Managing HIV. Part 2: Phases of disease. 2.4 HIV and advanced immune deficiency

Advanced immune deficiency is defined as a CD4 cell count below 200/microL. This phase is marked by considerable medical intervention requiring close coordination between general practitioner and specialist, with the goal of minimising the patient's time in hospital. The patient must be assisted with the psychological adjustments that lead to death with dignity. Managing HIV in all its manifestations will make a great difference to the quality of both life and death.