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Patient clinician communication 7 principles
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As part of the community clinical rotation students were required to attend one day at a dialysis clinic. The clinic that I had the opportunity to attend was the Regional Health Outpatient Dialysis Center. This visit allowed me to shadow a nurse to gain a better understanding of the dialysis process and also perform non-invasive skills, such as blood pressure and temperature readings. As part of the clinical assignment, the students were required to interview a dialysis patient to gain a better understanding on issues such as the patient’s quality of life, coping mechanisms, health maintenance, and support systems.
Discussion
Interview Process The dialysis clinic is set up much different than I had expected. Prior to going to the center, I pictured many different patient rooms or dividers where the patients could sit in privacy during dialysis, however, that wasn’t the case. When I walked into the clinic, there were many different reclining
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As far as the patient’s emotional life, she stated that the diagnosis affected her more in the first couple months following diagnosis than anything. She talked about how she was so scared for the unknown and not knowing what was going to happen to her in the future. Mentally, she was very depressed in those first months. As became more educated on chronic kidney disease and dialysis, she started to have less fear and began to have hope for her future. Now, she feels that she has adapted very well. One of the major fallbacks in her regards to her emotional status was when she got denied a kidney transplant a couple years ago. She said she went back to having feelings of hopelessness and depression. She said she was always tired, sad, and had no energy. She had talked to her doctor about the situation and she was treated for depression. Now, she is no longer on antidepressants and has learned of positive ways to cope when
According to my studies, Ms. Mendoza should avoid jobs involving strenuous work activity. Maintenance of optimal health is essential for her due to her being on dialysis since she is predisposed to anemia, have lowered resistance to infection, and experience fatigue. Additionally, the case study didn’t mention if she has loss of vision but most diabetics experience vision loss which impacts the ability to perform job functions .To help Ms. Mendoza , maintain a life-long program of well-being, including a well-balanced diet and an appropriate exercise program, hospitals employ a team of professionals consisting of the treating physician, dietician, medical
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
Ms. Bardsley functions as a hemodialysis liaison and leader in clinical practice with the following roles: charge nurse, preceptor, and mentor for her colleagues. She is the resource person for the Hct-Line monitoring tool. The tool is used to monitor patient’s fluid removal during treatment to avoid hypotensive episodes associated with decreased perfusion to the heart. She routinely monitors the patient outcomes which to date has resulted in 0 admissions. She recently updated the policy to make it more user friendly for the staff and to maintain staff competency.
This case study which is taken from Robert M. Veatch’s Medical Ethics book is about a 5 year old girl, who from the last 3 years, has been suffering from “progressive renal failure” which...
Kidney stones they say “is as old as malady”. Due to the fact that it was found in mummies of over 700years ( kidney analysis). Remedies for kidney stones could be achie...
When I think about the moments leading up to my diagnosis I remember feeling weak, confused, shaky and sleepy. I did not notice that I had began sleeping throughout the day. My body was craving soft drinks like soda and juice but not food. Days would go by and I eventually fell into a deep slumber that I found myself only waking up from to use the bathroom. I knew something was wrong and that if I did not get to a hospital it would get worse. Nothing could have prepared me for the life changing diagnosis I would receive.
After further multidisciplinary team meetings with the involvement of John the treatment option of automated peritoneal dialysis was implemented (NSF 2004). Once the Tenchkoff catheter had been inserted, education and training completed John was ready for discharge home.
Kuther, N. (2001). Improving compliance in dialysis patients: Does anything work. Seminars in Dialysis, 14(5), 324-327.
Before your first treatment, an access to your bloodstream must be made. The access provides a way for blood to be carried from your body to the dialysis machine and then back into your body. The access can be internal (inside the body -- usually under your skin) or external (outside the body).
For this assignment I had the pleasure sitting down with Emily Petermeier and getting an insight on what the real nursing world is like. Emily graduated from the University of Minnesota School of Nursing in May 2015, and got a job at Fairview East Bank Hospital. This interview really helped me understand what it is like to be a new nurse and the dedication that I have to have going through nursing school and throughout my career. In the interview you will see the perspective of Emily’s endeavors after college and insight for future nurses or nursing students.
The article has been well organized and written. Mackay clearly states her rationale for writing the article and provides a valid reason to hold up her article with sources. Within the introduction section, the authors present worrying statistics of Americans affected by kidney disorders. Moreover, the author provides the disadvantages of dialysis with only Kidney transplantation being the only option. The author relates the topic to the readers...
To the majority of Americans, dialysis is a confusing process that they will hopefully never have endure, but for hundreds of thousands people, it is a daily fact of life. According to US News and World Report, “In the United States, almost 400,000 people undergo dialysis every year.” (Gordon, 2012, para. 4) Their lives revolve around receiving dialysis three days a week for three to four hours per treatment, usually at an outpatient clinic. While dialysis can prolong the end stage renal disease (ESRD) patients’ life, the three day a week trudge to this clinic can feel like and endless cycle of discomfort and inconvenience. Fortunately the ESRD patient has more than one option, namely, peritoneal dialysis.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
The kidneys are responsible for several necessary functions, which include maintain proper blood pressure levels, filtering toxins and wastes from the bloodstream, excreting the waste through urine, contribute to the production of red blood cells and producing a variety of essential enzymes and hormones. Approximately 30 percent of cats develop kidney disease during their lifetime; many of these cases will progress to kidney failure. When the kidneys fail to perform properly, the cat 's life is at risk.
My mother has suffered from a rare kidney disease called glomerulonephritis my entire life. This disease eats away at my mother’s health, leaving her mostly bed-ridden and depressed. My father is a store director at a local grocery store and has been for twenty-seven years.