Pain and Palliative Care for People Living with HIV/AIDS in Asia

Coughlan, Marie

doi:10.1080/j354v17n03_13

Cited by 16 publications

(20 citation statements)

References 21 publications

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“…Del Borgo et al .,[3] in their article on pain in HIV patients say that pain is one of the most frequent symptoms in these patients and it is present at all stages of disease although it is more frequent in the advanced stages. In her article on pain and palliative care for people living with HIV/AIDS in Asia, Marie Coughlan[4] observed that the prevalence of pain in HIV/AIDS patients is as high if not higher than in cancer patients. As early as 1999 Bernard N et al ,[5] said the prevalence of pain in HIV patients is between 30-80% and pain is frequently under-estimated by physicians.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of pain in patients with HIV/AIDS: A cross-sectional survey in a South Indian state

Nair¹,

Mary²,

Prarthana³

et al. 2009

Indian J Palliat Care

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Objectives:Primary - To measure the prevalence of pain in HIV/AIDS with patients.Secondary - To assess the type, site, severity, management of pain and impact of pain on quality of life in these patients.Design:Multicentre cross-sectional survey (This paper is a pilot study).Settings:ART centre at St. John's Medical College Hospital, Bangalore and Snehadan, A supportive and care centre for HIV/ AIDS patients at Bangalore.Materials and Methods:Data sheet, Brief pain inventory and Short – Form McGill pain questionnaire.Subjects:This is an ongoing study and the pilot study includes 140 HIV/AIDS patients in different stages of the disease.Results:About 66.7% (28/42) in-patients and 24.5% (24/98) out-patients complained of pain. Of the 52 patients who reported pain, 32% (14/52) reported neuropathic pain and 68% (38/52) reported noci-ceptive pain. Headache was most common followed by pain in the soles of feet and low back. Only 26.9% (17/52) received any form of analgesic. Pain severity significantly affects the quality of life.Conclusions:Pain is a common and debilitating symptom of HIV/AIDS. It is however, under-estimated and under treated.

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Section: Introductionmentioning

confidence: 99%

Prevalence of pain in patients with HIV/AIDS: A cross-sectional survey in a South Indian state

Nair¹,

Mary²,

Prarthana³

et al. 2009

Indian J Palliat Care

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“…Its prevalence has been estimated to be as high, if not higher than, in cancer patients 2. HIV-related pain has been found to significantly impair the quality of life of the people with this condition 3.…”

Section: Introductionmentioning

confidence: 99%

Inadequate pain relief in ambulatory patients with human immunodeficiency virus disease in Port Harcourt

Ebirim¹,

Otokwala²

2013

HIV

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ObjectivesTo estimate the prevalence of pain in ambulatory patients with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) in Port Harcourt and to determine the type, site, severity, and adequacy of the treatment of pain in these patients.Materials and methodsA cross-sectional survey was carried out at two antiretroviral therapy centers in Port Harcourt, Nigeria. A data sheet, the brief pain inventory, and the short form of the McGill pain questionnaire were used and 157 patients in various stages of HIV/AIDS participated in the study.ResultsAbout 83.7% (129/157) of the ambulatory patients with HIV/AIDS complained of pains. Of the patients who reported pain 61.24% (79/129) reported nociceptive pain while 38.76% (50/129) reported neuropathic pain. Chest pain was the most frequent site of pain followed by headache. About 82% (106/129) of those who complained of pain received some form of analgesic, but only 23.58% (25/106) of these obtained adequate pain relief. The majority of the participants had significant impairment of their quality of life due to the severity of their pain.ConclusionPain associated with significant impairment of quality of life is common in ambulatory patients with HIV/AIDS in Port Harcourt. Whereas the majority of the patients used various pain relief methods, analgesia was inadequate.

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“…In patients with acquired immunodeficiency syndrome (AIDS), pain manifests as a common symptom occurring in all stages of the disease with a different form for each. The more the disease progresses, higher the incidence and intensity of the pain (1) .…”

Section: Introductionmentioning

confidence: 99%

“…For the last 30 years, clinic research has produced therapeutic improvements for patients infected with AIDS; however, problems involving the management and control of pain in these patients have only recently begun being studied (1)(2)(3)(4) . Therefore, this research aimed to analyze the structures for managing pain in people with AIDS at a reference hospital for infectious diseases.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Manejo da dor de pacientes com aids: análise da estrutura gerencial em hospital de referência

Oliveira

Silva

Pereira

et al. 2013

Rev. esc. enferm. USP

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O objetivo deste estudo foi analisar a estrutura gerencial para o manejo da dor em pacientes com aids em um hospital de referência de Fortaleza, CE, Brasil. Pesquisa descritiva com enfoque qualitativo, desenvolvida no ano de 2010. Foram realizadas 20 entrevistas com profissionais de saúde (médicos e enfermeiros), analisadas segundo o referencial da análise de conteúdo. Os dados foram organizados em categorias: condições estruturais favoráveis e desfavoráveis. Constatou-se prevalência de condições desfavoráveis no discurso dos entrevistados, como ênfase no tratamento farmacológico, inexistência de atendimento específico para dor, insuficiência de profissionais experientes no manejo da dor, demanda elevada e falhas no sistema de referência e contrarreferência. Sugere-se instituir novo modelo gerencial de cuidado aos pacientes com aids, enfatizando atendimento interdisciplinar à dor, treinamento de profissionais e aprimoramento de registros em prontuários para utilização de métodos de avaliação e tratamentos mais eficazes.

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Pain and Palliative Care for People Living with HIV/AIDS in Asia

Cited by 16 publications

References 21 publications

Prevalence of pain in patients with HIV/AIDS: A cross-sectional survey in a South Indian state

Prevalence of pain in patients with HIV/AIDS: A cross-sectional survey in a South Indian state

Inadequate pain relief in ambulatory patients with human immunodeficiency virus disease in Port Harcourt

Manejo da dor de pacientes com aids: análise da estrutura gerencial em hospital de referência

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