Hemodialysis Case Study Essay

Patient is a 64-year-old right handed white female who presents with her sister for evaluation of an episode of loss of consciousness that occurred last month. She had been admitted to Portsmouth Regional Hospital for right-sided neck pain. She did have a fall resulting in right sided neck pain and problems moving her right upper extremity. This was a fall that occurred early in May and was a mechanical fall according to the patient's description. At that time, she did not lose consciousness. She was driving home from the physician's office on 06/24/2015 when she is suddenly came to in her car at one in the morning. She states she left the doctor's office around 4:45 in the evening. She actually tells me she does not recall the drive home, but she assumed that she drove home carefully and successfully as there was no evidence of an accident on her car. Her car was in the garage. The ignition was off and the garage door was closed, but she recalls coming to at about one o'clock in the morning and finding herself in that situation and has amnesia for the period of time after she left the doctor's office. She came to being upright in the driver's seat. There is no evidence for tongue biting. She has no other history to give regarding that particular event. She personally denies

Ethics play a vital role in healthcare, challenging the values and beliefs of healthcare professionals when it comes to difficult situations concerning patient care (Rasoal, Kihlgren, James, & Svantesson, 2015). Ethically difficult situations are often related to life sustaining treatments or unrealistic treatment expectations by the family. Healthcare professionals are face with many challenges when caring for patients with end-stage renal disease (ESRD) in the hemodialysis (HD) center. One challenge healthcare providers frequently come up against is dialyzing disruptive/difficult patients who are cognitively impaired.

Receiving hemodialysis in the in-patient or outpatient setting is uncomfortable and non-pleasurable. Thankfully, “the movement of medical care out of institutional settings into patients’ homes has increased in most industrialized countries as part of the general emergence of self- care options in the

End stage renal disease [ESRD] is a chronic condition that is characterized by failure of renal function, resulting in ineffective regulation of electrolyte levels, acid-base balance and excretion of toxins in the body (Molzahn & Butera, 2006). Disturbance in these processes can lead to various other complications (such as fluid retention, hyperkalemia and anemia), potentially leading to a lower quality of life. Peritoneal dialysis [PD] is a common intervention used to treat ERSD and its associated symptoms by filtering out waste products using a dialysate that is pumped into the peritoneal cavity through a catheter. Individuals receiving dialysis experience many physical and psychological stressors involved with managing their chronic

Through this assignment we will explore the causes, the diagnostic exams, subjective and objective signs and symptoms, the dietary modifications a nurse should teach, the medical management of acute renal failure, and finally the short and long term goals a nurse should make for their client.

For haemodialysis patients, dysfunctional vascular access may cause the delay of life-saving dialysis treatment, unnecessary cardiovascular diseases, and then lead to long time hospitalisation and financial difficulties (Bueno, 2017). Therefore, haemodialysis nurses should assist patients on haemodialysis to reduce their vascular access related complications and to improve the effectiveness of dialysis and their quality of life. The first strategy is delivery nursing care in a consistent manner using evidence-based practice. Such as cleaning the catheter exit site and applying CVC dressing as per organisation’s protocol, adhering to care plans and guidelines to assess and identify early signs of dysfunctional vascular access, and using point of care (POC) ultrasound for cannulation to avoid miscannulation or infiltration of the vessels. As an example, utilising POC ultrasound in haemodialysis has been suggested by International evidence-based recommendations as an efficacy and safety method for any type of vascular cannulation (Schoch, du Toit, Marticorena & Sinclair, 2015).

In hemodialysis, the blood extends outside the body of the patient. It goes through a machine with special filters.

Hemodialysis is a complex treatment that is comprised of multiple clinical practice processes that must be adhered to at all times in order to ensure patient receives a safe treatment. Due to the complexity of the hemodialysis process, DaVita implemented a clinical practice guideline that centers upon evaluation and management of chronic kidney disease. DaVita Dialysis is a healthcare provider who specializes in Peritoneal, Acute Hemodialysis, Home Hemodialysis, and In-Center Hemodialysis. There are a host of policies and procedures that must be followed prior to the initiation, during, and at discontinuation of a hemodialysis treatment. Failure to follow these policies and procedure results in inappropriate management and evaluation of

The kidneys are important organ in the body. It helps regulate extracellular fluid and excrete waste products from the body. The kidneys also function to control blood pressure, produce erythropoietin, activate vitamin D, and regulate acid-base balance. When the kidneys fail to function, or work as they should, dialysis is needed. Dialysis restores internal homeostasis by osmosis, diffusion, and ultrafiltration. It can sustain life for people who have acute and chronic renal failure. There are two different types of dialysis, hemodialysis and peritoneal dialysis.

Generally, the most common complications related to vascular access in HD are thrombosis, stenosis, infection, aneurysm, distal limb ischemia and congestive heart failure (Potisek, Ključevšek & Leskovar, 2017). Although AVF is most recommended for long-term dialysis, it also can be a potential source of morbidity. In 2016, Chapman, Nicdao and Kairaitis stated ESRF patients are already at significant risk of cardiovascular disease, besides low flow may lead to inadequate dialysis, high flow may result in heart failure in this population. In the critiqued article, a study was done by Ghonemy et al. (2016), it shows stenosis and infection were the two most common complications in haemodialysis patients, which occupied

The population addressed in this study are patients that have been diagnosed with CKD and require dialysis treatment. Participants will be conducted via multistage sampling because it provides the highest likelihood that enough participants that fit the criteria will be obtained, yet decreasing variation bias through randomization. A list will be compiled of dialysis clinics in Portland. There are 20 centers nearby, of those 20 locations 10 will be chosen and every patient that is willing to participate and fits the criteria will be included in the study. This is because the criteria for participating in the study is specific and a minimum of 60 participants is required. Half of the validated participants will be placed into the control

Hemodialysis (HD) is one of several renal replacement therapies used for the treatment of end stage kidney disease (ESKD) and kidney failure. Dialysis removes excess fluids and waste products and restores chemical and electrolyte balance. HD involves passing the patient’s blood through an artificial semipermeable membrane to perform the filtering and excretion functions of the kidney. One important step before starting regular hemodialysis sessions is preparing the vascular access; ideally, a vascular access should be placed weeks or months before you start dialysis. The

The annual per patient cost of providing dialysis therapy in the SHD program ranged from$80,372 to $215,918. The median annual per patient cost of dialysis therapy was calculated to be $99,888 with an interquartile range (IQR) of $89,057–$122,640. There was considerable het-erogeneity in the cost estimates across units with two of the sixteen units having per patient, per year costs totaling over $200,000 per patient, per year and half of the sixteen units having total per patient, per year costs totaling under $100,000 per patient, per year (Hirth, 2008).

At the end of our 2 weeks of data gathering and completing the study, the group aims to accomplish the following:

Kidneys play a vital roles in intoxicating our body. They help filter toxins, blood, waste product, and balance chemical in our system. If we develop kidneys failure, harmful substances can build up in the body which can lead to the blood pressure to rise, and the body to retain excess fluid (edema, swelling). Hemodialysis is of the method they use to improve the quality of life of patients, but it cannot cure it. The patient is attached via a tube in the veins, to a machine that passes his blood through a machine. The procedure usually takes 3-5 hours.