评估无法报告呼吸困难的患者的呼吸窘迫。

Assessing respiratory distress when the patient cannot report dyspnea.

机构信息

Center for Health Research, College of Nursing, Wayne State University, 5557 Cass Avenue, Detroit, MI 48202, USA.

出版信息

Nurs Clin North Am. 2010 Sep;45(3):363-73. doi: 10.1016/j.cnur.2010.03.001.

DOI:10.1016/j.cnur.2010.03.001

PMID:20804883

Abstract

Ensuring patient comfort begins with a comprehensive assessment for symptom distress. The dying patient poses unique challenges for assessment because of the high prevalence of declining and impaired cognition that typifies this population. The focus of this paper is on the practical clinical question: How can we recognize respiratory distress when the patient cannot provide a report about dyspnea?

摘要

确保患者舒适首先要进行全面的症状困扰评估。临终患者的评估具有独特的挑战，因为这类人群普遍存在认知能力下降和受损的情况。本文的重点是实际的临床问题：当患者无法报告呼吸困难时，我们如何识别呼吸窘迫？