Pain as the fifth vital sign: exposing the vital need for pain education.
Pain as the fifth vital sign: exposing the vital need for pain education.
复制标题
疼痛作为第五生命体征：暴露对疼痛教育的重要需求。
DOI：
10.1016/j.clinthera.2013.10.001
复制
发表时间：
2013-11
影响因子：
3.2
通讯作者：
Weiner DK
中科院分区：
文献类型：
--
作者：
Morone NE;Weiner DK
In clinical practice pain as the 5th vital sign has proven to be more complex to assess, evaluate, and manage than originally anticipated. It has also had some serious consequences which were never intended. Associated with the national push to adequately manage patients in pain has been a rise in prescription opioids as well as a rise in opioid related death. Guided by pain as the 5th vital sign mandates, patients report pain and expect their providers to respond. Many clinicians do not know what the appropriate response is because they lack adequate education in the approach, examination, and management of patients in pain. Pain education starting in medical school and through postgraduate training usually involves piecemeal incorporation of pain topics into existing curricula or clinical rotations, without devoted stand-alone class-time. The net effect has been a serious deficit in clinical skills for the evaluation and management of the patient in pain. When both patients and clinicians view pain as purely a sensory experience then management is necessarily limited to managing the sensation (and the increased prescription of pain medications). This is likely to result in a suboptimal patient response, especially when managing chronic pain. Pain evaluation and management is further complicated in the older adult who requires a different approach to take into account comorbidities, including dementia, and increased adverse consequences of prescription medications. Expanding pain education and training is critical to remedying these problems. Attention must move beyond the focus of pain as a 5th vital sign to a focus on education and training in the evaluation, examination, and management of the patient’s pain report.
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DOI：
10.1111/j.1532-5415.2006.00883.x
发表时间：
2006-11-01
影响因子：
6.3
作者：
Cayea, Danelle;Perera, Subashan;Weiner, Debra K.
通讯作者：
Weiner, Debra K.
DOI：
10.1111/j.1532-5415.2005.53508.x
发表时间：
2005-10-01
影响因子：
6.3
作者：
Weiner, DK;Turner, GH;Hartmann, S
通讯作者：
Hartmann, S
影响因子：
120.7
作者：
Deyo, Richard A.;Mirza, Sohail K.;Martin, Brook I.;Kreuter, William;Goodman, David C.;Jarvik, Jeffrey G.
通讯作者：
Jarvik, Jeffrey G.
影响因子：
3.1
作者：
Weiner, DK;Schmader, KE
通讯作者：
Schmader, KE
影响因子：
7.4
作者：
JENSEN, MP;KAROLY, P;BRAVER, S
通讯作者：
BRAVER, S