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. 2020 Apr;16(4):276-280.
doi: 10.1016/j.nurpra.2019.12.019. Epub 2020 Mar 20.

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

Joyce K Anastasi  1 , Anna M Pakhomova  2
Affiliations

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

Joyce K Anastasi et al. J Nurse Pract. 2020 Apr.

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 neurological sensory assessment, combined with the patient's self-report of symptoms, can help nurse practitioners visualize, quantify and understand symptoms. Common pharmacological 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.

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

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