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Pain Management in CKD: A Guide for Nephrology Providers
Holly M Koncicki1, Mark Unruh2, Jane O Schell3
1Division of Kidney Diseases & Hypertension, Hofstra-Northwell School of Medicine, Great Neck, NY.
Summary
Pain is common in chronic kidney disease (CKD) but often undertreated. This review equips nephrology providers with essential pain management skills to improve patient outcomes and healthcare system performance.
Area of Science:
- Nephrology
- Palliative Care
- Pain Management
Background:
- Pain is a prevalent yet under-recognized symptom in chronic kidney disease (CKD) patients.
- Inadequate pain management negatively impacts patient health and healthcare systems.
- Palliative care principles emphasize pain management as a core competency for providers.
Observation:
- This review focuses on equipping nephrology providers with essential pain management skills.
- Key skills include recognizing nociceptive and neuropathic pain syndromes and mastering history-taking.
- Identifying patients at high risk for addiction, adverse effects, or with complex needs is crucial for specialist referral.
Findings:
- Effective pain management involves developing shared treatment plans.
- Appropriate medication selection and continuous assessment of efficacy and adverse effects are vital.
- Providers can improve patient health and healthcare system performance through adequate pain management.
Implications:
- Nephrology providers can enhance patient care by implementing these pain management strategies.
- Improved pain control in CKD patients can lead to better quality of life.
- Systematic pain assessment and management can optimize healthcare resource utilization.
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