ASPMN 2024 立场陈述:无法自我报告的患者的疼痛评估
Keela Herr1, Alison R Anderson1, Caroline Arbour2
1University of Iowa College of Nursing, Iowa City, IA, USA.
概括
评估非语言患者的疼痛是困难的,因为缺乏客观的措施. 美国疼痛管理护理学会推一种疼痛评估层次,以指导全面的评估和治疗反应.
科学领域:
- 疼痛管理 疼痛管理
- 护理实践 护理实践
- 患者倡导 患者倡导
背景情况:
- 有效的疼痛识别和管理至关重要,特别是对于那些无法口头表达不适的弱势群体.
- 缺少一个普遍有效和可靠的客观疼痛测量工具,是一个重大的临床挑战.
- 美国疼痛管理护理学会 (ASPMN) 强调需要结构化评估协议.
研究的目的:
- 突出评估非沟通性个体疼痛的挑战.
- 引入ASPMN的疼痛评估层次,作为全面疼痛评估的框架.
- 强调医疗保健提供者作为倡导者对患者体验疼痛而无法传达疼痛的作用.
主要方法:
- 审查当前文献和关于弱势群体疼痛评估的指导方针.
- 解释疼痛评估层次的原则和组成部分.
- 强调通过全面收集数据来推断疼痛存在和评估治疗疗效的重要性.
主要成果:
- 疼痛评估层次结构提供了一个系统的方法来推断非语言患者的疼痛.
- 综合性评估包括收集多个数据点,以了解患者的疼痛经历.
- 评估患者对干预措施的反应是有效疼痛管理的关键组成部分.
结论:
- 护士和医疗保健提供者必须使用结构化评估工具,如疼痛评估等级.
- 倡导非沟通患者至关重要,以确保他们的疼痛得到认可并得到适当的管理.
- 改善疼痛评估实践可以带来更好的患者结果和更好的护理质量.
相关概念视频
01:25Analgesia and Pain Management
518
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...
518
01:14SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
01:26Guidelines for Nursing Documentation II
1.0K
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.
1.0K