Assessment and Management of HIV Distal Sensory Peripheral Neuropathy: Understanding the Symptoms

Joyce K. Anastasi; Anna M. Pakhomova

doi:10.1016/j.nurpra.2019.12.019

Assessment and Management of HIV Distal Sensory Peripheral Neuropathy: Understanding the Symptoms

Joyce K. Anastasi, Anna M. Pakhomova

Nursing

Research output: Contribution to journal › Article

Abstract

Distal sensory peripheral neuropathy (HIV-DSP) affects upwards of 50% of people living with HIV. Causing often debilitating symptoms of tingling, numbness, and burning, HIV-DSP can result in disability, unemployment, and low quality of life. Comorbidities further complicate nursing care, heightening risk of polypharmacy and symptom exacerbation. Therefore, a neurologic sensory assessment, combined with the patient's self-report of symptoms, can help nurse practitioners visualize, quantify, and understand symptoms. Common pharmacologic interventions include antiepileptics, antidepressants, analgesics, and medical marijuana. The complexity of care for individuals with HIV-DSP merits a comprehensive approach. Implications for practice include interdisciplinary management with neurologists, podiatrists, mental health providers, and nurse-led counseling inclusive of patient safety teaching.

Original language	English (US)
Pages (from-to)	276-280
Number of pages	5
Journal	Journal for Nurse Practitioners
Volume	16
Issue number	4
DOIs	https://doi.org/10.1016/j.nurpra.2019.12.019
State	Published - Apr 2020

Keywords

AIDS
HIV
chronic pain management
comorbidity
complementary therapy
distal sensory peripheral neuropathy (HIV-DSP)
neuropathy assessment
people living with HIV/AIDs (PLWH)
polypharmacy

ASJC Scopus subject areas

Advanced and Specialized Nursing

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Anastasi, J. K., & Pakhomova, A. M. (2020). Assessment and Management of HIV Distal Sensory Peripheral Neuropathy: Understanding the Symptoms. Journal for Nurse Practitioners, 16(4), 276-280. https://doi.org/10.1016/j.nurpra.2019.12.019

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abstract = "Distal sensory peripheral neuropathy (HIV-DSP) affects upwards of 50% of people living with HIV. Causing often debilitating symptoms of tingling, numbness, and burning, HIV-DSP can result in disability, unemployment, and low quality of life. Comorbidities further complicate nursing care, heightening risk of polypharmacy and symptom exacerbation. Therefore, a neurologic sensory assessment, combined with the patient's self-report of symptoms, can help nurse practitioners visualize, quantify, and understand symptoms. Common pharmacologic interventions include antiepileptics, antidepressants, analgesics, and medical marijuana. The complexity of care for individuals with HIV-DSP merits a comprehensive approach. Implications for practice include interdisciplinary management with neurologists, podiatrists, mental health providers, and nurse-led counseling inclusive of patient safety teaching.",

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