The regulation in the ache valuation:
(A)believe that the patient's lord tells.Ache of lord's telling is a symptom but isn't diagnosis, under the influence of various factor.Because the evaluation of ache lacks objective index sign, lord's telling is the most important basis and notice guide patient to clarify the problem of most while evaluating and avoid confusion, prevent°from the history lapse of important disease, should not replace the medical personnel's observation in the meantime patient oneself feeling.
(Two)attention patient the mental appearance is to the sore influence.Need explicit patient currently whether the existence suppresses Yu or worry anxiously and suppresses Yu or the degree of the worry anxiously and understands to pass by if there is similar feeling or not, whether once accepted a mental treatment.Inquire if the patient has the career of nasty chronic ache.Understand whether the patient has alcohol or medicine dependence history, can explain a patient to fearing of slice medicine or refuse to take of behavior.The relation between mental appearance and ache is more outstanding in the cancer ache, particularly the ache is more violent or keep on of when time is longer the mental problem often influences a sore evaluation result.Therefore, in the process of evaluating in want to notice the evaluation of mental appearance.
(Three)the reasonable choice image learn a check.Clinical usually use CT, and MRI...etc., the CT is high to the tumor diagnosis reference value of the bone and the soft organization, can discover that the bone transfered in early days.MRI can make sure the degree that tumor oppresses a hard film and have same diagnosis value to the tumor inside the brain.Choose a reasonable image check according to property and part of pathological changes, to the clinical value that evaluates ache and reasonable to choose that the treatment all has importance.
(Four)notice patient's body general circumstance and have have no other diseases.Many patients at cancered merge in the meantime other diseases, particularly is old people to usually exist a chronic joint pain and chronic waist leg pain etc. not- malignant ache, sometimes need to take into to discriminate in the evaluation, explains sore reason to the patient, get rid of a patient otiose strain and misgiving, be advantageous to pain and sufferings that eases a patient.In addition to the digestive system disease that the patient gets, breathe system disease, and cardiovascular disease, endocrine disease and blood system disease...etc. to carry on overall evaluation and understanding, should well consider these paroxysm influence while using pain treatment in the town and prevent°from the occurrence of serious complications.
(Five)should notice ache to synthesize to advertise for a problem while evaluating.The familiar ache is comprehensive to advertise for to include a bone to transfer, mental derangement pain and chemotherapy after the ache synthesize disease etc..These aches are comprehensive the town pain advertising for cure an opposite difficulty, to morphine analgesic not sensitive, often need to lend support to use a medicine or adopt a some non- medicine town pain treatment method.The understanding and understanding that should has overall system to it while evaluating chooses after considering the patient's circumstance that the suitable patient cures a project.
(Six)the attention cure the evaluation of empress to the ache and again and again carry on an analgesic thing effect and badly the evaluation of reaction is to raise painful effect in the town, the decrease medicine badly responds of important means.The town pain evaluation after curing should again and again keep on to carry on, want ~only patient demand town pain treatment, treatment behind evaluate is the step of essential to have, should give in the clinical under medical treatment necessary value.
(Seven)attention choice dependable amount of evaluation form, again and again carry on an evaluation to patient's ache, evaluate quantity form in response to the basis, evaluation quantity the form should have to be easy to an usage, result credibility, can reply sex strong, the patient be easy to accept etc. characteristics.
(Eight)have a change or appear new ache to the ache property should in time make to visit patients at home to break sex evaluation combine modification treatment plan.
(Nine)church the patient and family memberses use an in common use ache evaluation method and tool, it is also important to include when the in home accepts treatment a patient, in order to make the patient be all anyplace canning get overall pain treatment in the town.
The ache is a kind of subjective feeling and experience, clinical up measure ache to to a large extent depend on the exchanges of of patient and medical personnel, should well believe that the patient's lord tells.Evaluating to measure form should the patient complete, the medical personnel should inquire the patient's ache circumstance, and patient of lord's telling is the original data of the evaluation ache.The behavior performance that adopts to observe a patient is ache strength the index sign isn't fitting.Consequently have to the accurate understanding patient tells the lord of ache true meaning is what, look for a history and check that patient tells sore reason the lord and need to collect a disease completely patient, cause a sore factor through comprehensive analysis, evaluation and assurance.So the evaluation that carries on overall system to the patient is count for much, accurate diagnosis and evaluation are the premise of fitting treatment.In the meantime in the process of curing in have to again and again carry on an evaluation, because only carry on an iterative evaluation to the treatment effect, then can the reasonable choice keep on cure a project.
The regulation in the ache valuation
3.12.2009
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