A Conceptual Model for Assessing the Risk of Unidentified Pain.

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY
Jeffrey T Boon, Michelle D Failla, Alison R Anderson, Bernadette M Melnyk, Stephen Bruehl, Diane Von Ah, Ulrike Muench, Jessica McElfresh, Michael Carter, Todd B Monroe
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引用次数: 0

Abstract

Untreated or undertreated pain is well established as a significant problem, but unidentified pain is a distinct construct that still needs to be clearly modeled or fully described. This paper aims to develop a conceptual model of unidentified pain in humans with the goal of future development of an unidentified pain risk tool. A multi-phase process was employed consisting sequentially of 1) brainstorming followed by consensus building, 2) peer-review and publication of an integrative theoretical review protocol for "unidentified pain," 3) conduct of the integrative review, and 4) a repeated brainstorming session to identify areas of risk for unidentified pain to produce a conceptual model. Brainstorming led to a consensus on "unidentified pain" as the concept of interest, followed by developing a review protocol. Twenty-four abstracts were reviewed after database searches, and four articles were included for full-text review. Three pain risk areas (hazards) were identified: cognition/communication problems, being alone or in the absence of a surrogate/proxy report, and the presence of known painful conditions or treatments and a conceptual model was developed. The hazards are posited to have the potential to both interact and be cumulative, increasing the risk for unidentified pain. There is currently no risk tool for assessing unidentified pain. The development of this conceptual model will be used for future development and psychometric testing of a tool to recognize the risk for unidentified pain in humans. PERSPECTIVE: This focus article describes the development a conceptual model for the concept of unidentified pain in humans. This pain may occur in individuals who experience one or more interactive and cumulative hazards: cognition/communication problems, being alone, absence of a surrogate/proxy report, or presence of known painful conditions or treatments.

评估不明疼痛风险的概念模型。
未经治疗或治疗不足的疼痛已被公认为一个重大问题,但不明疼痛是一个独特的概念,仍需对其进行明确建模或全面描述。本文旨在建立人类不明疼痛的概念模型,目的是在未来开发一种不明疼痛风险工具。本文采用了一个多阶段的过程,依次包括:1)集思广益,然后建立共识;2)同行评审并发布 "不明疼痛 "综合理论综述协议;3)进行综合综述;4)重复集思广益会议,以确定不明疼痛的风险领域,从而建立一个概念模型。集思广益的结果是就 "不明原因疼痛 "这一概念达成共识,然后制定综述方案。在数据库搜索后,对 24 篇摘要进行了审查,并纳入了 4 篇文章进行全文审查。确定了三个疼痛风险领域(危害):认知/沟通问题、独自一人或没有代理/代理人报告,以及存在已知的疼痛状况或治疗方法,并建立了一个概念模型。据推测,这些危害有可能相互影响和累积,从而增加不明疼痛的风险。目前还没有评估不明疼痛的风险工具。这一概念模型的开发将用于未来开发和心理测试工具,以识别人类不明疼痛的风险。观点:这篇重点文章介绍了人类不明疼痛概念模型的开发情况。这种疼痛可能发生在经历过一种或多种交互式累积危害的个体身上:认知/沟通问题、孤独、没有代理/替代报告,或存在已知的疼痛状况或治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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