Hemodialysis Case Study

Chronic Kidney Disease (CKD), also termed as a chronic renal condition, is characterised by kidney damage or a progressive loss of kidney function. This essay will provide an insight of chronic kidney disease including its pathophysiology, symptoms and its five stages of disease progression. The case of Glenda, an Aboriginal woman suffering from end-stage renal failure (ESRF), will be portrayed throughout the assignment. Further, the essay will elaborate different stages of CKD based on the findings of her assessment and describe the overall management of her condition. In addition, Glenda will be involved in the healthcare plan considering her cultural values and personal preference for the effective management of her case. For the management,

During the transitioning process to the new hemodialysis unit, Ms. Conlon anticipated the challenges acquired by learning to set up and use new water equipment in an acute situation. In response to this, Ms. Conlon created and implemented a reverse osmosis flow sheet to assist her colleagues with the quick set-up of the portable RO in the ICU care setting. This tool resulted in a smoother transition for her colleagues, improvement in the delivery of care to the acute dialysis patient, and a decrease in the possibility of staffing overtime.

Ms. Cetiner has been an RN in the hemodialysis unit for the past 6 years. She provides excellent care to our Veterans, and consistently functions in a professional manner with staff, patients and families. She was part of a unit I CARE award presented by Dr. Mayo-Smith for quality and commitment to our Veterans. She demonstrates competency in the utilization of the nursing process as evidenced by the accurate assessment, plan, implementation, and evaluation of patient care in her daily practice. She developed a unit diabetic foot

DaVita Dialysis Center was founded in 1999, with the goal to develop programs to enrich lives. It was originally called Total Renal Care (TRC), but during its restructure it was renamed with the term, DaVita, Italian for “giving life.” CEO, Kent Thiry saved the company from the brink of bankruptcy through his leadership style. The corporate headquarters were originally in El Segundo, California, but were moved to Denver, Colorado. Today, it has grown to be an organization with over 53,000 teammates around the nation. The company has expanded to 2,251 outpatient dialysis centers in the United States and 118 outpatient dialysis centers in 10 foreign countries. It treats patients with acute kidney failure, chronic kidney failure, and end stage renal disease. The company’s core values are accountability, continuous improvement, fulfillment, fun, integrity, service excellence, and team. The core values are integrated in the organization’s vision for leadership to stress collaboration and a team-based environment. Teammates feel an emotional level of trust and mutual commitment.

DaVita is a kidney care company that services people by supplying dialysis treatments to patients that have serious “chronic kidney failure and people that are going through end stage renal disease”. “DaVita’s website states that “as of December 31, 2013, DaVita operated and also provided administrative services at 2,074 of its outpatient dialysis centers located in the United States, they served nearly 168,000 patients in that aspect as well as provided services at 73 outpatient dialysis centers that are located in 10 separate countries.” (DaVita Health Care Partners). Retrieved April 18, 2014 from http://davitahealthcarepartners.com/.

In this paper, we will cover multiple things. I will cover what IV stands for, what peripheral intravenous catheters are and what they are used for. I will even discuss sites for peripheral IV’s. I will explain what a central venous catheter is, what it is used for, and the types of catheters out there. I will explain the procedure on how to insert one, how to change the dressing, the safety guidelines to follow for insertion, and how to discontinue a central venous catheter. Discussion of what a patient needs to know about having a central venous catheter is included. Equipment to have ready for insertion is vital to know. It will explain why sterile procedure is used for insertion and what to monitor when a patient has a central venous

Ms. Cabral continues to be a resource to help resolve patient care problems as they arise. She has always been flexible with scheduling and worked extra hours to manage staffing needs. Ms. Cabral is a contributor to the Dialysis Quarterly Newsletter, written to educate the Veterans’ about various topics in dialysis, keep them abreast of the often many changes occurring in the unit, and allow the Veteran’s to showcase things important to them in promoting their well- being and adjustment to being on dialysis. She also contributes to the newsletter written by the Social Worker when a patient dies, which is sent to the family filling them with the memories we will always

