Diallo Binta, Kautz Donald D
Binta Diallo, BSN, RN, CRRN, CN III, is a clinical nurse III in the neurosurgery ICU at the University of North Carolina Hospital, Chapel Hill. Donald D. Kautz, PhD, RN, is associate professor of nursing at the University of North Carolina Greensboro.
Dimens Crit Care Nurs. 2014 Nov-Dec;33(6):316-9. doi: 10.1097/DCC.0000000000000074.
By 2040, there will be 70 million people older than 65 years in the United States. Approximately 50% have pain on a daily basis, and research shows that their pain is often underdiagnosed and undertreated. Nurses have an obligation to provide state-of-the-art care and advocate for vulnerable older adults in the intensive care unit (ICU). Untreated pain can complicate an ICU stay and delay discharge. This article briefly reviews difficulties in managing pain in ICU patients, suggests creative methods to properly assess pain, and discusses approaches for encouraging elders in ICU to manage their pain effectively.
到2040年，美国将有7000万65岁以上的老年人。大约50%的人每天都有疼痛，研究表明他们的疼痛常常未得到充分诊断和治疗。护士有义务在重症监护病房（ICU）为脆弱的老年人提供最先进的护理并为他们发声。未治疗的疼痛会使ICU住院情况复杂化并延迟出院。本文简要回顾了ICU患者疼痛管理中的困难，提出了正确评估疼痛的创新方法，并讨论了鼓励ICU中的老年人有效管理疼痛的方法。
