Nutrition and HIV: A New Model for Treatment / Edition 1

by Mary Romeyn

Overview

Treating HIV with Nutrition

Nutrition and HIV addresses the issues of nutrition and HIV fromthe perspective of the patient as well as the physician. Everyonewho is interested in the problems of—and solutions to—nutritionaltherapy in HIV owes it to themselves to read this book.
—Paul A. Volberding, M.D., director, Center for AIDS Research, SanFrancisco

This reference book offers a sound nutritional model for sustainingand improving quality of life for HIV positive men and women. Itoutlines an easy-to-follow program for the prevention and treatmentof weight loss—a common problem that if left untreated could leadto serious health decline or even death.

Product Details

ISBN-13:	9780787939649
Publisher:	Wiley
Publication date:	03/16/1998
Series:	Psychology Series
Edition description:	Revised and Updated
Pages:	448
Product dimensions:	6.34(w) x 9.55(h) x 1.17(d)

About the Author

MARY ROMEYN, M.D., is an internist on staff at St. Francis Memorial Hospital, San Francisco, with a private practice specializing in HIV and nutrition. She has served on the Food and Nutrition Subcommittee of the Board of Trustees of Project Open Hand, and sits on the Scientific Advisory Committees of the San Francisco AIDS Foundation and HIV Care. She is a member of the volunteer clinical faculty of the University of California at San Francisco Medical School, and writes and lectures on nutritional aspects of HIV management.

Table of Contents

NUTRITION AND HIV.

1. A New Model for Treatment.

2. Understanding the Process of Wasting.

WHAT YOU CAN DO FOR YOURSELF.

3. Starting Your Own Assessment.

4. Vitamins, Minerals and Trace Elements.

5. Other Immune-Enhancing Supplements.

6. Improving Your Appetite.

7. Improving Your Environment.

8. Sex, Drugs, and Exercise.

WHAT YOU CAN DO WITH YOUR DOCTOR.

9. Choosing a Doctor.

10. Understanding Your Health Care Plan.

11. Monitoring Your Nutrition.

12. The Wasting Syndrome.

13. Fighting the Virus.

14. Secondary Infections.

15. Special Problems.

16. Joining Studies.

17. Women and HIV.

18. What to Do: Algorithms for Care, by Stages.

TAKING CHARGE: HOW TO DIRECT YOUR OWN HEALING.

19. Taking Charge of Your Medical Care.

20. Feeding the Soul.

Appendix A: 1993 CDC Criteria for a Diagnosis of AIDS.

Appendix B: List of Caloric Values.

Appendix C: Vitamin Supplementation Sources.

Appendix D: Types of Studies to Evaluate Drug Effects.

Appendix E: San Francisco General Hospital Diet Counseling IntakeForm.

Appendix F: Recommended Schedules of Prophylaxis ofInfection.

Appendix G: HIV Intake Physical Form.

Editorial Reviews

"Nutrition and HIV addresses the issues of nutrition and HIV fromthe perspective of the patient as well as the physician. Everyonewho is interested in the problems of—and solutions to—nutritionaltherapy in HIV owes it to themselves to read this book." (Paul A.Volberding, M.D., director, Center for AIDS Research, SanFrancisco)

"Thoroughly researched, readable, and compelling. An important newresource for people with HIV and for those who care for them."(Ronald Baker, Ph.D., editor, BETA (Bulletin of ExperimentalTreatments for AIDS), San Francisco AIDS Foundation)

"So the bottom line is this: HIV is a disease of decreasingnutritional status; people die of wasting when their nutritionalstatus can no longer support life; we already have ways which candelay or limit that decline, and more are on the way. In the raceagainst HIV, there are new ways we can buy more time. And for someof us, the goal to 'Be Here for the Cure' may actually be withinour grasp.'' (Mary Romeyn, M.D.)

&‘grave;As a nutritional consultant for our feeding programs, and nowwith this book, Mary Romeyn has taught us that our ‘Meals with Lovefor People with AIDS' constitutes important treatment for thisdisease.'' (Tom Nolan, executive director, Project Open Hand)

&‘grave;Hunger hurts... with Dr. Romeyn's book a person living with HIVnow has the ammunition to fight this battle we call AIDS. Nutritionand HIV: A New Model for Treatment is a comprehensive guide to AIDSmanagement through nutrition.'' (Easter M. Armas-Mikulik, founderand executive director of A Loving Spoonful)

"This book can be a useful tool for HIV-infected patients and theirdietitians." (Journal of the American Dietetic Association)

From the Publisher

Romeyn, a San Francisco internist specializing in HIV and nutrition, posits wasting, or starvation from within, as the enemy in opposing the advance of HIV infection. Already a grandmother when she began her internship in 1988, Romeyn exhibits here a remarkable combination of compassion, common sense and expertise. She explains clearly how HIV infection promotes wasting and why maintaining lean body mass is essential. She provides a self-help program for monitoring one's condition, improving one's appetite, taking the necessary supplements and dealing with special problems. A strong patient advocate and a proponent of aggressive and early treatment, she offers advice on the therapies currently available for fighting both the virus and secondary infections, choosing a doctor and a health-care plan, getting into new drug trials and using computer sources of information. Ten appendixes and a glossary pack in additional useful information. Although its focus is on nutrition, this is a truly comprehensive guide to combatting the ravages of HIV infection. (Oct.)

Publishers Weekly - Publisher's Weekly

Romeyn, a San Francisco-based internist and a member of the Scientific Advisory Committee to the San Francisco AIDS Foundation, states that "HIV is a disease of decreasing nutritional status." Through the loss of nutrients and weight, the body loses the ability to fight off AIDS or opportunistic infectors. Her book arms HIV+ individuals with the knowledge to monitor and control their own nutritional status aggressively and thus maintain better health. Romeyn explains how individuals can perform their own nutritional assessment and preserve body mass through supplements and careful eating habits. Charts, recommendations, and scientific references are included. Special problems, medicines, lifestyle suggestions, and social support for the HIV+ individual are incorporated throughout the text. Although written for the highly educated reader, this book is readable and packed with useful information. Recommended for all health libraries serving HIV+ populations.-Janet M. Schneider, James A. Haley Veterans Hosp., Tampa, Fla.

Library Journal