Pain Management for Persons Living With HIV Disease: Experience With Interprofessional Education in Nigeria. (August 2015)

• Record Type: Journal Article
• Authors: Alexander, Carla S.; Pappas, Gregory; Henley, Yvonne; Kangalawe, Angela Kaiza; Oyebola, Folaju Olusegun; Obiefune, Michael; Nwene, Ejike; Stanis-Ezeobi, Winifred; Enejoh, Victor; Nwizu, Chidi; Nwandu, Anthea Nwandu; Memiah, Peter; Etienne-Mesubi, Martine; Oni, Babatunji; Amoroso, Anthony; Redfield, Robert R.
• Is Part Of: American journal of hospice & palliative care. Volume 32:Number 5(2015)
• Page Start: 555
• Page End: 562
• Publication Date: 2015-08
• Subjects: pain management -- HIV -- multidisciplinary -- education -- Nigeria; Hospice care -- Periodicals; Palliative treatment -- Periodicals; 362.175
• DOI: 10.1177/1049909114527153
• Languages: English
• ISSNs: 1049-9091

Abstract

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.