The Japanese Journal of Clinical Dialysis Vol.26 No.11(2-1)

Theme Nursing Care During Dialysis Treatment and Its Usefulnessy
Title Nursing intervention for alleviation of pain during hemodialysis : Management of venous pain
Publish Date 2010/10
Author Mayumi Konomi Department of Nursing, Miishima Internal Medicine Clinic
[ Summary ] Venous pain which develops during hemodialysis usually occurs immediately or shortly after treatment begins. This pain continues until hemodialysis is complete. Some patients suffer from severe pain during hemodialysis. The causes of such pain vary from local stimuli, such as sudden changes in blood flow or a patient’s mental stress, to muscle strains included by the physical restraint which prevent patients from moving freely. A variety of factors can result in chronic pain. If changing the puncture method does not reduce pain, then pain alleviation techniques such as massage, heat applications, diversion activities that allow patients to mitigate muscle strain, relaxation techniques, or posture repositioning may be effective in reducing pain. From a nursing standpoint, we should acknowledge patients pain and try to interpret it. Furthermore, it is essential to support patients from the perspective of increasing their pain thresholds. In order to increase patient pain tolerance it is essential for the medical team to continually build supportive relations.
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