Browsing by Author "Matthews, Barbara"

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    The individual context, and met and unmet palliative care needs of stage III and IV HIV/AIDS isiXhosa speaking patients in the Grahamstown hospice service
    (2011) Matthews, Barbara; Gwyther, Liz
    Palliative care developed as a response to the specific needs experienced by terminally ill cancer patients and their families. The modern palliative care movement began in London in 1967 and African palliative care developed against this backdrop. The HIV pandemic has confronted African palliative care workers with new challenges to provide accessible, affordable, culturally sensitive care in resource limited settings. The domains of palliative care are well recognised and the provision of holistic patient centered care requires that the individual context of each person requiring palliative care is considered as these influenced the experience of life-threatening illness. The HIV burden in South Africa is complicated by other health care issues, poverty, and the implications of a multi-cultural, multi-racial society which add to the complexities of palliative care service provision. This study considered the individual context and palliative care needs of a group of HIV positive patients who access palliative care from Grahamstown Hospice.