Hemodialysis and Peritoneal Dialysis
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.
Traditional hemodialysis (HD) is provided to the patient at an outpatient clinic that is often referred to as a chronic unit. Patients must come to the chronic unit to be hooked up to the dialysis machine which circulates their blood through a dialyzer thereby removing toxins and excess fluid. This dialyzer is a clear plastic tube which contains thousands of micro fibers that allow the blood to flow through while enabling diffusion to remove the unwanted components of the blood. The majority of dialysis patients use this as their primary method of treatment; however, some patients find the treatment to be harsh and uncomfortable. These patients often look for alternate treatments such as peritoneal dialysis.
The human body has the ability to be modified to allow for dialysis to occur within the peritoneal cavity instead of the extracorporeal method used in hemodialysis. This cavity is located in the abdomen and is accessed via a tube called a peritoneal dialysis (PD) catheter. The ...
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... common side effect of PD and is a daily challenge for the at home patient. The patient must continuously monitor for any signs and symptoms of infection, such as pain, fever or abdominal swelling. HD patients are aware of the risk for access infections but tend to rely on the clinic nurse to recognize and treat the infection.
Overall, Hemodialysis and Peritoneal dialysis provide lifesaving treatments for patients who would otherwise die. The choice of which one to pick is as much lifestyle as it is medical and patients must weigh their options carefully and use the resources provided to them by their dialysis clinic.
Works Cited
Gordon, S. (2012, February 23). More kidney dialysis is better, research finds. Us News and World Report. Retrieved from http://health.usnews.com/health-news/news/articles/2012/02/23/more-kidney-dialysis-is-better-research-finds
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.
The kidneys are located in the posterior section of the retroperitoneal cavity and are small, dark red kidney-bean shaped organs in the lower part of the rib cage (Marieb, The Urinary System, 2015). They are undervalued organs considering how essential they are for the body’s ability to maintain homeostasis. The kidneys filter about 120-150 quarts of blood to produce about 1-2 quarts of urine each day (NIH, 2014). Blood initially enters the kidneys through the renal artery. It then flows into the segmental artery before moving into the interlobar artery. From the interlobar artery the filtrate enters the arcuate artery before branching into the cortical radiate artery, which feeds into the afferent arteriole, before passing into the glomerulus where it begins to filter out waste. The filtered waste is then collected by renal tubule. The tubules drain to collecting ducts and all of these components together makes up a small unit called a nephron. Each kidney has over a million nephrons (Marieb, Blood Supply/ Nephrons, 2015). They filter out wastes that run through different body systems via blood; the majority of that waste is nitrogenous wastes, toxins, excess fluids, electrolytes, and drugs. These waste products are eliminated as urine. While waste are removed vital enzymes, hormones, and water are returned
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.
* In the first dialysis tube (bag A), we would insert ten mL of one
“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).
Dialysis tubing is made from regenerated cellulose or cellophane, and is used in clinical circumstances to ensure that molecule have a filtered flow, and that larger solute molecules do not enter the dialysis tubing (Alberts, 2002). Like a cell membrane, dialysis tubing has a semi-permeable membrane, which allows small molecule to permeate through the membrane. Thus, the dialysis tubing mimics the diffusion and osmosis processes of the cell membrane (Alberts, 2002). Although the dialysis tubing has a semi-permeable membrane, which mimics a cell, its structure is different. The me...
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.
(2)Saudan,P.,Niederberger,M.,De Seigneux,S.,Romand,J.,Pugin,J.,Pernrger,T.,& Martin,P.Y(2006).Adding a dialysis dose to continuous hemofiltration increases survival in patients with acute renal failure .Kidney international,70(7),1312-1317.
Quinan, P. (2007). Control and coping for individuals with end stage renal disease on hemodialysis: A position paper. CANNT Journal, 17(3), 77-84.
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 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...
Medical News Today. Retrieved from http://www.medicalnewstoday.com/articles/147142.
As Burns and Grove (2001) & Polit and Hungler (1997) as cited in Ingham-Broomfield (2008 p.104) mentioned that the primary purpose of the literature review is to discuss what is known, gain broad background and understanding of the available information related to the study. As Coughlan, Cronin, and Ryan (2007) stated that literature review should also help to identify any gaps in the literature relating to the problem and suggest how those gaps might be filled. The authors of this article has not provided any review of literature and this could misinform the reader what the main focus of the study; however, several appropriate references were used in the background. The terms used in the key concepts are adequately defined and consistent with the topic. The background of the study introduces the previous knowledge or what is already known which is to investigate the effectiveness of an ATP designed to help ESRD patients to cope with stressors while receiving haemodialysis treatment.
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
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.