Observation Of A Patient Undergoing Renal Transplant

For this interview I had the opportunity to speak to Vicky Ronald, RN, BSN, OCN. She has been working as a nurse for 20 years now and stated that she loves what she does because it is a gift and a blessing to contribute in healing patients. This interview is a brief history and description of how Vicky made it to the top of the Nursing ladder, her roles, past experience and how she integrates HIPAA to maintain patient confidentiality.

The nurse is responsible for teaching the parent’s and child what will take place prior to the transplant, during and after transplant. The nurse teaches the family that the child is high susceptible to infection and it can be life threatening. Visitors will be limited during this time and hand washing is extremely important. Repositioning the child and encouraging movement so no skin breakdown happens is also important.

The most relevant theory in this situation is the preservation of integrity for the patient and in my practice. In order to preserve integrity and social justice I want to attain a respectful nurse-patient relationship. The nurse-patient relationship in high acuity as written in Module 1 BCIT High Acuity course “is one of the central aspects of high acuity nursing practice” (Bungay, 2005, p. 40). I feel confident this theory is the central aspect of all nursing practice. All patients, including the one I’m referring to in this journal, has her own unique beliefs, history, and experience. On top of these, the patient is now, due to critical illness, experiencing an actual or potential physiological crisis (Bungay, 2005, p. 42). It would useful and respectful of me to acknowledge that on top of her present concerns, all concerns she had prior admission still exist. I did not give her the opportunity to express her concerns. I never asked her if she had a cat she was concerned about, was missing Saturday’s farmer’s market, wanted a Sherry, missed her friend, or disliked men. There could be a myriad of things that may be concerning her at the time. All real and potential factors support or challenge having a positive relationship with the patient (Bungay, 2005, p. 41).

As nurses, we are charged with providing the best possible care to our patients, meeting their needs and working towards positive outcomes. Nurses work with all ages, races, disease processes, every medication from A-Z, independently or with a team. Nurses take orders from physicians face-to-face, over the phone, and in writing. It may be shorthand, misspelled, or pronounced like you have never heard, and you must clarify it with the physician, the pharmacy, the patient’s chart, and the drug book before you administer. Some patient’s curse us, some praise us; We cry with

Delegated tasks, and monitoring all direct-patient staff, including LPNs and Dialysis Assistants, assessed care needs and developed

“I have been as a registered nurse for 20 years. My full time job is in UT South western dialysis center as a registered nurse. Most of my patients have chronic and severe diseases. They need more attention and observation. I have another job in family clinic as a nurse practitioner. The majority patients in medical clinic are healthy and stable patients.” (C.L. September 10, 2016)

It's an eye-opener to what transpires in the lives of people with a severe kidney condition, from the day of diagnosis, all through the period of dialysis, transplant, and after transplant. Exploring the themes of the outcomes of strength, hope, faith, and altruism, the narrative gives its readers firsthand information of what goes on in a dialysis unit, which includes the procedural details and the behavior of medical personnel and patients. Furthermore, the author gave an effective description of the characters. He offered crucial insight into their personalities and backgrounds, and consequently, I was able to connect with

This is my ninth clinical shift with my preceptor at Saunders Medical Center in Wahoo, NE, and it was on May 15, 2018 (Wednesday). Today I had the chance to work back in the OR. I had the choice to stay after my shift to place an IV in a treatment room patient, so I did as well. My duties were to place IV’s, gather report, preoperative care, a little bit of postoperative care, and helping clean up the OR after surgery. The patient census included: K. S. a 51-year-old female scheduled for a laparoscopic cholecystectomy with intraoperative cholangiogram; and T. M. a 30-year-old male scheduled for excision sebaceous cysts x2 scalp with full thickness skin graft from left neck donor site. Plus, one IV on a treatment patient, which I don’t have the information for this patient because I was only going in to place the IV. It was an eventful day and I learned how to work under pressure when things can turn for the worse in OR; it was a learning experience and I’m forever grateful! My shift started

There are numerous problems dealing with organ transplantation. A major issue concerning organ transplantation is that organ donors are deficient and scarce. Donors have been known to scarce because not everyone takes good care of his or her body. There are not enough people to donate organs, yet the amount of people in need of organs is increasing by the hour. “Another conflict is organ transplants can still lead to other medical problems. This is usually because of the medicine you need to suppress your immune system” (Nazario Brunilda , “Common”). After an organ transplants, it is a must that you continuously take your medication; a sudden stop will most likely cause the immune system to reject the organ. “The medications can also raise your blood pressure and can cause osteoporosis due to loss of calcium” (Etienne, Flueridor Wendy).

The main emphasis of the qualitative research study titled The lived experience of parents and guardians providing care for child transplant recipients is to highlight the trials and tribulations parents and guardians are faced with when caring for a child post transplant (Williams et all, 2012). The study is aimed to direct healthcare members to understand the importance of increasing communication and in hospital education prior to discharge in order to decrease stress and improve long-term survival. Laurel Williams, June Eilers, Judith Heerman, and Karen Smith (2012) out of the University of Nebraska Medical Center developed a study after determining there was a

In 1954, the world’s first successful kidney transplant between two live people took place. 30 years later, kidney transplantation was now common and acceptably safe, and in 1984, the sale of organs was banned through the National Organ Transplant Act, meaning any organ used may only be through donation. Under this act, however, only one person has ever be prosecuted for the brokering illegal organs. In the years since, illegal organ trafficking has sprung up in India, China, the US, Brazil, and South Africa with little to no real evidence of an end to the injustice it causes.

Title: An exploration of the physiological changes during and after cardio-pulmonary bypass surgery that result in acute kidney injury

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

BKV disease is defined by BKV replication causing organ dysfunction. This is identified by showing histological evidence of BKV replication and tissue pathology. The two most important diseases are BKVAN affecting renal transplant recipients, and BKVHC affecting allogenic haematological stem cell transplant (HSCT) recipients. Other pathological processes associated with BKV infection include ureteric stenosis, encephalitis, meningo-encephalitis, pneumonia, vasculopathy and bladder cancer [35].

By the satisfaction of both dialysis and renal transplant, the treatments work efficiently and effectively to cure kidney failure and to reduce the effects and physical impacts. Further research has shown an exhibit, all the more effective and capable course of action. The analyst has found a new cell improvement to start producing an individual organ, this is a productive and most preferred way, where the standards of dialysis and regular transplant both include significant cause and effects. One in ten Australian grown-ups aged 18 and over (roughly 1.7 million individuals) have no less than one indication of constant kidney infection and more than 20,000 get dialysis or a kidney transplant for a failing kidney. Kidney failure may also be