评论:儿科疼痛测量,评估和评价
Michela Carter1, Renee Cb Manworren2, Jennifer N Stinson3
1Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Seminars in pediatric neurology
|November 2, 2023
概括
准确的儿科疼痛评估对于有效治疗至关重要. 本综述涵盖了儿童疼痛评估方法,强调了儿童疼痛医学中的工具和未来个性化方法.
科学领域:
- 儿科神经学 儿科神经学
- 疼痛管理 疼痛管理
- 临床评估 临床评估
背景情况:
- 疼痛评估是诊断和有效治疗儿科疼痛的基础.
- 尽管有可用的工具,但儿童的疼痛往往是低于最佳的测量和治疗.
- 最佳的疼痛管理需要对评估原则有充分的了解.
研究的目的:
- 为从新生儿到青少年的儿科患者提供疼痛评估方法的概述.
- 为了区分疼痛评估和疼痛测量.
- 确定选择适当的疼痛评估工具的关键步骤和因素.
主要方法:
- 关于儿科疼痛评估工具的现有文献的审查.
- 讨论自我报告和行为疼痛评估方法.
- 确定选择特定评估工具的标准.
主要成果:
- 对于儿童而言,有许多有效可靠的疼痛评估工具.
- 有证据表明,现有的工具与最佳临床实践之间存在差距.
- 概述了有效疼痛评估的关键步骤和考虑因素.
结论:
- 有效的儿科疼痛管理依赖于准确和适当的疼痛评估.
- 了解评估和测量之间的细微差别至关重要.
- 未来的方向包括个性化疼痛药,利用数字健康和基因组学.
相关概念视频
Analgesia and Pain Management
634
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
634
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Methods of Documentation II: POMR
966
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
966
Special considerations while measuring pulse
594
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
594
Guidelines for Nursing Documentation II
1.1K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.1K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K


