is Assistant Professor, The University of Tennessee Health Science Center in Memphis, Tennessee.
is Associate Professor of Nursing, The Ohio State University College of Nursing, Columbus, Ohio.
AANA J. 2023 Jun;91(3):180-184.
The primary risk factor for developing Alzheimer's Disease (AD) is increasing age, meaning that certified registered nurse anesthetists (CRNAs) will most likely encounter patients with AD with increasing frequency. Patients with AD are a challenge for CRNAs to quickly create a comprehensive anesthetic because of the difficulty with self-reporting and understanding how the brain responds to pain in AD. New research about how the brain processes pain in patients with AD is available, which could prove helpful. Published reports that outline a specific anesthetic plan are scarce, particularly considering each patient's own set of circumstances and where they are in the disease process. This article highlights helpful suggestions and considerations for CRNAs when assessing pain, understanding individual responses to pain, and developing a plan to help control pain when caring for patients with AD.
阿尔茨海默病（AD）的主要风险因素是年龄的增长，这意味着注册护士麻醉师（CRNAs）很可能会越来越频繁地遇到 AD 患者。由于 AD 患者在自我报告和理解大脑对疼痛的反应方面存在困难，因此他们对 CRNA 快速制定全面的麻醉方案构成了挑战。关于大脑如何处理 AD 患者疼痛的新研究已经出现，这可能会有所帮助。关于概述特定麻醉计划的已发表报告很少，特别是考虑到每位患者的具体情况及其在疾病进程中的位置。本文重点介绍了 CRNA 在评估疼痛、理解个体对疼痛的反应以及制定帮助控制 AD 患者疼痛的计划时的有用建议和考虑因素。
