The strengths of the study were the educational topics of the importance of eGFR and CKD management. The fact that this study showed that there was indeed a continuation of late referrals to the nephrologists could help further problems. The staging principals and risks discussed were also important. Another strength was the fact that a pre and post survey was conducted; with the education in between the surveys. The weakness of the studies education was the lack of actual case studies and the PCPs thought that nephrologists not peers should teach the lectures. The ability of the PCPs to attend both the supper and lunch was a weakness. Another weakness of the research was the fact that it didn’t discuss all of the questions that were on the survey and how they were answered. It would have been beneficial to see those results.
Importance of study to selected topic
This study helps with the selected topic, the relationship between the education of NPs and their referral times to the nephrologists. It gives a background on how to conduct the survey, being pre and post. It shows ways of conducting the educational phases. It shows that PCPs believed that case studies might be the way to teach this information. The PCPs believed that the case studies were a way of learning the material. This study also showed that having nephrologists actually speak or conduct the education might be the way of presenting the material. In conclusion, the format of this research project can be used in the selected research project with a few minor changes.
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For the understanding of the education received among physicians a literature review was conducted on the article titled Perception of Indications for Nephrology Referral among I...
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...tion of indications for nephrology referral among internal medicine residents: a national online survey. The American Society of Nephrology, 101(10), 323-328.
Campbell, K.H., Sachs, G.A., Hemmerich, J.A., Smith, S.G., Stankus, N., & Dale, W. (2010). Physicians referral decisions for older chronic kidney disease patients: a pilot study of geriatricians, internists, and nephrologists. Journal of the American Geriactric Society, 58(2), 392-395
Montgomery, A.J., McGee, H.M., Shannon, W. , & Donohoe, J. . (2006). Factors influencing general practitioners referrals of patients developing end-stage renal failure: a standardized case-analysis study. BMC Health Services Research, 6(114), Retrieved from www.biomedcentral.com
Levey, A.S., Tangri , N., & Stevens , L.A. (2011). Classification of chronic kidney disease: a step forward. Annals of Internal Medicine, 154(1),65-67
Kidney Care is comprised of U.S. dialysis and related lab services, ancillary services and strategic initiatives, including international operations and corporate administrative support. The U.S. dialysis and related lab services business is the largest line of business, which is a leading provider of kidney dialysis services in the U.S. for patients suffering from chronic kidney failure, also known as end stage renal disease (ESRD). The HCP division is a patient- and physician-focused integrated healthcare delivery and management company with over two decades of providing coordinated, outcomes-based medical care in a cost-effective manner ("DaVita Healthcare Partners 10-K Annual Report" 2015). STp(c) Segmentation, targeting, and positioning together comprise a three stage process.
There are two types of glomerulonephritis—acute renal failure (ARF) and chronic kidney disease (CKD). The ACF form generally develops suddenly as a result of an infection or illness, such as, group A streptococci bacteria, hepatitis, or in diseases such as lupus or HIV (Mathias, 2013). This type may require dialysis to replace renal function while it lasts, however, kidney function usually returns after the primary illness is treated. Many acute patients will not have any other complications as no permanent damage is done. Whereas CKD is found in a person that has had glomerulonephritis for months to years in some cases and may be asymptomatic until the kidney has become irreversibly damaged. ARF can evolve to become chronic if the glomeruli do not respond to
In the research paper of Paramedics and Evidence based practice there was a large online survey, which was based on, five question related to Evidence Based Practice (EBP) and pre-hospital. Descriptive statistics are used to answer the question provided in the survey, where large number of paramedic have positive attitude towards evidence-based practices. The survey were consists of different question asked about paramedic with there year of experience there education level and clinical level where different demography of student and paramedic were involved. There were 892-response given to the survey through out one months of study period. Here 90% believed pre hospital care improve patient care and 92% report being likely to change clinical practices as a result of pre hospital evidences. With the research of Evidence Based Practice they find out that paramedic were distinct group of health provider in the society. The research also tells us that paramedics who have positive expectation on EBP were more likely to responds towards the survey which involves tertiary education and shorter length services. Some limitation of these survey includes only certain groups of paramedics were involved also the instrument used were not validity or reliability and single paramedic have respond more than one in the survey.
