加拿大长期护理院的疼痛:呼吁采取行动
Annie Robitaille1, Michaela Adams2, George Heckman3
1Centre of Excellence in Frailty-Informed Care, Perley Health, Ottawa, ON, Canada; Faculty of Health Sciences, Interdisciplinary School of Health Sciences, University of Ottawa, Ottawa, ON, Canada.
Journal of the American Medical Directors Association
|August 14, 2024
概括
长期护理中的疼痛评估具有挑战性,特别是对于认知障碍患者来说. 改善疼痛管理需要一种比目前标准化工具更全面的方法.
科学领域:
- 老年学是指老年学的学科.
- 疼痛管理 疼痛管理
- 医疗保健的质量 医疗保健的质量
背景情况:
- 长期护理机构的疼痛评估和管理面临重大挑战.
- 居民的认知障碍,特别是那些患有痴呆症的人,使准确的疼痛报告复杂化.
- 现有文献强调了需要在这些环境中改变疼痛评估和护理的范式.
研究的目的:
- 探索长期护理院当前的疼痛评估和管理策略.
- 识别阻碍准确疼痛评估和记录的挑战.
- 倡导一种更全面的方法来评估长期护理中的疼痛.
主要方法:
- 对长期护理疼痛管理当前文献和实践的审查.
- 对标准化评估工具的分析,如interRAI最小数据集 (MDS) 2.0和3.0.
- 长期护理人员讨论日常疼痛评估和文档的不一致性.
主要成果:
- 像interRAI MDS这样的标准化仪器已被验证用于疼痛评估,但日常文档可能不一致.
- 长期护理工作人员的各种专业知识和资源有助于疼痛评估中的不准确性.
- 低估疼痛是由于认知障碍居民的沟通困难造成的风险.
结论:
- 目前在长期护理中的疼痛评估方法不足,特别是对于认知障碍患者来说.
- 需要加强和更全面的疼痛评估策略.
- 解决不一致性和改善员工培训对于更好的疼痛管理结果至关重要.
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