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The Inner City Hd Center

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The inner city HD center currently have 81 active patients, of which 90% of the patient population are chronically noncompliant and two patients whom has expressed the desire to die and suicidal thoughts in the last three months. The facility also cater to a diverse patient population and is primarily of a lower socioeconomic status. As previously indicated, nurses currently do not screen for depressive symptoms. With that said, it is impossible to compare the context of research to those seen in professional practice. However, multiple studies agree that education plays a vital role in depression. Keskin and Engin (2011) wrote that educational status greatly impact depression and suicidal ideation. They found that those experiencing depression (F = 7.42, p = 0.001) and suicidal ideation (F = 4.51, p = 0.014) have a lower educational status. Similarly, Nabolsi et al. (2015) found that individuals with higher education lead higher QOL (F = 7.250; P = 0.001) and are less likely to display depressive symptoms (F = 10.721, P = 0.000). On the contrary, studies has also shown that lower educational status, more specifically, hinder patients ability to fully comprehend their disease process and treatment modalities (Chiang, Livneh, Yen, Li, & Tsai, 2013; Keskin & Engin, 2011). Consequently, impacting adherence and QOL. 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

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