Promoting Excellence : Treatment Protocol for Insomnia in ESRD

Renal Palliative Care Initiative: Treatment Protocol for Insomnia in ESRD

This treatment protocol was created to address and manage the occurrence of insomnia in patients with end stage renal disease.

Clinical Care Tools - Symptom Management

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

Michael Germain, M.D.
[email protected]

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

esrd, end stage renal disease, insomnia, 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.


  1. Holley, JL, Nespor, S, & Rault, R. "A comparison of reported sleep disorders in patients on chronic hemodialysis and continuous peritoneal dialysis." American Journal of Kidney Diseases, 1992;14:156.
  2. Walker, S, Fine, A & Kryger, MH, "Sleep complaints are common in a dialysis unit." American Journal of Kidney Diseases, 1995; 28:372.
  3. Kimmel, PL, Miller, G, & Mendelson, WB, "Sleep apnea in chronic renal disease." American Journal of Medicine, 1989; 86:308
  4. Mendelson, WB, Wadhwa, NK, Greenberg, HE, Gujavarty, K, & Bergofsky, E, "Effects of hemodialysis on sleep apnea syndrome in end-stage renal disease." Clinical Nephrology, 1990; 33:247.
  5. Pressman, Mr, Benz, RL, Peterson, DD, "High incidence of sleep disorders in end-stage renal disease patients." Journal of Sleep Research, 1995;25:321

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Posted April 2004

Baystate Medical Center overview page

# BMC15, type:symptom_management

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