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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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An Osteopathic Approach to Chronic Pain Management.

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    Chronic pain management requires a shift towards nonpharmacologic therapies. Osteopathic physicians can integrate cognitive behavioral and nonopioid approaches to improve patient outcomes and reduce opioid reliance.

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    Area of Science:

    • Pain Management
    • Osteopathic Medicine
    • Public Health

    Background:

    • Chronic pain significantly impacts quality of life and economic productivity.
    • Opioid prescriptions for chronic pain have led to widespread addiction and overdose crises.
    • The US Surgeon General advocates for nonpharmacologic treatments to address chronic pain.

    Purpose of the Study:

    • To outline nonpharmacologic treatment strategies for chronic pain.
    • To guide osteopathic physicians in integrating alternative pain management modalities.
    • To promote a patient-centered approach in chronic pain care.

    Main Methods:

    • Review of cognitive behavioral approaches for pain.
    • Identification of nonopioid pharmacologic therapies.
    • Exploration of diverse nonpharmacologic interventions.

    Main Results:

    • Cognitive behavioral therapy (CBT) offers a framework for pain self-management.
    • Nonopioid medications and therapies provide alternatives to opioids.
    • Holistic nonpharmacologic strategies can be integrated into osteopathic practice.

    Conclusions:

    • Osteopathic physicians can lead a paradigm shift in chronic pain management.
    • Integrating nonpharmacologic therapies empowers patients and reduces opioid risks.
    • A multimodal, patient-centered approach is crucial for effective chronic pain treatment.