Identifying and Supporting Patients with CKD-associated Pruritus

Many patients with CKD experience pruritus (itching) daily, with a significant impact on quality of life. The cause of CKD-related pruritus remains unclear. There are many treatments being employed in an attempt to ameliorate itching, including topical and systemic therapy and non-pharmacologic therapy, but most lack data to support their use. However, there are promising agents in development.

Most patients with CKD-related pruritus have resigned themselves to suffering with the condition and do not communicate about it with healthcare providers. Allied health professionals such as renal nurses, dietitians, and social workers are often a primary resource for patients dealing with pruritus. "Identifying and Supporting Patients with CKD-associated Pruritus” will provide these healthcare professionals with information about the current understanding of CKD-related pruritus cause and treatment, tools to identify patients who may be suffering from CKD-related itch, and strategies to advocate with other healthcare team members for pruritus management in these patients.

Target Audience

The intended audience for this educational activity is renal nurses, dietitians, and social workers who manage patients with chronic kidney disease.

Learning Objectives

Upon completion of this activity, participants will be able to:

  1. Describe the disease burden, symptom presentation, prevalence and treatment options for CKD-associated pruritus
  2. Proactively identify patients who may not self-report pruritus
  3. Advocate for CKD-associated pruritus patients with the patient’s physician and other healthcare team members in order to improve patient quality of life and overall outcomes

Additional Information

Course sponsor: 
This activity is supported by an educational grant from Cara Therapeutics.
Course Length: 
Approximately 1 hour
Course summary
Available credit: 
  • 1.00 ANCC
  • 1.00 Association of Social Work Boards Approved Continuing Education (ASWB-ACE)
  • 1.00 Commission on Dietetic Registration (CDR)
Course opens: 
Course expires: 


  • Welcome and Introductions
  • What causes CKD-related pruritus?
  • Managing CKD-related Pruritus
  • Advocating for Patients with CKD-related Pruritus
  • Q & A Session and Activity Roundup


Christine Chmielewski, MS, CRNP, ANP-BC, CNN-NP is a nephrology nurse practitioner with Jefferson Renal Associates at Thomas Jefferson University Hospital in Philadelphia, Pa. She received her B.S. in nursing from Wilkes College and her M.S. in nursing, with a focus on renal nursing, from Boston University. She earned her post-Master’s certificate as an adult nurse practitioner from Temple University.

She has worked in nephrology nursing for 40 years. She has clinical experience in the areas of multi-organ transplant, dialytic therapies, and all stages of CKD. In her current position as a Nurse Practitioner, she provides care to nephrology patients in both the dialysis setting and the nephrology office.

As an educator, she taught undergraduate nursing at Holy Family University and Temple University in Philadelphia, PA. She has been a guest lecturer for the Acute Care, Primary Care and Family NP programs at Thomas Jefferson University. She is actively involved in nursing continuing education as a presenter at local, regional, and national programs.

As an author, she has authored and co-authored nephrology-related articles, chapters, and case studies.

DISCLOSURE: Cara Therapeutics - Presenter at ANNA National Symposium (honorarium)


Sloane Mosley, MSW, LCSWA is a dialysis social worker. She has worked with both home and in center modalities for five years. She moved to North Carolina in 2011. She received her

Undergraduate Degree in Human Services Counseling from Old Dominion University and received her Master’s in Social Work from University of Southern California. She is a part of the

Professional Education Committee with the National Kidney Foundation. Additionally, she has several years of experience in mental health, domestic adoptions and children and families. In her free time, she enjoys spending time with her three children, 2, 7 and 16, and husband.

DISCLOSURE: Nothing to disclose



Melissa Prest, DCN, MS, RDN, CSR, LDN completed her doctorate in clinical nutrition from Rutgers University and her master’s degree in clinical nutrition from the University of Medicine and Dentistry of New Jersey.  Her research has focused on quality of life and medical nutrition therapy in persons living with chronic kidney disease or CKD.

