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.,
The depression groups baseline and posttest depression mean scores dropped by 0.64 (14 - 13.36). The hypothesis stated that the empowerment program will result in the improvement in the depression result by decreasing and that is why this was expected. As the depression result is improving this is appositive impact on the self-care efficiency of the ESRD patients.
In Kidney failure cases urea, creatine, uric acids and electrolytes move from the blood to the dialysate with the net effect of lowering their concentration in the blood. RBC s WBC s and plasma proteins are too large to diffuse through the pores of the membrane. Hemodialysis patient are exposed to 120 to 130 L of water during each dialysis treatment. Small molecular weight substances can pass from the dialysate in to patient’s blood. So the purity of water used for dialysis is monitored and controlled.
As mentioned earlier , depression is significantly prevalent in ESRD patients leading to poor patient outcomes. According to the study by Nabolsi et al. (2015), a
Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys
The most common psychological health problem in patients with ESRD is depression (Battistella, 2012; Cohen, Norris, Acquaviva, Peterson, & Kimmel, 2007; Feroze, Martin, Reina-Patton, Kalantar-Zadeh, & Kopple 2010; Keskin & Engin, 2011). Several studies reported that anywhere from 20 to 30% of patients with ESRD suffer from some form of depression (Battistella, 2012; Keskin & Engin, 2011). It has been suggested that because patients with renal failure have to deal with multiple issues physiologically: renal diet, limit on fluid intake, sexual dysfunction, loss of appetite, medication adherence, and fatigue; in addition to going through HD 3 to 4 times a week for 3 to 4 hours at a time, it leads to depression (Keskin & Engin, 2011). Studies suggested that ESRD Patients suffering from depression have a lower quality of life, and an increased in mortality and morbidity due to non-compliance (Battistella, 2012; Feroze et al., 2010; Keskin & Engin, 2011). Increased in hospitalizations among depressed HD patients
The financial impact of ESRD can be devastating. Anyone undergoing dialysis must cope with financial stressors and other factors that impacts their lives. Dialysis patients often experience daily disruptions due to resulting nausea, fatigue, and time to recover following their treatments. They often perceive
Kidney failure is the result of kidney disease that has either not been treated, or failed to respond to treatment. Some kidney diseases are: Acute kidney failure (potentially reversible), Acute nephritic syndrome, Goodpasture syndrome, Atheroembolic renal disease, Glomerulonephritis, Polycystic kidney disease, and chronic kidney failure (end stage) (United States National Library, 2010). The usual treatment for kidney failure is medication and dialysis. Dialysis is used for end stage kidney failure, when the patient has lost
“When in Rome…………” This is something heard often. This refers to the massive power the Roman empire had for almost 2 centuries. During that time, Rome went through successive leadership within the Caesar family. These leaders were in a position to gain extremely important war victories. These victories significantly impacted Rome and Rome’s surrounding countries economically, socially, and politically for many years to come.
Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,
Do today’s media hold a biased opinion? Political figure heads of modern day America have argued the subject of a biased liberal media for decades. The notion of the media being predominantly liberal is not unheard of because since publicly broadcasted news media first became common, the Republican Party was not yet one to rival the Democrats. The core argument presented is the possibility of a liberal media manipulating the American public and thus influencing them to vote in congruence with the ways of the Democratic political party. Thus far it is simple to see the media clearly holds a bias that is in favor of the liberal viewpoint. I believe the media should not hold an opinion because, it comes through in their coverage and thus
According to the Centers for Disease Control and Prevention (CDC) 2010, 10% of adults in the United States have chronic kidney disease (CKD). That is estimated at about 20 million people. People with CKD may not feel any symptoms in the early stages, so treatment most likely has not been started. When a person often finds out they are in need of treatment, they may already be in kidney failure or end stage renal disease (ESRD). This paper will discuss the reimbursement mechanisms presented in the Sullivan article, the economics of providing ESRD treatment from the organization's point of view, patients options and potential trade-offs related to cost, quality, and access to
Mr. Armstrong has a history of renal insufficiency and uncontrolled hypertension, along with symptoms of fatigue, pedal edema, and occasional shortness of breath. He does not have a history of trauma or obstruction to his kidneys, but his creatinine and BUN levels are currently at 3.5 mg/dl and 40 mg/dl. Normal creatinine concentration values are 0.7 to 1.2 mg/dl and normal BUN values are 10 to 20 mg/dl; this reveals that Mr. Armstrong’s kidneys are not removing wastes properly (McCance, Huether, Brashers, & Rote, 2014). Mr. Armstrong’s history of renal insufficiency and uncontrolled hypertension is commonly found in patients diagnosed with intrarenal (intrinsic) acute renal failure. Intrarenal acute renal failure can be categorized as
Chronic Kidney Disease (CKD) is among the leading causes of mortality throughout the world, and its prevalence and the health care costs resulting from it are considerable and increasing. CKD commonly is silent and asymptomatic until its late stages. Accordingly, CKD is diagnosed prior to symptomatic stage of kidney failure, resulting in delays in proper interventions and the emergence of adverse consequences in the CKD patients
When treating kidney disease it is important to control the underlying disease that is causing the damage to the kidneys. If diabetes is diagnosed keeping blood glucose levels under control and if high blood pressure is the cause keeping blood pressure under control with a reading of 130/80. Medication can be helpful such as ACE inhibitors, angiotensin II receptor blockers. Acute renal failure the main goal is to get the kidneys functioning again the physician may limit the amount of fluids taken in daily along with antibiotics to protect against any infections and diuretics to help with fluid removal. In some cases patient will require dialysis for a short period of time. Treating end-stage renal failure requires dialysis and or transplants.
To determine the distribution of fat and oil, flavonoid and tannins in bio-oil by using analytical method.