End Stage Renal Disease ( Esrd )

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End stage renal disease (ESRD) occurs when the kidneys lose its function to eliminate waste and excess water from the body (NLM, 2014). A total of 661,648 cases of ESRD was reported in 2013, of which 117,162 were new cases (United States Renal Data System, 2015). 88.2% of individuals of the newly reported cases with ESRD started renal replacement therapy with hemodialysis, 9% chose peritoneal dialysis, and 2.6% received a kidney transplant. Dialysis is recommended to remove excessive salt, water, and waste products from the body, when kidney function reaches 15% (NLM, 2014). Additionally, dialysis helps control blood pressure as well as aid the kidneys in producing red blood cells. Common complications of dialysis are: anemia, high blood pressure, myocardial infarction, heart failure, hyperkalemia, increased risk of infections, malnutrition, stroke, seizures, edema, and weakening of the bones. Due to the many complications associated with ESRD physiological needs takes precedence over psychological needs within in-center hemodialysis. Healthcare providers in the hemodialysis center fail to recognize the importance of the impact psychological health can have on their patients’ quality of life. The focus of this paper will be on improving quality patient care among ESRD patients who are undergoing hemodialysis by screening for depression. The most common psychological health problem in patients with ESRD is depression (Battistella, 2012; Cohen et al, 2007; Feroze et al.,

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