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Evidence-based pain guidelines in HIV care.
Gayle Newshan1, Jo Anne Staats
1Pain and Stress Management, St John’s Riverside Hospital, Yonkers, New York, USA.
The Journal of the Association of Nurses in AIDS Care : JANAC
|January 8, 2013
Summary
Pain remains a significant issue for people with HIV (PLWH), impacting quality of life. While pharmacological treatments have limitations, non-pharmacological pain management strategies show promise and warrant further investigation.
Area of Science:
- Medical Research
- Clinical Practice
Background:
- Pain is a common and debilitating symptom for people with HIV (PLWH), negatively affecting sleep and quality of life.
- Effective pain management is crucial but complicated by substance abuse concerns and potential diversion of medications.
Purpose of the Study:
- To review current evidence on pharmacological and non-pharmacological interventions for pain in PLWH.
- To present expert guidelines for managing aberrant opiate-related behaviors.
Main Methods:
- Comprehensive literature review including RCTs, meta-analyses, guidelines, and expert opinions.
- Exclusion of studies on HIV neuropathy and pediatric populations.
- Focus on English language human studies.
Main Results:
- Pharmacological interventions are common but long-term efficacy is uncertain.
- Non-pharmacological therapies show potential but require more research.
- Aberrant opiate-related behaviors are frequent in PLWH.
Conclusions:
- Pain management in PLWH requires ongoing assessment and consideration of diverse strategies.
- Non-pharmacological approaches offer a promising avenue for future research and clinical application.
- Guidelines exist to help manage complex behavioral issues related to opiate use.
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