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American Journal of Hospice and Palliative Medicine®
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*AIDS
*Hospice Care
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AIDS and hospice

Charles F. von Gunten, MD

Jeanne Martinez, RN

Northwestern Memorial Hospice, Chicago, Illinois; Illinois State Hospice Organization

Sigmund A. Weitzman, MD

Division of Hematology/Oncology, Department of Internal Medicine, Northwestern University, Chicago, Illinois

Jamie Von Roenn, MD

Northwestern University, and Northwestern Memorial Hospice, Chicago, Illinois

Which AIDS patients should be admmited to hospice programs? Many health care professionals feel that any anti-viral drug or treatment directed against the opportunistic infections characteristic of AIDS to be incompatible with hospice philosophy. Others argue that inclusion of AIDS patients blurs the distinction between hospice and community service programs. We argue that achieving consensus on this issue is best served by focusing on the defining characteristic of hospice programs — the care of the dying. Consensus is not served by dwelling on the specific palliative or supportive measures used to achieve the hospice goal. We suggest a framework by which AIDS patients may be accommodated in existing hospice programs while maintaining hospice program integrity. It is further suggested that these may be used for the consideration of any patient for hospice care.

American Journal of Hospice and Palliative Medicine®, Vol. 8, No. 4, 17-19 (1991)
DOI: 10.1177/104990919100800404
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