Pain Assessment in the Patient Unable to Self-Report: Clinical Practice Recommendations in Support of the ASPMN 2019 Position Statement

Pain Assessment in the Patient Unable to Self-Report: Clinical Practice Recommendations in Support of the ASPMN 2019 Position Statement
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DOI:
10.1016/j.pmn.2019.07.005
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发表时间:
2019-10-01
影响因子:
1.7
通讯作者:
Manworren, Renee C. B.
Manworren, Renee C. B.
中科院分区:
医学3区
文献类型:
--
作者:
Herr, Keela;Coyne, Patrick J.;Manworren, Renee C. B.

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疼痛是一种主观体验,不幸的是,有些患者无法以口头、书面或其他方式自我报告疼痛。对于无法自我报告疼痛的患者,必须使用其他策略来推断疼痛并评估干预措施。为了支持ASPMN立场声明“无法自我报告的患者的疼痛评估”,本文提供了五个人群的临床实践建议,这些人群通常存在疼痛沟通困难:新生儿,幼儿和幼儿,智障人士,危重病/无意识患者,晚期痴呆老年人和临终患者。护士是确保对这些弱势群体进行评估和治疗的不可或缺的一部分。皇冠版权所有(c)2019由Elsevier Inc.美国疼痛管理护理学会(American Society for Pain Management Nursing)
Pain is a subjective experience, unfortunately, some patients cannot provide a self-report of pain verbally, in writing, or by other means. In patients who are unable to self-report pain, other strategies must be used to infer pain and evaluate interventions. In support of the ASPMN position statement "Pain Assessment in the Patient Unable to Self-Report", this paper provides clinical practice recommendations for five populations in which difficulty communicating pain often exists: neonates, toddlers and young children, persons with intellectual disabilities, critically ill/unconscious patients, older adults with advanced dementia, and patients at the end of life. Nurses are integral to ensuring assessment and treatment of these vulnerable populations. Crown Copyright (c) 2019 Published by Elsevier Inc. on behalf of the American Society for Pain Management Nursing