CHRONIC PAIN AND HIV: a practical approach
Patients suffering from HIV/AIDS often experience chronic pain due to the many diseases and infections they pick up as a result of a weakened immune system. It interferes with their quality of life and physical functioning, impacts adherence to antiretroviral therapy and HIV primary care, and is associated with significant psychological/social distress and substance use disorders.
Chronic Pain and HIV addresses all these complex issues that can influence pain care for the patient with HIV and acts both as a primer and a comprehensive review to define the field of chronic pain management. Using a clear, clinical approach, key topics include the following:
Musculoskeletal pain in individuals with HIV Headache in individuals with HIV Psychiatric comorbidities among individuals with HIV and chronic pain Potential benefit and harm of prescription opioids in HIV Pain at the end of life in individuals with AIDS Treatment of chronic pain syndromes in the HIV-infected person.
Edited by an outstanding team with extensive experience in HIV/AIDS and pain/palliative care, every chapter is written by a world-famous expert in their field who provides a thorough review of the relevant literature, including the very latest in management guidelines from the leading international societies.
Perfect for all those in primary care, as well as infectious disease specialists managing patients with HIV/AIDS, Chronic Pain and HIV provides sensible, straightforward clinical advice to ensure the best possible patient management.
| Foreword |
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vii | |
| About the editors |
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ix | |
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xi | |
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1 Epidemiology of chronic pain in HIV-infected individuals |
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1 | (6) |
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2 Pathophysiology of chronic pain in individuals with HIV |
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7 | (9) |
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3 Chronic pain assessment, diagnostic testing, and management, with an emphasis on communication about these topics to individuals with HIV |
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16 | (11) |
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4 HIV and chronic pain: musculoskeletal pain |
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27 | (11) |
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38 | (13) |
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6 HIV and peripheral neuropathy |
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51 | (12) |
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7 Common medical comorbid conditions and chronic pain in HIV |
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63 | (8) |
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8 Psychiatric comorbidities among individuals with HIV and chronic pain |
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71 | (7) |
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9 Comorbid substance use among persons with HIV and chronic pain |
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78 | (19) |
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10 Pharmacologic and Non-Pharmacologic treatment approaches to chronic pain in individuals with HTV |
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97 | (16) |
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11 Potential benefits and harms of prescription opioids in HIV |
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113 | (10) |
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12 Safer opioid prescribing in HIV-infected patients with chronic pain |
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123 | (14) |
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13 The "difficult patient" with HIV and chronic pain |
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137 | (13) |
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14 HIV-related pain in low- and middle-income countries with reference to sub-Saharan Africa |
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150 | (7) |
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15 Pain at the end of life in individuals With AIDS |
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157 | (8) |
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16 Disparities and barriers in management of chronic pain among vulnerable populations with HIV infection |
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165 | (12) |
| Index |
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177 | |
Jessica S. Merlin, MD, MBA, Assistant Professor, Department of Medicine, Division of Infectious Diseases, Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham
Peter A. Selwyn, MD, MPH, Professor, Department of Family and Social Medicine, Professor, Department of Internal Medicine, Professor, Department of Epidemiology and Population Health, Albert Einstein College of Medicine
Glenn J. Treisman, MD, PhD, Professor, Department of Psychiatry and Behavioral Sciences, Professor, Department of Internal Medicine, Johns Hopkins University School of Medicine
Angela G. Giovanniello, PharmD, AAHIVP, Department of Family and Social Medicine, Albert Einstein College of Medicine