Telford Angela
The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, England.
Nurs Older People. 2017 Oct 31;29(9):32-41. doi: 10.7748/nop.2017.e980.
Pain is a diverse, individual experience and is associated with distress and suffering. Uncontrolled acute pain has been linked to delayed recovery and prolonged hospital stay. Nurses have a duty of care to their patients and acute pain management is integral to this. However, acute pain in older people can be difficult to manage, often because of under-reporting or difficulties in assessment. Older people have altered physiology often compounded by multiple co-morbidities and polypharmacy, all of which affect the appropriateness of, and available, pharmacological pain management strategies. In addition, older people are at greater risk of adverse drug reactions, drug interactions and side effects from analgesia. Consequently, non-pharmacological strategies should also be integral to pain management.
疼痛是一种多样的个人体验，与痛苦和折磨相关。未得到控制的急性疼痛与恢复延迟和住院时间延长有关。护士对其患者负有照护职责，而急性疼痛管理是其中不可或缺的一部分。然而，老年人的急性疼痛往往难以管理，这通常是由于报告不足或评估困难所致。老年人的生理机能发生改变，常常因多种合并症和多种药物治疗而更加复杂，所有这些都会影响药理学疼痛管理策略的适用性和可获得性。此外，老年人发生药物不良反应、药物相互作用和镇痛副作用的风险更高。因此，非药物策略也应成为疼痛管理不可或缺的一部分。
