The use of algorithms in assessing and managing persistent pain in older adults.
The use of algorithms in assessing and managing persistent pain in older adults.
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DOI：
10.1097/10.1097/01.naj.0000395239.60981.2f
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发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Ersek M
中科院分区：
文献类型：
--
作者：
Jablonski AM;DuPen AR;Ersek M
随着美国人口的老龄化，护士将照顾越来越多的老年人，其中大多数人至少患有一种慢性疾病。与许多慢性疾病相关的持续性疼痛因其对功能和生活质量的有害影响而受到关注。护士在确保持续疼痛得到有效管理和维持最佳功能方面发挥主要作用。成功的疼痛管理依赖于全面的评估技能、对适合老年人的循证药物和非药物治疗策略的深入了解、持续的重新评估和合理的决策。根据循证临床实践指南开发的算法是支持和加强护士评估和管理老年人持续疼痛的工具。本文向读者介绍了使用算法来指导疼痛评估和管理，并在案例研究中说明了它们的使用。
As the population of the U. S. ages, nurses will care for increasing numbers of older adults, most of whom suffer from at least one chronic illness. Persistent pain associated with many chronic illnesses is of concern because of its detrimental effects on functioning and quality of life. Nurses play a primary role in ensuring that persistent pain is effectively managed and optimal functioning maintained. Successful pain management depends on comprehensive assessment skills, in-depth knowledge of evidence-based pharmacologic and non-pharmacologic treatment strategies appropriate for older adults, continuous re-assessment, and sound decision making. Algorithms developed from evidence-based clinical practice guidelines are tools that can support and enhance nurses’ efforts to assess and manage persistent pain experienced by older adults. This paper introduces the reader to the use of algorithms to guide pain assessment and management and illustrates their use in a case study.