A. (1996). Social work, AIDS and the elderly: Current knowledge
and practice. Journal of Gerontological Social Work , 26 (1/2), 49-70.
Emlet, C. A. (1997). HIV/AIDS in the Elderly: A Hidden Population. Home Care Provider , 2 (2),
69-75.
Falvo, N., & Norman, S. (2004). Never too old to learn: The Impact of HIV/AIDS Education Program on Older
Adults' Knowledge. Clinical Gerontologist , 27 (1/2), 103-117.
Goodroad, B. K. (2003). HIV and AIDS in people older than 50: A continuing concern. Journal of Gerontological
Nursing , 29 (4), 18-24.
Gott, C.M. (2001). Sexual activity and risk taking in later life. Health and Social Care in the Community, 9(2),
72-78.
Health Orbit (April 2009) Treating HIV earlier to decrease the risk of death. Retrieved on April 13, 2009, from
http://healthorbit.ca/login1.asp?msg=1&neidws=046041409
Jarvis, C. (2004) Physical examination and health assessment. St. Louis, MO: Saunders.
Levy, B., Kosteas, J., Slade, M., & Myers, L. (2006). Exclusion of elderly persons from health-risk behavior
clinical trials. Preventative Medicine, 43, 80-85
Levy, B.R., Ding, L., Lakra, D., Kosteas, J., & Niccolai, L. (2007). Older persons’ exclusion from sexually
transmitted disease risk-reduction clinical trials. Sexually Transmitted Disease, 34(8), 541-544
Lieberman, R. (2000). HIV in older americans: An epidemiologic perpective. Journal of Midwifery & Women's
Health , 45 (2), 176-182.
Lindau, S.T., Schumm, L.P., Laumann, E.O., Levinson, W., Muircheartaigh, C.A., & Waite, L.J. (2007). A Study
of sexuality and health among older adults in the United States. New England Journal of Medicine, 357(8),
776-774.
Manfredi, R. (2002). HIV disease and advanced age: An increasing therapeutic challange. Drugs Aging ,
19 (9), 647-669.
Mauk, K.L. (2006). Reaching and teaching older adults. Nursing2006, 17
Mueller, M.-R. (1997). Social barriers to recognizing HIV/AIDS in older adults. Journal of Gerontological
Nursing , 23 (11), 17-21.
Older People with AIDS need Compassionate Care. (2005). Senior Care Management , 8 (1),
5-6.
Rose, M.A., (1996). Effects of an AIDS education program for older adults. Journal of Community Health Nursing,
13(3) 141-148.
Skiest, D.J. & Keiser, P. (1997). Human immunodeficiency virus infection in patients older than 50 years: A
survey of primary care physicians’ beliefs, practices, and knowledge. Archives of Family Medicine,
6(May/June), 289-294.
Wallace, M.A. (2008). Assessment of sexual health in older adults: Using the PLISSIT model to talk about sex.
The American Journal of Nursing, 108(7), 53-60.
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