For the past twelve years, Dr. Prest has provided medical nutrition therapy to patients with CKD in a variety of settings and is the owner of a private practice and health coaching firm, Kidney

Nutrition Specialists, based in Chicago, IL.  Dr. Prest has held many volunteer leadership roles with local, state, and national dietetic groups. She is also a National Media Spokesperson for the Academy of Nutrition and Dietetics.

“Besides being able to form a relationship with your client or patient, what I most enjoy about working with a person living with chronic conditions is seeing the impact of making healthy behavior changes on his/her quality of life.”

DISCLOSURE: Cara Therapeutics, Nutricia - Scientific/Medical Advisory Board Member


In support of improving patient care, this activity has been planned and implemented by Amedco LLC, American Kidney Fund and Rockpointe Corporation.  Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.


Amedco LLC designates this activity for a maximum of 1 CPEU.



Amedco LLC designates this activity for a maximum of 1 ANCC contact hour.



As a Jointly Accredited Organization, Amedco is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Amedco maintains responsibility for this course. Social Workers completing this course receive 1 GENERAL continuing education credit.


The following state boards accept courses offering ASWB ACE credit for Social Workers: AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NC, ND, NE,  NH, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WV, WY

* WV accepts ASWB ACE unless activity is live in West Virginia, then an application is required.

The following state boards accept courses offering ASWB ACE credit for Counselors: AK, AR, AZ, CA, CO, CT, DC, FL, GA, IA, ID, IL, IN, KS, MA, MD, ME, MO, ND, NE, NM, NH, NV, OK, OR, PA, TN, TX, UT, VA, WI, WY

AL/Counselors: Activities not providing NBCC approval may be approved by the Board for individual licensees upon receipt of acceptable documentation prior to the activity.  Please send course details to your licensing board for approval BEFORE the event.  No approvals afterward by the board.

MI: No CE requirement

The following state boards accept courses offering ASWB ACE credit for MFTs: AK, AR, AZ, CA, CO, FL, IA, ID, IN, KS, MD, ME, MO, NC, NE, NH, NM, NV, OK, OR, PA, RI, TN, TX, UT, VA, WI, WY

MA / MFTs: Participants can self-submit courses not approved by the MAMFT board for review.

MI: No CE requirement

The following state boards accept courses offering ASWB ACE credit for Addictions Professionals: AK, CA, CO, CT, GA, IA, IN, KS, LA, MO, MT, ND, NM, NV, OK, OR, SC, WA, WI, WV, WY



Amedco SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #0115. 1 hour.


For information about the accreditation of this activity, please email: 


The following table of disclosure information is provided to learners and contains the relevant financial relationships that each individual in a position to control the content disclosed to Amedco. All of these relationships were treated as a conflict of interest, and have been resolved. (C7 SCS 6.1-6.2, 6.5)

All individuals in a position to control the content of CE are listed below.

Christine Chmielewski, MS, CRNP, ANP-BC, CNN-NP - Cara Therapeutics - Presenter at ANNA National Symposium (honorarium)

Sloane Mosley, MSW, LCSWA - Nothing to disclose

Melissa Prest, DCN, MS, RDN, CSR, LDN - Cara Therapeutics, Nutricia - Scientific/Medical Advisory Board Member


The contents of some CE activities may contain discussions of non-approved or off-label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.


There is no fee for this activity. To receive credit, participants view this activity in its entirety, and then complete the post-test, with a score of 75% or better, and fill out the evaluation. The estimated time for completion of this activity is 1 hour. To receive their certificates, participants must demonstrate mastery of the presented material via the post-test. Participants are allowed to take the post-test multiple times.

Available Credit

  • 1.00 ANCC
  • 1.00 Association of Social Work Boards Approved Continuing Education (ASWB-ACE)
  • 1.00 Commission on Dietetic Registration (CDR)


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