Mcgrogan, A., Franssen, C. F. and De Vries, C. S. 2011. The incidence of primary glomerulonephritis worldwide: a systematic review of the literature. Nephrology Dialysis Transplantation, 26 (2), pp. 414-430.
Different studies had different result numbers or different percentage reduction rates which was primarily based on their indifferences in regards to study design utilized and sample size. As evidenced by research results (Magers, June 2013) and (Welden, 2013), these showed a reduction of urinary catheter days resulted in reduced CAUTI rates. Though different outcome results between the different research studies, they all strongly significantly supported the notion that a nurse-driven protocol to assess and evaluate the appropriateness and use of urethral catheter compared with a no protocol is essential to help in the reduction of CAUTIs. Interpreting these results, (Meddings et al., 2013) showed a drop greater than 52% in CAUTIs and a decrease in catheterization by 37%. The study results from the six scholarly research study articles showed nearly similar or corresponding outcomes. The results were significant enough to support the PICO question. In general, though the difference in sample size, the results still strongly supported excellent outcomes when a nurse-driven protocol is used to evaluate the necessity of continued urethral catheter use. (Chen et al., 2013, para.
“The Nephrology Nursing Journal” was initially published in 1974, and is a refereed clinical and scientific resource that provides current information on a wide variety of subjects to facilitate the practice of professional nephrology nursing (ANNA, 2015). Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide (ANNA, 2015). It is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice, while also serving as a source of knowledge for non-nephrology nurses. (ANNA, 2015). Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice (ANNA, 2015).
Currently there are two types of renal replacement therapy. The original dialysis which we called it hemodialysis used for patients with chronic renal failure, needs the patients to come to hospital 2-3 times per week. This type of dialysis called the intermittent hemodialysis .However the intermittent hemodialysis is difficult to do it in the intensive care population with acute renal failure because of the hemodynamic instability and those type of patients usually are the most sick and critically ill patients within the intensive care units and have multiorgan dysfunctions, so medically is too difficult to do for them intermittent hemodialysis. In addition intermittent hemodialysis will increase the mortality and morbidity among them. Within the modern intensive care units new way of dialysis has been developed 30 years ago called continuous renal replacement therapy (CRRT).The definition of (CRRT) is any extracorporeal blood purification therapy intended to substitute for impaired renal function over an extended period of time and applied for or aimed at being applied for 24 hours/day, Bellomo R., Ronco., Mehata R. The CRRT was found because the traditional way of ...
Complications related to diabetes and nephropathy are said to account for 50% of new cases of end stage renal disease (...
This article describes the choices for treatment: hemodialysis, peritoneal dialysis, and kidney transplantation. It gives the pros and cons of each. It also discusses diet and paying for treatment. It gives tips for working with your doctor, nurses, and others who make up your health care team. It provides a list of groups that offer information and services to kidney patients. It also lists magazines, books, and brochures that you can read for more information about treatment.
The expected hierarchy among health care providers is led by physicians. The doctor has long been the “expert” on anything to do with the human body, whether it is disease or injury. The evolution of technology brought the World Wide Web readily to every consumer’s doorstep resulting in a slight shift of this everlasting faith. Older adults continue to retain some of this confidence in their physicians due to their tendency not to use the internet and search for their own ...
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.
The purpose of this paper is to take an in depth look at a renal diet which is designed for people suffering from certain kidney conditions. A renal diet can be described as a nutritional regime which is: “low in sodium, phosphorous and protein... [It] also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium” (Nephcure). Throughout the course of this paper various aspects are addressed. these include: the role of the kidneys, the importance of professional guidance, the reasons why people follow a renal diet, monitoring sodium intake, monitoring potassium intake, monitoring phosphorus intake, protein consumption, and fluid control.
Kidney Function Introduction and definition of terms: The kidneys are the main organs in the urinary system. They filter waste products out of blood from the renal artery. These are then excreted. Useful solutes are reabsorbed into the blood. They also have a major homeostatic role in the body, and help to control the water content (osmoregulation) and pH of the blood.
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.