Linda Ennis reviews the knowledge and skills required for effective management and improved outcomes for children with renal anaemia

Anaemia is a major and predictable complication in children with chronic renal failure (CRF). Nurse specialists with knowledge and skills in anaemia management can maximise the benefits of treatments and improve the quality of life for renal patients (Neill 1997). This article discusses the role of the paediatric nephrology nurse specialist in the management of the paediatric renal patient with anaemia. The impact and consequences of renal anaemia for the child will first be considered, followed by a summary of assessment, treatment and monitoring needs. Recommended standards of care will be discussed, focusing on the opportunities that the nurse specialist has to enhance patient care and outcomes.