TY - JOUR
T1 - Assessment and Management of HIV Distal Sensory Peripheral Neuropathy
T2 - Understanding the Symptoms
AU - Anastasi, Joyce K.
AU - Pakhomova, Anna M.
N1 - Funding Information:
Anna M. Pakhomova, BSN, RN, junior research scientist, Special Studies in Symptom Management. Support was received from National Institutes of Health/National Institute of Nursing Research grant R01-NR017917-01, A Symptom Management Efficacy Study to Reduce Distal Neuropathic Pain in HIV (Primary Investigator J.K.A.).
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/4
Y1 - 2020/4
N2 - 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.
AB - 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.
KW - AIDS
KW - HIV
KW - chronic pain management
KW - comorbidity
KW - complementary therapy
KW - distal sensory peripheral neuropathy (HIV-DSP)
KW - neuropathy assessment
KW - people living with HIV/AIDs (PLWH)
KW - polypharmacy
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U2 - 10.1016/j.nurpra.2019.12.019
DO - 10.1016/j.nurpra.2019.12.019
M3 - Article
AN - SCOPUS:85082418795
VL - 16
SP - 276
EP - 280
JO - Journal for Nurse Practitioners
JF - Journal for Nurse Practitioners
SN - 1555-4155
IS - 4
ER -