Pain Management in HIV/AIDS. Gayle Newshan, PhD, ANP. Pain Management in HIV/AIDS Objectives. Identify two essential steps in pain management Identify common pain syndromes in persons with HIV/AIDS Describe nursing assessment of pain in the person with HIV/AIDS
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Gayle Newshan, PhD, ANP
As of 2001, JCAHO is requiring that all members meet new standards in pain management. In particular they are stressing:
If one non-opiate is ineffective, switch to a different one.
If one NSAID is ineffective, switch to a different class
Corticosterioids caution: can cause gastric bleeding, caution with low platelet counts
Antidepressants caution: can cause dry mouth, urinary retention and “hangover effect
Antihistamine Caution: Can cause dry mouth and drowsiness
Anticonvulsant Caution: carbamazepine can cause neutropenia
Nutriceuticals (dietary supplements such as glucosamine chondroitin)
Distraction (tv, reading)Step 4: Complementary and Non-Pharmacological Therapies
These therapies have research to support that they reduce pain. Most research done in non-HIV patients