Young Trudie
University of Wales, Bangor.
Br J Community Nurs. 2007;12(12 Suppl):5-8. doi: 10.12968/bjcn.2007.12.1.22683.
All wounds have the potential to cause pain, and the nature of the pain varies with the type of wound. Many factors may exacerbate wound pain, including infection, trauma at dressing changes and poor technique when applying compression therapy. Failure to assess wound pain or inadequate pain assessment can cause the patient further anguish and extended suffering. Nurses caring for patients with painful wounds need to identify the source of the pain and exacerbating factors, and determine whether it has nocicoceptive and/or neuropathic elements in order to optimize pain management for the individual patient. This article examines the assessment of wound pain and introduces an initiative that has been developed to improve the assessment process. The 'Heal not Hurt' initiative is an excellent example of the profession and industry working together to implement best practice guidance in patient-centered pain-free wound care in clinical care.
所有伤口都有可能引发疼痛，且疼痛的性质会因伤口类型而异。许多因素可能会加剧伤口疼痛，包括感染、换药时的创伤以及应用加压疗法时的技术欠佳。未能评估伤口疼痛或疼痛评估不充分会给患者带来更多痛苦并延长其受苦时间。护理有疼痛伤口患者的护士需要确定疼痛来源和加剧因素，并判断其是否具有伤害性感受和/或神经性因素，以便为个体患者优化疼痛管理。本文探讨伤口疼痛的评估，并介绍一项为改进评估过程而制定的举措。“治愈而非伤害”举措是专业人士和行业共同努力在临床护理中实施以患者为中心的无痛伤口护理最佳实践指南的典范。
