Pain Management for Persons Living With HIV Disease: Experience With Interprofessional Education in Nigeria

被引：5
作者：
Alexander, Carla S. [1 ]
Pappas, Gregory [2 ]
Henley, Yvonne [3 ]
Kangalawe, Angela Kaiza [4 ]
Oyebola, Folaju Olusegun [5 ]
Obiefune, Michael [1 ]
Nwene, Ejike [6 ]
Stanis-Ezeobi, Winifred [6 ]
Enejoh, Victor [6 ]
Nwizu, Chidi [1 ]
Nwandu, Anthea Nwandu [1 ]
Memiah, Peter [1 ]
Etienne-Mesubi, Martine [1 ]
Oni, Babatunji [1 ]
Amoroso, Anthony [1 ]
Redfield, Robert R. [1 ]
机构：
[1] Univ Maryland, Sch Med, Inst Human Virol, Baltimore, MD 21201 USA
[2] George Washington Univ, Sch Publ Hlth, Washington, DC USA
[3] Maryland Dept Hlth & Mental Hyg, Catonsville, MD USA
[4] Maryland Global Initiat Corp Tanzania, Dar Es Salaam, Tanzania
[5] Govt Nigeria, Fed Med Ctr, Idi Aba, Abeokuta, Nigeria
[6] Maryland Global Initiat Corp Nigeria, Abuja, Nigeria
来源：
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2015年 / 32卷 / 05期
关键词：
pain management; HIV; multidisciplinary; education; Nigeria; QUALITY-OF-LIFE; HEALTH-CARE; AFRICA; SEVERITY; HIV/AIDS;
D O I：
10.1177/1049909114527153
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Context: Pain management (PM) has not been routinely incorporated into HIV/AIDS care and treatment in resource-constrained settings. Objectives: We describe training for multidisciplinary teams tasked with integrating care management into HIV clinics to address pain for persons living with HIV in Nigeria. Methods: Education on PM was provided to mixed-disciplinary teams including didactic and iterative sessions following home and hospital visits. Participants identified challenges and performed group problem solving. Results: HIV trainers identified barriers to introducing PM reflecting views of the patient, providers, culture, and the health environment. Implementation strategies included (1) building upon existing relationships; (2) preliminary advocacy; (3) attention to staff needs; and (4) structured data review. Conclusion: Implementing PM in Nigerian HIV clinics requires recognition of cultural beliefs.
引用
收藏
页码：555 / 562
页数：8
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