Horgas Ann L
Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, PO Box 100197-HSC, Gainesville, FL 32610, USA.
Nurs Clin North Am. 2017 Sep;52(3):375-385. doi: 10.1016/j.cnur.2017.04.006. Epub 2017 Jul 5.
Pain is a common experience for many older adults. Significant efforts have been undertaken to address and improve the assessment of pain in older adults over the past 2 decades. There have been many empirical studies and several expert panel statements to guide health care providers in the best practices for assessing pain in this population. This article provides a conceptual model that summarizes causes and consequences of pain and highlights the relationship between acute and persistent pain. Recommendations for pain assessment tools, including those developed for use in cognitively impaired elders, are presented.
疼痛是许多老年人的常见经历。在过去20年里,人们付出了巨大努力来解决和改进对老年人疼痛的评估。有许多实证研究以及几份专家小组声明,以指导医疗保健提供者掌握评估该人群疼痛的最佳实践方法。本文提供了一个概念模型,总结了疼痛的原因和后果,并强调了急性疼痛和持续性疼痛之间的关系。文中还给出了疼痛评估工具的建议,包括那些为认知障碍老年人开发的工具。