Managing pain in chronic kidney disease: patient participation in decision-making

Journal of Advanced Nursing
Elizabeth Manias, Allison Williams

Abstract

This paper is a report of a study to examine how decisions about managing pain were made between patients with chronic kidney disease and nurses, what affected the decision style and the types of analgesics and adjuvant therapies given for pain relief in relation to a particular decision style. While pain often accompanies chronic kidney disease, little is known of how decisions are made about managing pain in clinical practice. Lack of patient involvement in decision-making may lead to inadequate care provision. In some care situations, nurses have been more concerned with medication side effects than giving effective pain relief. An exploratory study was conducted, using observations and interviews with a purposive sample of 14 nurses and 53 patients in five adult renal units in Australia. The data were collected during 2004. Of the 103 pain activities observed, 78 involved a passive decision style between the nurse and patient, 19 involved a collaborative decision style, and six used an active decision style. The majority of routine analgesic and adjuvant medications administered involved a passive decision style. Most importantly, 25.6% of passive style decisions observed resulted in no administration of an analgesic or adj...Continue Reading

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Citations

Aug 27, 2009·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Susanne Heiwe, Monica Bjuke
Nov 26, 2015·International Journal of Nursing Studies·Hannah Snyder, Jon Engström
Apr 23, 2013·Nursing Forum·Janet M Lusk, Kerry Fater
Feb 6, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Stephen G Henry, Marianne S Matthias
Jun 4, 2013·The Clinical Journal of Pain·Lauren J McTierMaxine Duke

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