DaVita is a for profit acute and chronic hemodialysis, peritoneal, and home hemodialysis provider operating internationally. Acute renal failure and chronic kidney disease affects millions of persons, with new diagnoses occurring each and every day. These diagnoses are typically exacerbated from the number one and number two causes of renal disease, which are diabetes and hypertension. Renal disease management requires a collaborative approach between healthcare providers, patients, and families. Outcomes are directly related to the decisions patients make outside of the healthcare setting. As healthcare professionals, it is imperative that patients and families are educated regarding the acute and chronic kidney disease, making healthy …show more content…
Kidney Smart is an educational course geared educating the general public and DaVita patients about kidney disease progression, and the importance of maintain a healthy lifestyle that prevent symptom worsening. Information regarding signing up for a class is found on the healthcare site. Kidney Smart provides a platform that facilitates meaningful interaction within the community. Many people are oblivious regarding the how taxing diabetes and hypertension can be to the organs within the body. Interdisciplinary collaboration is essential with enhancing the patient experience across a variety of healthcare disciplines (Freshwater, Cahlil, and Essen, 2014). These efforts are instrumental toward preventing undesirable outcomes. Remaining employed while depending on dialysis, recipes, and other facts are also found within the healthcare site (DaVita, …show more content…
Post weights above estimated dry weight, and elevated blood pressure are two significant risks associated with hospitalizations. The registered nurse, dietician, and social worker are expected to meet once per week as an effort to collaborate and prevent hospitalizations and negative outcomes. Human resource expresses the importance of interdisciplinary communication by mandating conference calls that discuss facility outcomes. Discussions are centered upon dialysis access, nutrition, and fluid management, infection control, near misses, and medical error to name a
The nephrologist has to deduce the major cause of the disease in the individual so that he or she can know the approach to apply in treating the ailment. According to the National Kidney Foundation (2016), the considerations made are the potential risks that expose the patient to chronic kidney disease. The major risks are other conditions in the body such as diabetes, hypertension and pregnancy. The age and weight of the individual also influence the treatment and diagnosis of the disease in the patient. Chronic kidney disease mostly affects individuals over the age of 60 years thus the diagnosis approach developed mostly suits them. If the disease is found in a child, the diagnosis and treatment approach changes since the dosage especially in prescription will change. Weight is another factor that is considered in the diagnosis and treatment of the condition. Obese individuals are at a higher risk of developing diabetes, which is a cause of the disease. The other factors considered in the treatment of the disease is the stage of the disease in the individual whether it is at mild, moderate or advanced
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.
... smoking; this is making their kidneys die quicker than they already are which are struggling to try to maintain a small amount of filtration process. Lastly, a second long term goal is to encourage a person who drinks excessive alcohol to stop because that will defiantly put the person at risk to die faster than the disease itself and will also affect their liver function as well. These goals are meant to help and restore the process of Acute Renal Failure but will only be accomplished if the person with this disease is willing to give it everything they got to fight or await a miracle to end their sickness.
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
Dialysis is used when a person’s kidneys have lost 85-95% of their functioning ability. Over 100,000 people in the US are staying alive due to kidney dialysis. Kidney dialysis is also called renal dialysis. There are two types of kidney dialysis: peritoneal and hemodialysis. Both types of dialysis remove waste, salt and extra water, which builds up in the body. Dialysis not only cleanses impurities out of the blood, it also maintains blood pressure and makes sure to keep healthy levels of sodium, bicarbonate and potassium in the body. (Lewin, 2010)
...and dialysis can help you feel better quickly. (DaVita, n.d ) There are three common types of dialysis: hemodialysis, peritoneal dialysis and lastly would be a kidney transplant. Hemodialysis is the most common method used to treat advanced and permanent kidney failure. This method replaces the work of your failed kidneys. Your blood is allowed to flow, a few ounces at a time through a specific filter and removes wastes and extra fluids. The clean blood is returned to the body. Moreover, removing the toxic wastes, salts and fluid help control your blood pressure and keep a balance of chemicals like potassium and sodium in the body. When a patient is on Hemodialysis a strict schedule must be followed. The patient will go 3 times a week for 3 to 5 hours, sometimes longer. Secondly, peritoneal dialysis Kidney transplants are another treatment that can be used to
Due to the risk to for noncompliance from multiple medications, uncontrolled chronic health conditions and impaired vision of the patient, the family’s reasons for referral to a home health care coincided with the physician’s as well. Three major safety concerns validated this decision: several medications throughout the day, multiple co-morbidities, and advance age. Her ability to properly manage her medications was questioned when the healthcare team suspected she was uncompliant with her Carvedilol prescription, which consequently resulted in a hypertensive crisis. The progression of her chronic conditions, especially her kidney failure and recurrent dialysis treatment, affects her quality of life and increases her risk for complications.
