Abstract

The life of people living with HIV has been prolonged with HAART, and since 1997 the introduction of antiretroviral HAART in Taiwan has increased the survival rate of infected people to 85.9%. Therefore, with the extension of the life of people living with HIV and the entry into the old age, how to provide suitable long-term care services is an issue that Taiwan policy needs to face and think. This research through surveys and interviews to find Taiwan elderly people living with HIV in Taiwan needs and plight of the contains (1) diseases and health care issues, (2) social prejudice and discrimination (3) psychology and adjustment of the identity and reflection (4) adjustment of interpersonal relationships. According to the empirical data shows Taiwan's long-term care measures in difficulties arising in the care for older people living with HIV (1) non-suitable for elderly people living with HI community long-term care services; (2) long-term care institution the exclusion of people living with HIV (3) lack of financial resources of older living with HIV with using institutional long term care. (4) the incoherence of HIV medical and long-term care measures. (5) course focuses on long-term care health care, neglect the psychosocial dimensions of older people living with HIV. This study attempts to present long-term care of the elderly people living with HIV needs and challenges and dilemmas facing in Taiwan.

Highlights

  • 1.1 Introduce the ProblemAccording to the statistics of the Taiwan Ministry of Health and Welfare, up to the September 2016 in Taiwan, there are 33,000 people are living with HIV

  • Regarding service and social support needs, the need for legislation protecting the right of people living with HIV/AIDS was high

  • In Taiwan, the law protects the right of every citizen including people living with HIV/AIDS

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Summary

Introduction

1.1 Introduce the ProblemAccording to the statistics of the Taiwan Ministry of Health and Welfare, up to the September 2016 in Taiwan, there are 33,000 people are living with HIV. Due to the effect of life extension of the people living with HIV by the emergence of antiviral drug mixture therapy (HAART), make the infected with HIV regarded as a chronic disease (Gorman & Nelson, 2004). With the extension of the lives of infected people and the emergence of elderly infected persons, how to provide appropriate long-term care services for the latter turns out to be a must be issue for the care workers to rethink and consider (Yin & Li, 2002). The goal of this research is to understand the needs of elderly people with HIV/AIDS in Taiwan turns out to be a starting point of this research, to know the actual need of long-turn care and the facing difficulties and have a reflective conversation with the current long-term care system (Wu, 2005). With a further knowledge of finding out the shortcomings of this care system, the purpose of this study hopes to be a useful reference of long-term care experience and policy-driven for localized HIV/AIDS infection (Hung, 2008)

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