临床体验如何影响儿科慢性疼痛诊断的不确定性
Alexandra Neville1, Ignasi Clemente2, Marcia L Meldrum3
1Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
The journal of pain
|April 26, 2025
概括
儿科慢性疼痛的诊断不确定性是由临床沟通塑造的. 医疗保健提供者 医疗保健提供者
科学领域:
- 儿科心理学 儿科心理学
- 疼痛医学 医学 疼痛医学
- 临床交流 临床沟通
背景情况:
- 诊断不确定性影响了三分之一的慢性原发性疼痛的年轻人.
- 这种不确定性与儿童疼痛结果较差有关.
- 在整个疼痛护理过程中,临床沟通至关重要.
研究的目的:
- 探索影响诊断不确定性的临床接触中的因素.
- 了解患有慢性疼痛的青少年及其父母在诊断不确定性方面的经历.
主要方法:
- 分析了2003-2006年的档案数据.
- 23名患有慢性疼痛的青少年及其家长参加了这次活动.
- 记录的临床接触和采访的解释性现象学分析.
主要成果:
- 诊断不确定性是一种在临床接触中形成的社会现象.
- 疼痛经历的验证和"起源故事"与解释的联系是关键.
- 临床医生沟通可以增加或减少诊断的不确定性.
结论:
- 青少年和家长对诊断不确定性的经验是动态的,并受到临床相互作用的影响.
- 临床医生沟通策略可以针对评估和干预.
- 改善沟通可能会减少诊断的不确定性,并改善疼痛结果.
相关概念视频
Chronic Pancreatitis II: Collaborative Care
49
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
49
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Nursing Diagnosis
2.5K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.5K
Methods of Documentation VI: Case Management Model
542
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
542
Respiratory System Abnormal Finding I: Inspection and Percussion
172
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
172
Analgesia and Pain Management
398
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...
398


