Pain management at the end of life in a patient with renal failure.

Literature indicates that an essential element of a 'good' death is the absence of pain. Achieving a pain-free death for the patient who discontinues dialysis is a goal shared by patient, family and care providers. Pain management at end of life can be challenging, especially in the setting of renal failure. Aspects of assessment and pharmacological management of pain in the dying patient are explored through the use of a case study. Through investment in ongoing relationships with their patients, and striving to build knowledge and skills in pain management, nephrology nurses promote excellence in end-of-life patient care.