**11. Preparing for death**

*Palliative Care*

• Assessing and managing the cause

• Providing benzodiazepines

**8. Psychological support**

• Counselling and testing

• Preparing for death

• Psychological and spiritual support

**9. Psychosocial and spiritual support**

**10. Support for the caregivers**

• Exercising regularly in the earlier part of the day

• *Position the patient to sitting to maximise ventilation.*

• *Adjust activity to help slow and deep breathing* [17].

require different forms of support [9, 14, 15]. These include:

for self-managing for these category populations [15, 16].

• *Ensure good ventilation by opening windows, using a fan.*

anxiety, depression, drug withdrawal, and side effects of certain ARV regimens, especially those with efavirenz [17]. A general care for sleep disturbance includes:

• Reducing the intake of stimulants and avoiding alcohol near bedtime

*Respiratory symptoms* are also common problems people living with HIV are suffering from. For instance, cough or difficulty breathing may be due to common opportunistic infections seen in people living with HIV. Difficulty in breathing is a

People living with HIV face different aspects of psychological problems that

People living with HIV need psychological and spiritual support critically important for coping with the overwhelming feelings and the threat of death. Psychological support helps people living with HIV to adapt to the disease and its complications. People living with HIV should disclose and involve in networking to get support from family, peers, and support groups. A multidisciplinary team is needed to address various concerns of people living with HIV. Psychosocial support for people living with HIV should also address finances, housing, and assistance with daily living. Spiritual support helps them to understand the meaning of life and improves belief and their faith. Spiritual support is also considered as resources

Caregivers are frequently feeling anxious or have problems with sleeping, as the person they care for comes closer to the end of life. Mild psychological

frightening experience due to fear of death. Therefore, as a general care:

**130**

Preparing for death starts with effective communication with the family. Starting to talk on distressing concern helps both the families and the patients regard will, care of families, and related costs. Discussing sensitively about dying and grief reaction is an important aspect of care for people living with HIV and their caregivers [9, 15].
