Biomedical subjects

G Newshan

Publications and source records attributed to G Newshan.

21 records · Page 2Linked to original sources

PubMedDate not supplied

Is anybody listening? A phenomenological study of pain in hospitalized persons with AIDS.

Pain is a common problem among hospitalized persons with AIDS (PWAs), yet it has not been well studied. The purpose of this study was to understand, using the phenomenological method, the experience of pain in hospitalized PWAs. Multiple sources of data, including interviews with 11 hospitalized PWAs, literature, poetry, and film, were used to investigate the phenomenon. Five broad themes emerged: knowing pain, battling pain, having AIDS, pain's influence, and being a drug user. Multiple barriers to effective pain management were identified. Although there were commonalities in the experience of pain in chemically dependent and nonchemically dependent PWAs, unique challenges for the chemically dependent PWAs were identified. The findings indicate the importance of listening to and believing reports of pain. In addition, the findings underscore the delicate balance that exists between pain relief and relapse in PWAs with a history of chemical dependency.

Acquired Immunodeficiency Syndrome↗

PubMedDate not supplied

Use of combination antiretroviral therapy in pregnant women with HIV disease.

Important advances in human immunodeficiency virus (HIV) medicine have brought about numerous changes in the clinical care of HIV-infected individuals. The availability of protease inhibitors to treat HIV infection, the introduction of HIV-RNA polymerase chain reaction viral load tests to monitor responses to therapy, and the greater clinical benefit offered by combination highly active antiretroviral therapy (HAART) over monotherapy have dramatically decreased morbidity and mortality rates. The safety and efficacy of HAART has not been proved in pregnant women with HIV, although withholding HAART in HIV-infected women because of pregnancy is not recommended. This article presents an overview of important clinical issues relevant to the use of combination antiretroviral therapy in pregnancy.

Adult↗

PubMedDate not supplied

The effect of chemical dependency on pain perception in persons with AIDS.

A sample of persons with AIDS (N = 71) was drawn from two tertiary care centers and one group residence. Chemical dependence was measured by the Michigan Alcoholism Screening Test (MAST) and the Drug and Alcohol Screening Test (DAST), and the perception of pain was then measured with the Wisconsin Brief Pain Inventory. The hypothesis that the groups would demonstrate a significantly different perception of pain was not supported. Self-report of drug and alcohol use did not correlate well with scores on the MAST and DAST, indicating that these instruments may not measure chemical dependence in persons with AIDS. On scales of zero to 10, mean scores reflecting pain intensity averaged 5.1 and scores reflecting pain's interference with seven aspects of daily life averaged 5.98.

Acquired Immunodeficiency Syndrome↗