Title
“A Study to Assess Knowledge and Attitude of Hemodialysis Patient towards Self-care in Hemodialysis Unit, Hospital Sultanah Aminah Johor Bahru”.
Introduction
At the present time, the most common way to treat advanced renal failure is hemodialysis since it can extend the life time and survival of patient. It was also stated by Marzieh et al., dialysis lengthens the life of patient with ESRD. However, dialysis itself can affected the patients’ physical, mental and social. Also psychiatric disorders such as anxiety, depression, fatigue and dizziness. (Mahmoud & Nahla, 2015). Patients undergoing hemodialysis have so much uneasiness about their self-care since they need to depend on certain device or technique to care for their life. (Mahmoud
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The problem statements agreed with the title and seemed to be of significance. The problem was not clearly seen to the reader, and it required few more readings to understand why the researchers felt this study needed to be done. Maybe it was because of limited to the researchers’ resources and ability. There were 35 articles that has been used as reference in this research. The researcher cited no clear review of literature; however, several appropriate references were used in the introduction section. These statements contributed to the overall understanding of the subject and to the reasoning for establishing the problem statement. This research tested hypothesis about how that the nurse-led clinic would increase medical control and self-care outcomes. The purpose was clearly and briefly stated and agreed with the title. Again it was limited to the researchers’ capabilities and resources. Specifically, this study purposely to enhanced the patients’ disease-related knowledge, involvement and self-care ability. The research objectives were answerable, and they chose to obtain them by testing null hypothesis. The hypothesis was testable and can help to explain the problem. 30 patients were randomly selected to complete the study and they seperated into two groups of control and experimental. Controlled group was the patient with not given education on PCCC where patient given with education on PCCC was on experimental group. After 6 months, the findings show that there were no significant differences in any laboratory values, but the level of knowledge of the
Dialysis is not only expensive, but also rough on patients and it is only a temporary solution. Essentially, since dialysis filters the blood through a machine, the patient is stuck living to that machine until there's an available organ. Due to the advances in medicine, kidney transplantation is the best option for the patient. Not only is it reliable, causing very few complications, it can help return the patient to their normal life. However, the lack of kidneys available for transplant caused 50,000 deaths worldwide.
On this date worker visited Mr. Johnny Hyde at Devita Dialysis Clinic, for the purpose of informing Mr. Hyde the department had received his bank statements from First Bank of Jasper. Mr. Hyde wanted to know what charges showed and worker explained to Mr. Hyde the multiply charges on the account that matched with Mr. Joey Hunt's Facebook home page. Mr. Hyde stated, "I knew he stole my money and I want him arrested. " Worker explained she would give the information to Walker County Police Department.
Ms. Cabral’s primary patients have maintained 100% dialysis adequacy over the last year. She is also actively involved as a member of the unit’s
CQI is a process of measuring quality of dialysis care by the outcomes achieved. The NKF-DOQI clinical practice guidelines are an excellent reference on certain expectations of care for dialysis patients, as it provides both process and outcome benchmarks. The Primary Nurse Monthly Summary uses the dialysis quality indicators established by the NKF-DOQI clinical practice guidelines as a frame of reference for the primary nurse in identifying problems and evaluating patient outcomes. A critical component of the CQI concept is the "empowerment of employees and on the premise that employees have an in-depth understanding of their jobs, believe they are valued, and feel encouraged to improve product or service quality through risk taking
The article provided no detail on how the studies were done, it only included the conclusions. C) The article does not say how many subjects were in the studies that universities conducted. It is unsure whether the studies from the universities can be valid. I would assume the populations that were used in the studies were college students.
During my sophomore year of high school, I begin to understand one of the four tenets of osteopathic medicine, which describes each individual as a unit composed of mind, body, and spirit. One of my uncles was diagnosed with chronic kidney disease. As the illness progressed I noticed that the illness affected more than his kidney. It affected his emotional and mental states as well.
Dialysis basically acts as an artificial kidney by filtering the blood of the patients on it. Dialysis can be both a good and a bad thing. The good in it is works just like a kidney would for a temporary fix, the bad is that sessions last three hours, several times a week. Dialysis is very harsh on the patient’s bodies, especially the ones that become dependent on it. It basically drains their bodies and causes them to become very weak and most of them aren’t able to work anymore.
56-57). In Mr. Z’s case, these principles are in conflict. Mr. Z’s prognosis is unclear, and the physician is not clear if the benefits of dialysis will outweigh the burdens. Under normal circumstances, Mr. Z would have the right to make the decision to refuse dialysis treatment. However, his physician questions Mr. Z’s capacity for autonomous decision-making is impaired by depression.
(MacKay 120). MacKay describes dialysis as being , "shackled to a machine for the rest of their lives" (120) and her use of these words lets the reader visualize someone actually being shackled to a machine with death coming soon, unless they get a new kidney. It leaves the reader feeling that it is unfair and lets the reader feel the emotion and pain of having to endure dialysis for the rest of their lives. Matas agrees with MacKay because his research states that there is considerable evidence that shows that transplantation “significantly prolongs patient survival, as compared with dialysis” (2007).The reader is also able to feel the emotions of anger and sadness MacKay feels for the patients that suffer with kidney failure and the treatments they endure.
The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to
Patients have rights to make decisions about their treatment or refuse medical intervention. Patients make advance directive including a living will or Do Not Resuscitate (DNR) Order ahead of time regarding the end of life issues. If a patient chooses to leave the hospital against medical advice, he or she can be discharged. Also, the patient can participate in decision making during nursing care in hospitals. “Patient participation in decision making in the implementation of nursing care was found to be higher in practical aspects of care, covering essential patient needs (personal hygiene, rest and sleep, and feeding)”
Nursing practice mostly is based on nursing theories which makes the nursing discipline a profession. The nursing theories have differentiates focus of nursing from other profession. Nursing theories provide direction and guidance for structuring professional nursing practice, education and research. Besides, nursing theories serve to guide on assessment, intervention and evaluation of nursing care in order to provide effective decision making and implementation quality of nursing care. Hence, I would like to implement Dorothea Orem’s self-care theory in my clinical area of practice.
The literature review gives justified information for the need of conducting the research. Apart from the introduction, there is no other information concerning the research title that could offer detailed information (Chaliha et a., 2001). Despite giving the justified information in the introduction section the paper should have had the literature review section, thus it did not follow the due steps and format of a research paper. The methodology part follows after the introduction and it discloses the methods used, the design, the people included in the study and how the data was sampled and examined. However, the reasons for choosing the design in the research were not
The final concept is nursing. To define it, it’s a serving service, and a technology (Dorothea Orem 's Self-Care Theory, 2014). Engagements intentionally designated and executed by the nurses to support individuals below their precaution to sustain or altered disorders (Dorothea Orem 's Self-Care Theory, 2014). This also includes the patient’s viewpoint of health state, the Doctor’s standpoint, and the nursing perspective (Dorothea Orem 's Self-Care Theory, 2014). Nursing’s goal is to concentrate on the patient and how to sustain his or her well-being, life and health (Dorothea Orem 's Self-Care Theory, 2014).
Some patient does wash their hands but not following the proper hand washing technique which is visible on top of the basin/sink. Some patient after washing their hand do collect and prepare their pre and post haemodialysis stuff like dressing pack, syringe, sterile saline, gauze, tape, needles and others and after that they forgot to wash their hands prior to connection to the dialysis machine. Others are very good and adherent to infection control but there are also patients that wash their hands but did not observe the proper technique of hand washing. This quality control improvement aimed to evaluate hand-washing performance of haemodialysis patients and to determine if this could be improved by education and