Chronic Kidney Disease Associated with Pruritus And Nursing Care

Abstract

Pruritus is defined as an unpleasant sensation and there are many diseases in the etiopathogenesis. Among these systemic diseases, chronic renal failure associated with pruritus is seen with a prevalence of 10-70% in end stage renal disease patients. Although there are many hypotheses about the pathophysiological mechanism of chronic renal failure associated pruritus, it is still unclear and adversely affects the patients’ life. Patients have insomnia with itching at night, fatigue, itching scratching with discomfort and social isolation problems. The negative impact of the quality of life of the patients makes assessment of the itch important and the assessment is done by both subjective and objective measurement methods and scales. While pharmacological and non-pharmacological options are included in the treatment, nursing care includes skin care precautions and practices on chronic renal failure associated pruritus. In nursing care, prevention, early detection and assessment with written and verbal scales of pruritus with record of chronic renal failure pruritus. In this review, chronic renal failure associated pruritus and prevalence, classification, pathophysiological hypothesis, impact on patients' life, assessment, treatment and nursing care will be mentioned.ce, classification, pathophysiological hypothesis, impact on patients' life, assessment, treatment and nursing care will be mentioned.