The effective collaboration between the members of the renal health care team resulted in successfully reducing John’s hypertension, hyperkalaemia and overloading in the short term.
Hypertension is one of the most prevalent disorders in the US, affecting about 1 in 3 adults. Since uncontrolled blood pressure has been linked to consequences such as stroke, congestive heart failure, and chronic kidney disease, it poses considerable risk for a significant portion of the population. According to the American Heart Association, hypertension was responsible for 46,284,000 ambulatory care visits in 2007; and it is estimated that this condition will be either directly or indirectly responsible for $76.6 billion in health care costs in 2010.9 The morbidity and mortality associated with uncontrolled hypertension make initiatives to improve the quality of care in this area important in any outpatient practice.
Obesity has become a very critical problem in the United States. According to the Centers for Disease Control and Prevention (CDC, 2011) in the past two decades there has been an increasingly dramatic increase in obesity seen within the United States. Evidence from research indicate a strong correlation between being over-weight or obese with incidences of coronary heart disease, type 2 diabetes, hypertension and cancers increases (CDC, 2011). A major complication associated with diabetes is the occurrence of nephropathy which can lead to end stage renal disease (ESRD).
In the older population, dehydration can also be caused by ineffective kidneys, they may not be able to hydrate themselves due to a disability such as stroke, or they chose not to intake fluids. Hydration is an important fac...
People spend hours going to dialysis, doctor offices, and making sure all medications are took. “Coping with kidney failure is not just about managing the physical symptoms with treatment. It’s a major life change that can cause a great deal of stress and can give rise to a range of emotional reactions.” Different people react in various ways. Theres a pattern to the way that most people react. Some examples of emotional reactions are depression, stress, anxiety, and sexual problems. People may feel miserable because they are having difficulty coming to terms with some of the changes their conditions are striking against them. All human beings find change stressful. As a person with kidney failure they will have to handle more change than most people. It’s not just the change of their lifestyle, but the ongoing change dealing with adjustments of their diets, medications, and forms of treatment. There are plenty of ways kidney failures people can deal with stress such as, talking to someone who understands, doing fun activities, relaxing, or even taking short breaks. “Specific anxieties that renal patients may have are worries about how the illness will affect their relationship, their ability to work, their quality of life, and about understanding their conditions or managing their treatment.” Reasons for sexual problems include hormonal problems, medication, tiredness, emotional factors, and relationship difficulties.When on dialysis you will need to choose foods that give you the right amount of protein, calories, and minerals. When eating that it will help you stay healthy and fit and it also help your kidney disease from getting worse. There are five stages of kidney disease; their doctor determines thei...
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
As the kidneys regulate the quantity of fluid which leaves the body, patients who suffer from kidney disease progression, may be not be able to regularize fluid removal from their body. Due to this scenario, their physician or specialist may ask them to reduce their intake of fluid. Lowering daily fluid intake for the renal diet involves: not drinking to socialize or from habit, only having a drink when thirsty, and sucking on a wedge of lemon or chips of ice. It also entails taking measures for monitoring the quantity of fluid that is drunk. This is done by measuring a regularly used glass or cup to measure the quantity of fluid it holds, as well as placing the recommended daily quantity of water into a specific container, and then only taking the fluid that is consumed from this. This insures that the recommended amount is not exceeded (Medical
The Link between Nephrology attracting fewer doctors and the number of patients with kidney disease is expected to rise in the coming years because of a growing elderly population which is a crucial factor. So, what will happen if the number of neurologist doctors keeps declining, these patients will not get the medical care they need. Especially, since many of the patients with kidney problems are older they need more Nephrology doctors that are available around the clock. Nephrologist should be available to travel in and out of hospitals because a lot of their older patients are either on dialysis or in need of a kidney transplant. However, there are some younger patients with kidney disease. For example, I was diagnosed with having a rare form of kidney disease at the age of 15. The kidney disease that I have is called C3 Glomerulonephritis which is a rare form of kidney disease that affects two to three people per million. C3 Glomerulonephritis usually affects children or young adults. These patients need the care of a