Kovach Christine R, Noonan Patricia E, Schlidt Andrea Matovina, Reynolds Sheila, Wells Thelma
College of Nursing, University of Wisconsin-Milwaukee, Cunningham Hall, 1921 East Hartford Avenue, Milwaukee, WI 53201-0413, USA.
J Gerontol Nurs. 2006 Apr;32(4):18-25; quiz 26-7. doi: 10.3928/00989134-20060401-05.
Individuals with dementia often use behaviors rather than specific verbal complaints to express the presence of a symptom or need. The Serial Trial Intervention uses systematic serial assessments and sequential trials of treatments to identify and treat unmet needs that may be the underlying cause of these behaviors. Because chronic pain is common and often under-treated in this population, a trial of analgesics is used when other approaches, including nonpharmacological treatments, have not been effective. A systematic approach to nursing assessment and treatment is needed to identify and treat discomfort and other unmet needs of individuals with dementia.
患有痴呆症的人通常通过行为而非特定的言语抱怨来表达症状或需求的存在。系列试验干预采用系统的系列评估和序贯治疗试验，以识别和治疗可能是这些行为潜在原因的未满足需求。由于慢性疼痛在该人群中很常见且往往治疗不足，当包括非药物治疗在内的其他方法无效时，会使用镇痛药进行试验。需要一种系统的护理评估和治疗方法来识别和治疗痴呆症患者的不适及其他未满足需求。
