Cooney Maureen F, Czarnecki Michelle, Dunwoody Colleen, Eksterowicz Nancy, Merkel Sandra, Oakes Linda, Wuhrman Elsa
Westchester Medical Center, Valhalla, NY, USA.
Pain Manag Nurs. 2013 Sep;14(3):176-81. doi: 10.1016/j.pmn.2013.07.003.
The American Society for Pain Management Nursing (ASPMN) has updated its 2007 position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to utilize PCA. ASPMN does not support the use of "PCA by Proxy" in which unauthorized individuals activate PCA for a patient. The background of the development of the position statement, definitions related to AACA, and application of ethical principles to the use of AACA are presented in the document. This position statement includes an updated review of the evidence related to AACA and a call for further research. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.
美国疼痛管理护理学会（ASPMN）更新了其2007年关于为无法独立使用患者自控镇痛（PCA）的患者使用授权代理人控制镇痛（AACA）的立场声明。ASPMN继续支持使用AACA来提供及时有效的疼痛管理，同时促进为无法使用PCA的弱势患者群体提供公平的护理。ASPMN不支持“代理PCA”，即未经授权的个人为患者激活PCA。该立场声明的制定背景、与AACA相关的定义以及AACA使用中的伦理原则应用在文件中有所阐述。本立场声明包括对与AACA相关证据的更新回顾以及进一步研究的呼吁。还为授权代理人、护士、开处方者和组织提供了临床实践建议，强调了适当选择授权代理人、教育、认真进行患者评估和药物管理的重要性。
