Promoting Excellence : Treatment Protocol for the symptom of Restless Legs in ESRD

Name:
Renal Palliative Care Initiative: Treatment Protocol for the symptom of Restless Legs in ESRD

Description:
This treatment protocol was created to address and manage occurrence of restless legs in patients with end stage renal disease.

Category:
Clinical Care Tools - Symptom Management

Source:
Renal Palliative Care Initiative
Baystate Medical Center
759 Chestnut Street S2669
Springfield, MA 01199

Contact:
Michael Germain, M.D.
Michael.germain@bhs.org

How the grantee used this instrument:
This protocol was made available at the clinics and renal unit nursing stations.

Keywords:
esrd, end stage renal disease, restless legs, dialysis, kidney disease, symptom assessment

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.

References:

1. Callaghan, N. "Restless Legs Syndrome in Uremic Neuropathy". Neurology 1966; 16: 359.
2. Walker, S., Fine, A., & Kryger, M.H. "Sleep Complaints are Common in a Dialysis Unit". American Journal of Kidney Disease. 1995; 26:751.
3. Harris, DC, Chapman, JR, Stewart, KH, et al. "Low Dose Erythropoietin in Maintenance Hemodialysis: Improvement in Quality of Life and Reduction in True Cost of Hemodialysis". Australia and New Zealand Journal of Medicine. 1991; 21:693.
4. Roger, SD, Harris, DCH, & Stewart, JH. "Possible Relation Between Restless Legs and Anaemia in Renal Dialysis Patients". Lancet; 337: 1551.
5. O'Keefe, St, Gavin, K, Lavan, JN. "Iron Status and Restless Leg Syndrome in the Elderly". Age Ageing, 1994;23:200.
6. Collado-Seidel, V, Kohnen, R, Samtleben, W, et al. "Clinical and Biochemical Findings in Uremic Patients With and Without Restless Legs Syndrome". American Journal of Kidney Disease,1998; 31:132.
7. Winkelman, JW, Cherow, GM, & Lazarus, JM. "Restless Legs Syndrome in End-Stage Renal Disease". American Journal of Kidney Disease, 1996; 28: 372.
8. Hening, WA, "Therapeutic Approaches to Restless Legs Syndrome and Periodic Limb Movement Disorder". Hospital Medicine, 1997; 33: 135.
9. Schenck, CH, Mahowald, MW, "Long-term, Nightly Benzodiazepine Treatment of Injurious Parasomnias and Other Disorders of Disrupted Nocturnal Sleep in 170 Adults. American Journal of Medicine, 1996; 100:333
10. Allen, RP, & Earley, CJ, "Augmentation of the Restless Legs Syndrome with Carbidopa/Levodopa". Journal Sleep 1996; 19: 205.
11. Von Scheele, C, Kempe, V, "Long-Term Effect of Dopaminergic Drugs in Restless Legs: A 2-year Follow-up". Arch Neurol 1990; 47:1223.
12. Silber, MH, Shepart, JW Jr, Wisbey, JA, "Pergolide in the Management of Restless Legs Syndrome: An Extended Study. Journal Sleep, 1997; 20:878.
13. Thorp, ML, Morris, CD, Bagby, SP, "A Crossover Study of Gabapentim in Treatment of Restless Legs Syndrome Among Hemodialysis Patients. American Journal of Kidney Disease, 2001;38:104.
14. Wagner, ML, Walters, AS, Coleman, et.al., "Randomized, Double-Blind, Placebo-Controlled Study of Clonidine in Restless Legs Syndrome". Advance for Managers of Respiratory Care, 1996; 19:52.
15. Walters, AS, Wagner, ML, Hening, WA, et al., "Successful Treatment of the Idiopathic Restless Legs Syndrome in a Randomized Double-Blind Trial of Oxycodone Versus Placebo". Journal Sleep, 1993; 16:327.

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Posted April 2004

Baystate Medical Center overview page

# BMC12, type:symptom_management

Promoting Excellence in End-of-Life Care is a national program of The Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit PromotingExcellence.org for more resources.