Prairie Rose. 2005 Aug-Oct;74(3):25-9.
Competency in pain assessment, analgesic administration, and evaluation of response to treatment is the responsibility of the nurse. The Agency for Health Care Policy and Research (AHCPR, 1994) suggests the mnemonic of "ABCDE". Ask about pain regularly and Assess pain systematically. Believe the patient in reports of pain and what relieves it. Choose pain control options appropriate for the patient, family and setting. Deliver interventions in a timely, logical and coordinated fashion. Empower patients and families. Enabling them to control their course to the greatest extent possible. The greatest gift we, as nurses, can give is to know and meet expected outcomes of pain management. The greatest gift we can give the patient/client/resident is to believe them and ease their pain. The greatest gift we can give family members is the ability to see their loved one free of pain. The memories of hours of pain and suffering will live with the patient, family and friends for the rest of their lives. Nurses can do so much to provide that comfort. What will you do?
疼痛评估、镇痛药物管理以及对治疗反应的评估能力是护士的职责所在。医疗保健政策与研究机构(AHCPR,1994)提出了“ABCDE”记忆法。定期询问疼痛情况并进行系统评估。相信患者关于疼痛及其缓解方式的报告。为患者、家庭和环境选择合适的疼痛控制方案。及时、合理且协调地实施干预措施。赋予患者和家庭权力,使他们能够在最大程度上掌控自身状况。作为护士,我们能给予的最大礼物就是了解并达成疼痛管理的预期结果。我们能给予患者/客户/居民的最大礼物就是相信他们并减轻他们的痛苦。我们能给予家庭成员的最大礼物就是让他们看到所爱的人摆脱痛苦。数小时的疼痛和苦难记忆将伴随患者、家人和朋友度过余生。护士可以做很多事情来提供这种慰藉。你会怎么做呢?