In the Nephrology nursing journal by Kimberly Davis, she explains the difference between home hemodialysis and in-center dialysis being different approaches, regarding how patients should receive treatment for kidney failure. Home hemodialysis is for patients who want to make their own decisions regarding their care at home, by simply completing a course to receive treatment. In- center dialysis requires the use of nurses, technical staff, and transportation to and from the dialysis center every week. Both treatments are very helpful, but home hemodialysis is an alternative that saves patients and nurses, not to mention patients will have the ability to make a convenient schedule to receive treatment, not having to depend on friends and …show more content…
Some patients do not have the chance of having a family member to transport them to and from a dialysis center. Having to deal with this, can cause more stress towards the patient and family. As Davis (2013) explained " the patient expressed that he was at the mercy of inconsistent caregivers, infrequent visits from his physician, and resistance from staff when he made suggestions" ( p291-292. 2p). Patients should not have to deal with that kind of pressure, it is already enough having to go through treatment every day. With hemodialysis patients are able to become more independent in treating their disease. Patients shouldn 't have to feel to put a burden on their family to be taken care of. Having the home hemodialysis doesn 't only help patients, but the family as well. Moreover, Davis (2013) noted that despite home hemodialysis benefiting patients, "With quality teaching principles and good training resources, patients can even make Nephrology nurses’ lives easier because of their increased independence" ( p291-292. 2p). Nurses taking the role of assisting patients on principle bases on their treatment help nurses eventually give the independence of treating themselves without help. Furthermore, not only does this make nurses job easier, but if needed help with hemodialysis less Nephrology nurses are needed. This treatment also benefits the nurses as well as 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.
I think there is a difference from approaching as a professional than as if they were family because as a professional there are certain boundaries you should not cross and sometimes families cross those boundaries. The care changes when caregivers know the values, accomplishments, and experiences of the elders in their care because they look as the patient being priority and what they want or need to a peaceful quality of life. 3. If you could have a conversation with anyone in Almost Home whom would you want to talk with and what would you want to talk about? Why?
Ms. Turner is a certified hemodialysis technician who functions in the role of Lead Machine Instrument in the Hemodialysis Department. She is responsible for the water purification system under the supervision of the Nurse Manager which is the most critical component to providing the Veteran with their hemodialysis treatment. She is also responsible for the unit inventory and because of her attention to detail the Veterans’ needs are fulfilled and without delay in care. Her position requires specialized advanced knowledge and skill which provides for a safe and efficient environment for Veterans to receive their treatments. In addition to these roles and responsibilities, Ms. Turner functions in the role of a patient care technician providing
With input from all parties, a care plan can be developed. In many cases, both a home health aide and an in-home caregiver will be required to ensure the proper level of care, one that allows the senior to stay in his or her home. In the event a patient needs home health care in addition to a personal care aide, we are happy to help. We work with home health agencies to ensure our clients have the help they need at all times, regardless of what is involved.
Practice Dimension/ Ethics/ Resource Utilization: Ms. Cabral applies the nursing process to systems or processes at the unit/team/work group level to improve care. She is the primary nurse for five of our chronic dialysis patients promoting safe high quality care. She involves the patient and their families in monthly interdisciplinary care plan meetings to promote self-efficacy and quality of life. She continually evaluates the patient 's health status. The effectiveness of her patient 's plan of care is reevaluated on a regular basis and changes are made for continuous improvements.
Keck and Reed,(2012) stated that the cuban health system was revolutionised in the 1970 to be more community based; due to clients reporting that waiting time to see a doctor was too long and the time spent with the doctors was too short. This dilemma prompted the revolutionary shift in the way care was delivered to the citizens. Hence, the goal was to provide comprehensive care where they live, as a resulted doctors and nurses were assigned to live and worked in the neighbourhood where they practice. They literally live next door to their clients.
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
Eg, they might choose to stay at home and have domiciliary carers/ personal assistants come in to aid their care rather than move to a care/residential
This is more than just the financial resources that they have, but also their psychological and physical health and their spiritual outlook on life and the situation. One important factor is the caregiver's location and place of residence in relation to that of the person to be cared for. It must also be remembered that the carer has a life outside of this role and, therefore, important factors in caring include other day-to-day roles such as being an employee, a parent and a professional person. The carer is also affected by the opinions and demands of people outside the caregiving relationship. Caregivers are also facing a health care system that seems to be placing more responsibilities on caregivers while providing less and less
Dialysis can consist of hemodialysis or peritoneal dialysis. The choice between dialysis and transplantation is based on age, health-related problems, donor availability, and personal preference. Dialysis is a life-sustaining treatment for those who are not a candidate for a kidney transplant. Management includes medication compliance to antihypertension medications, proper blood sugar control, adhering to dietary restriction, stop smoking, and maintaining a healthy weight. Complications include: (Grossman & Porth, 2014).
Helps Seniors Meet Their Emotional Needs Serious illnesses and their accompanying treatments can emotionally drain your loved one, causing depression, anxiety and feelings of confusion. Palliative caregivers can address these feelings, giving your senior loved one an opportunity to talk through their emotions, cope with feelings of anxiety and sadness and help your loved one get medications to help if necessary. Assists Seniors in Communicating With Their Medical Team Seniors who have a serious illness often have a vast medical team that may include doctors, nurses, social workers, psychiatrists, pharmacists, counselors, pharmacists, nutritionists and therapists. A non-medical home caregiver can help your loved one communicate with their team, keeping them comfortable and on top of their treatment. This communication can include arranging appointments, managing their pain and ensuring their mental health needs are met.
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.
When this happens, the vein expands or swell rather making its wall increase in thickness to withstand the needle sticks attached from the body to the dialyzer. The only limitation in creating a fistula is that it takes a while to mature, probably weeks or months for it to be ready for use hence this method, haemodialysis requires a lot of planning. In the case that renal failure occurs abruptly and there is need for immediate attention, then the doctors can use special tubes that will be inserted into a larger blood vessel in the arm, leg or even the chest. The tubes might be required to stay in the same
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
The nurses and caregivers can attend to their medication One of the primary features of a residential care is that they provide 24/7 care for the patient. Each patient has an assigned caregiver who will be there to assist them all the time. If you need someone to remind the patient to take their medicines on time, eat their meals on time or even check their blood pressure, you can have all that in our residential care center. Considering all these factors, how, then would you know if your loved ones would really need our services in the residential care center?