HAEMODIALYSIS

Care Management of Haemodialysis



Abstract

Use of new nursing knowledge has improved nursing practice and patient care outcomes. However, the busy bedside duties nurses face constitute barriers to reading and evaluating research. The nurse may want to use new knowledge about pain assessment, wound care, preoperative fasting, and depression screening to improve practice but may lack the skills and know how to evaluate the research critically. Barriers to analysis of the research include confusing technical terminology, statistics, and unclear research reports. The nurse needs to understand and examine the steps, cohesiveness, merits, and weaknesses of the research to assess his or her level of confidence in the findings. The general aim of this paper was to explore and describe nursing care of haemodialysis patients with focus on the life situation, health, time and professional support. The study also assess a comprehensive understanding of how nursing care was conducted in a hospital haemodialysis unit and to identify structural and cultural enablers or barriers to the provision of patient centred care.

Table of Content

Introduction4

Theoretical Approach5

Patients on haemodialysis treatment5

Demographic Measures7

Social Support7

Professional Support8

Nursing Care Case9

Case Summary9

Client Detail9

Assessment9

Diagnosis10

Expected Outcomes11

Planning and Implementation11

Evaluation12

Predialysis Care12

Postdialysis Care13

Care Management Plan15

Patients` Problems16

Shock ? Denial Stage16

Depression ? Feeling of helpless17

Sadness ? Low self-esteem17

Acceptation18

Professional Dilemma18

Conclusion19

Bibliography22

Care Management of Haemodialysis

Introduction

Nurses have assumed increasing responsibility for their ill patients, which is particularly true carer of patients who require haemodialysis as a result of renal disease. Time in everyday life and the life situation and health of patients have received little national or international attention. At the same time, nursing staff often regard next of kin as a resource when dealing with the demands and strains that arise in connection with a serious disease.

Although nursing staff have assumed more and more caring duties, they have received little financial assistance or confirmation from the social welfare system. The people around them may not realise the true extent of their caring, as renal disease is not associated with any functional impairment. The U.K welfare system has for many years provided necessary support for families afflicted by ill health. However, the level of support has decreased in recent years in line with reduced socio-economic resources, leading to a greater focus on the caring resources of nursing staff. Healthcare professionals require extensive knowledge and understanding of aspects that affect nursing staff's health and life in order to help them gain the necessary strength to support and assist the patient (Rabow, 2004, 483). By listening to nursing staff's experiences of caring for the patient in the home, nursing staff can acquire knowledge about their everyday life situation, thereby making it possible to improve co-ordinated care planning. Nurses believe it is important to care for and support the patient.

Haemodialysis is a highly technological and expensive form of treatment that places great demands on next of kin, as it is essential for them to understand the complexity of the patient's everyday life and how it is affected by the treatment. When patients are afflicted by end stage renal disease and require haemodialysis treatment, nursing staff ...