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

Am J Hosp Palliat Care. 2015 Aug;32(5):555-62. doi: 10.1177/1049909114527153. Epub 2014 Apr 10.

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.

Keywords: HIV; Nigeria; education; multidisciplinary; pain management.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Acquired Immunodeficiency Syndrome / therapy
  • Culture
  • Environment
  • Female
  • Gender Identity
  • HIV Infections / therapy*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Inservice Training / organization & administration*
  • Male
  • Nigeria
  • Pain Management / methods*
  • Patient Care Team / organization & administration*
  • Sex Factors

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