The outcome of the audits on clinical practice which involved forty occasions of CVDC procedures revealed differences in routine practice. Nurses differ greatly in maintaining cleanliness of work area before opening the sterile supplies, preserving the dressing set’s sterility and if proper hand scrubbing was either finished or not before touching the catheter. There were also instances when either the patient or the nurse coughs and talks while the catheter was out in the open. Documentation audit results which included charts of fifty-five patients with CVDC demonstrated significant contrast of medical records in the bedside to the electronic database in the unit. It appears that logging of insertions and removals were done obediently on the electronic database compared to bedside medical records which accounts to merely 10 percent of catheter site appearance recorded and just 55 percent on documented CVC catheter care for each treatment. Based from the end results, the working party devised a standardised routine for managing central venous dialysis catheter in order to decrease differences in practise as well as to warrant evidence based practice. A standard haemodialysis treatment form has also been adjusted to include a part wherein the observations regarding the catheter exit site as well as dressing could be examined and recorded in every session of dialysis.

As a dialysis nurse I am tasked with providing pre and post treatment assessments for each patient and through these assessments I identify if there are any patient problems that must be managed. These problems can include access issues, such as clotting or infection, fluid related problems and many others. If a patient is short of breath or complains of chest pain prior to

We used clinical and biochemical data derived from the DaVita database. The study population (N=420,255) included subjects undergoing hemodialysis in DaVita facilities across the US during the period of 2004 to 2011.

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.

In his case, the team would coordinate to decide the proper medications and treatments, as well as nutritional and therapeutic measures, for treating his underlying issues. The dietician would likely recommend a diet of decreased protein to reduce waste while the pharmacist or physician would likely prescribe medications for the protection of his bones, as well as Vitamin D. The nephrologist and the nursing staff at this point would be charged with managing his dialysis program and regularly updating the rest of the team to shape the strategy as our patient’s condition progresses. Indeed, as Odum and Whaley-Connell identify, a well-functioning team-based approach will ‘[e]nhance access and continuity of care’, ‘[i]dentify and manage patient populations’, ‘[p]lan and manage care’, ‘[p]rovide self-care support and community resources’, ‘[t]rack and coordinate care’, ‘[and m]easure and improve performance’ (245). It has been shown, furthermore, that both the utilization of pharmacists in managing conditions related to CKD and that of team-based interventions in the management of patients have proven effective and worthy of further implementation

Article reference (in APA style): Sofroniadou, S., Revela, I., Smirloglou, D., Makriniotou, I., Zerbala, S., Kouloubinis, A., & ... Iatrou, C. (2012). Linezolid versus Vancomycin Antibiotic Lock Solution for the Prevention of Nontunneled Catheter-related Blood Stream Infections in Hemodialysis Patients: A Prospective Randomized Study. Seminars In Dialysis, 25(9), 344-350. doi:10.1111/j.1525-139X.2011.00965.x

Explain how you might diagnose a patient with chronic kidney disease including the role that patient history, physical exams, and diagnostics play in diagnosis.

Next, we answer the question, how is it done? Well hemodialysis is done by first having a looped graft surgically inserted into the arm. Then, 2 needles are inserted into a vein. One is used to remove the blood and one is used to return the clean blood. When the blood is removed it is monitored by an arterial pressure monitor. It then goes through a blood pump to a Heparin pump to prevent clotting. The next step is passing through a dialyzer inflow pressure monitor. After that, the blood goes through the dialyzer which is said by the NIKKD to “filter(s) out wastes, extra salt, and extra water.” The now clean blood travels through the tubes to a venous pressure monitor and air trap/air detector. Lastly the air and toxic free blood is processed through an air detector clamp and put back into the body. Hemodialysis is done three to five times a week for four to five hours at a time in a designated facility. Peritoneal Dialysis is can be done by the patient in their own home and without any help. The process starts with surgically inputting a catheter in the chest or abdomen of the patient for putting in and taking out the