Oliver June, Coggins Candace, Compton Peggy, Hagan Susan, Matteliano Deborah, Stanton Marsha, St Marie Barbara, Strobbe Stephen, Turner Helen N
Swedish Covenant Hospital, Chicago, IL, USA.
Pain Manag Nurs. 2012 Sep;13(3):169-83. doi: 10.1016/j.pmn.2012.07.001.
The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations.
美国疼痛管理护理学会（ASPMN）更新了其关于物质使用障碍患者疼痛管理的立场声明。该立场声明得到了国际成瘾护士协会（IntNSA）的认可，并包含了基于当前证据的临床实践建议。ASPMN和IntNSA的立场是，每一位疼痛患者，包括患有物质使用障碍的患者，都有权获得有尊严、受尊重的对待，以及高质量的疼痛评估和管理。未能识别和治疗疼痛与物质使用障碍的并发情况将损害有效治疗任何一种情况的能力。护理这些患者的障碍包括污名化、误解以及难以获得精通这两类疾病的医疗服务提供者。本立场声明所涉及的主题包括物质使用及相关障碍的范围、成瘾的概念模型、伦理考量、成瘾风险分层以及临床建议。
