疼痛护理Chapter 9 Pain management
学习目标
1.了解疼痛的药物指导
2.掌握下列词汇
chronic pain 慢性疼痛
oral administration 口服给药
dosage 剂量，用量
Zhang Jun suffers from chronic pain and comes to the hospital for pain control.Li Na is his primary nurse.She is talking with the patient and giving health instructions.
Li Na: Good morning, Zhang Jun.How do you feel today?
Zhang Jun: Good morning, Li Na.I am sorry to tell you that I didn't take the medication last night as I had no pain.Now I'm feeling quite painful.
Li Na: Sorry to hear that.We regularly dispense medications to you based on its half-life and duration.The purpose is to provide continuous pain relief.If you do not take the medicine on time, it would be difficult to keep your pain under control.
Zhang Jun: Why do I need to take oral pain relievers?
Li Na: Oral administration of medicine is more economical,convenient and provides better absorption and greater safety.
Zhang Jun: Okay, Li Na.I will take medicine on time, but I am wondering why other people take less dose of pain medicine than I do.
Li Na: Good question.Because the sensitivity to narcotic drugs varies greatly among individuals, there is no universal dosage ofopiates for all people.The optimal dosage is the one that can relieve pain and minimize side effects.
Zhang Jun: OK, I understand.But the pain really bothers me.
Li Na: Don't worry.Your pain can be relieved.Do not endure the pain when it occurs.Instead, you should tell us your pain score immediately so that we can make the right management plan for you.Take oral drugs on time.Do not stop drugs or alter the dosage and the frequency ofdrug-taking without physician's advice.
Zhang Jun: OK.Thank you, Li Na.This conversation makes me feel much better.
译文
张军患有慢性疼痛，他来医院控制疼痛。李娜是他的责任护士，她正在和患者对话，进行健康教育。
李娜：早安，张军，今天感觉怎么样？
张军：早安，李娜，对不起，昨天晚上没有痛，所以药物没有按时吃，今天感觉肚子很痛。
李娜：听到这些我很遗憾，我们是按照药物的半衰期及作用时间，定时给你发药，目的是使疼痛得到持续的缓解。如果你没有按时吃药，那么你的疼痛会很难控制。
张军：为什么一定要口服止痛药呢？
李娜：口服给药经济、方便、吸收好、安全性高。
张军：好吧，李娜，我一定按时吃药，但是很奇怪，为什么别人吃的药量比我少？
李娜：这个问题问得好。因为麻醉药品的敏感度个体差异很大，所以阿片类药品并没有标准剂量，凡是能使疼痛得到缓解并且不良反应最低的剂量就是最佳剂量。
张军：好的，我记住了，但是疼痛真的让我很苦恼。
李娜：不要太担心，疼痛是可以缓解的。不要忍痛，疼痛发生时，及时告知我们疼痛评分，以便我们可以制订正确的镇痛方案。口服药物要按时服用，不可擅自停药或增减药量及频次。
张军：好的，谢谢你李娜，这次交谈让我安心很多。