A Paradigm Shift for Movement-based Pain Assessment in Older Adults: Practice, Policy and Regulatory Drivers.
A Paradigm Shift for Movement-based Pain Assessment in Older Adults: Practice, Policy and Regulatory Drivers.
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老年人基于运动的疼痛评估的范式转变：实践，政策和监管驱动。
DOI：
10.1016/j.pmn.2020.08.003
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Horgas AL
中科院分区：
文献类型：
--
作者：
Booker SQ;Herr KA;Horgas AL
几十年来，护理专业一直站在老年人疼痛评估和管理的第一线。自我报告传统上是最可靠的疼痛评估方法，它仍然是识别疼痛存在和强度的优先最佳实践。虽然技术、生物标记物和面部线索识别的进步现在补充了自我报告，但最大限度地自我报告疼痛并直接从患者那里收集对总体疼痛体验的了解仍然很重要。在过去的25年里，老年人疼痛评估的实践已经演变，目前的研究和质量改进研究不仅寻求检测疼痛的存在，而且还寻求确定最佳评估方案和最重要的疼痛特征进行评估。越来越多的数据现在支持两种新兴的做法(1)一致地评估疼痛对功能的影响，以及(2)在基于运动的活动期间而不是在休息时测量疼痛。因此，这篇文章的目的是讨论老年人向基于运动的疼痛评估的范式转变，以及支持这种实践变化的实践、政策和监管驱动因素。
The profession of nursing has been on the frontline of pain assessment and management in older adults for several decades. Self-report has traditionally been the most reliable pain assessment method, and it remains a priority best practice in identifying the presence and intensity of pain. While advances in technology, biomarkers, and facial cue recognition now complement self-report, it is still important to maximize self-report of pain and to gather understanding of the total pain experience directly from patients. Practices in pain assessment in older adults have evolved over the past 25 years, and current research and quality improvement studies seek not only to detect the presence of pain but also to determine the best protocol for assessment and most important pain characteristics to assess. Increasing data are now supporting two emerging practices (1) consistently assessing the impact of pain on function and (2) measuring pain during movement-based activities rather than at rest. Thus, the purpose of this article is to discuss the shifting paradigm toward movement-based pain assessment in older adults, as well as the practice, policy, and regulatory drivers that support this practice change.
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影响因子：
1.7
作者：
Arnstein, Paul;Gentile, Deborah;Wilson, Marian
通讯作者：
Wilson, Marian
DOI：
10.1016/s1525-8610(04)70176-0
发表时间：
2001-05-01
影响因子：
7.6
作者：
Gloth, F M 3rd;Scheve, A A;Prosser, J
通讯作者：
Prosser, J
DOI：
10.1053/jpmn.2000.5831
发表时间：
2000-03-01
期刊：
Pain management nursing : official journal of the American Society of Pain Management Nurses
影响因子：
--
作者：
Feldt, K S
通讯作者：
Feldt, K S
影响因子：
9.8
作者：
Breivik, H.;Borchgrevink, P. C.;Stubhaug, A.
通讯作者：
Stubhaug, A.
影响因子：
2.9
作者：
Herr, KA;Spratt, K;Richardson, G
通讯作者：
Richardson, G