不能手术的髋部骨折患者的护理。

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2025-06-01 DOI:10.1136/spcare-2025-005440

Arouba Imtiaz, Amelia Collins, Fiona Rawlinson, Antony Johansen

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引用次数: 0

摘要

髋部骨折带来了巨大的挑战，特别是在处理不适合手术的人的严重意外疼痛方面。我们提出的情况下，一个老年男子与多种合并症谁是非手术管理。标准阿片类药物起到镇静作用，疼痛缓解有限。静脉注射芬太尼的患者自控镇痛（PCA）提供了有效的、短效的缓解，使患者保持警觉并参与护理。本病例强调PCA作为一种实用的选择，以管理事件疼痛选定姑息病人。

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Caring for a Patient with Inoperable Hip Fracture.

Hip fractures pose significant challenges, particularly in managing severe incident pain in people who are not fit for surgery. We present the case of an older man with multiple comorbidities who was managed non-operatively. Standard opioids caused sedation with limited pain relief. Patient-controlled analgesia (PCA) with intravenous fentanyl provided effective, short-acting relief, allowing the patient to remain alert and engage in care. This case highlights PCA as a practical option for managing incident pain in selected palliative patients.

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.