engleski

Pain management in patients with chronic kidney disease

Introduction: Pain is both an often seen and inadequately managed problem of patients with chronic kidney disease, especially in the later stages of the disease progression. Some authors claim that about 50% of patients on hemodialysis experience pain and more than 75% of those affected by pain do not receive adequate treatment for their symptoms. The goal of this article is providing both nephrologists and physicians from other specialties the tools and knowledge required to understand, diagnose and properly treat pain in patients with chronic kidney disease. Review article: The sources and references used in construction of this article were found by searching the MeSH database for results including both “chronic kidney disease” and “pain management” as search terms. Out of 74 results, six papers were evaluated by the authors as being an adequate and relevant source of information for this review article, all of which are literature reviews. This paper describes and compares the findings regarding the clinical classifications of pain, pharmacologic agents used in the treatment of pain and nonpharmacologic strategies of pain management in chronic kidney disease patients and strives to provide a simple, streamlined approach to the issue of pain in this fragile and troubled patient population. Discussion: This article is not meant to shake the foundations of medical knowledge, but to shine a light on an often overlooked subject and provide a small contribution to the better treatment of a very special and sensitive patient population.

Chronic Kidney Disease ; Pain Management

nije evidentirano