Term Paper: Hemodialysis on End Stage Renal

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[. . .] With this positive result of integrative care study, the combination between hemodialysis and peritoneal dialysis treatments, nurses need to be aware of what best option is for the patients, knowing the symptoms that possibly occur, along with the different time given for each treatment.

Whether the patients are aware or not about their condition, it is advisable that the nurses give enough information about the option they have, along with each consequence related to the taken action. Patients then may take which option they prefer based on their condition, working schedule and daily activities. Also they will need to make option based on their financial constraints, although the government helps in some parts to pay for the expense.

However, in contrary to the research that states for the preference of hemodialysis, hemodialysis treatment does not always give proper result as the patients want. The ESRD article indicated some chronic and acute problems that occur in hemodialysis patients. Some common chronic problems are "hypertension, anemia, malnutrition, fluid and electrolyte imbalance, calcium deficiency, insomnia, sexual impotency, decreased mental acuity and lower energy levels." On the other hand, acute problems include "headaches, nausea, hypotension and asthenia (a general lack of strength and vitality), which are associated with thrice weekly dialysis sessions. This is not to mention, the general decrease of the condition as the result of accumulating toxins, salt and water in the patient's blood. More commonly afterwards, patients will complain for another complication of heart disease.

It is included in nurses' responsibility to give proper explanation and thorough facts to the patients about possibilities they will confront and risks they need to take that go along with each type of treatment. It is not that hemodialysis is the best choice, compared to peritoneal dialysis and kidney transplant, since each treatment brings its own risks. The occurrence of negative response to hemodialysis treatment also happen on special condition the patient bears. It is wise that the patient knows the truth, as long as it is within the range of the patient's emotional acceptance.

While mental condition of the patients sometimes are left behind when carrying out renal thorough check, or in after transplant surgery (during the recovery process) or any other dialysis therapy, Walton (2002) carried out a new study that examines how patients cope up with their daily life, adjusting to dialysis. Hemodialysis patients are critical in their need to face the entire struggle themselves, regardless the care and attention they may get from their family and paramedics who help them get around with the paraphernalia.

Some volunteer participants, consisting of four men and seven women, in the age range of 36 to 78 years old, were invited to join this research. The patients' status were staying out, which means the degree of separation with hospital function increased, unless they were treated properly by visiting nurses or trained family member.

The study was aimed to check or "find a balance" of the most important aspects the patients undergo: "confronting mortality, (b) reframing, - adjusting to dialysis, and (d) facing the challenge." Besides those categories, it was also important to seek the spiritual qualities like "faith, presence, and receiving and giving back." The patients mentioned in their life quality for the surrender from within to face the life with positivism, regaining the private aspects of their life to develop the "balance."

The balanced condition means the patients have good stability in managing their emotion, and look more positively and optimistic to heal the disease. Some people have this attitude since they were born, but most people might be rather shocked knowing that they would live forever with a catheter or tool attached in their abdomen and go through the long processes. Nurses have the capacity to work with this kind of feeling, explore the patients, listen to them, and help them managing the drawback.

Although other expert, Anita E. Molzahn commenting on the research mentioned that it is necessary to confirm the research, like that the samples need to represent the whole community of hemodialysis population (some of hemodialysis patients are not engaged in strong spiritual pursue or religious activities), this study reveals some holes in where nurses can contribute their skills to help the patients. It is necessary to understand the patients' status of self-respect and readiness to cooperate with the given therapy. This aspect has been left behind while attempting a therapy to patients for most cases, and right now should be quite helpful; as nurses can also help the patients cure themselves with the positive attitudes from within.

It is also a certain mark, which opens a possibility for future research, to find out other factors that may contribute to health level of a hemodialysis patient. Those possible factors include: races, socio-economic strata, and spiritual belief systems associated to the researched factors above.

What a nurse perhaps need to keep in mind is that the importance of treating a person as the whole, and not only the disease. Of course, a preliminary conversation is essential to explore the patients' mental condition and personality outlook. With an educated patient, the nurse will be able to help more and communicate what key issues of the disease are, while on the other occasion, the nurse may try different approaches. Molzahn also recommended that this procedure applied in the practice.

How Nurses Develop Themselves

The development of relationship between nurses and patients actually has greater opportunities than just therapy and consultation sessions. As a part of scholarly communities, nurses also bear the responsibilities to grow and always develop their managerial and technical skills. No matter which one is the greater than the other, nurses may learn a lot of the skills by get knowing their patients better.

Counts and Holmes (2002) mentioned that nephrology nurses still have a lot of room to upgrade. As a matter of fact, many medical researches can be conducted just within the time when nurses carry out the daily conversation when they are trying to explore the patients, and also explaining standard procedures to the closest relatives or friends of the patients.

Nurses only need to think a little bit broader than what they should in their profession. There are actually a lot of slight of opportunities that open the mind later after several follow-ups and self-conducted research.

In the case of hemodialysis, there are a lot of different conditions of the patients when they start and during treatment that determine the end result of the treatment. It depends on the patient's background and their information about hemodialysis and their own condition. Many patients tend to be actively involved in their treatments and ask a lot of questions to enrich their knowledge and especially, to make sure that they know what to do when no appropriate person are around to help. Many others are completely helpless, fully dependent to the help from paramedics and other member of the family, and are overwhelmed in their own spurs of fear that very often, encouraged by the stories they overheard upon minimum acquaintance about the disease.

Hemodialysis treatments often take place in nephrology service and clinics that this place could be the center of learning where both nurses and patients educate themselves. Nurses, for example, may take advantage to learn the management of the therapy, like finding ways to increase the effectiveness of the treatment, applying different approaches to create non-threatening environment for the patients, or if possible, encouraging such activities that patients may try to get rid of boredom (such treatments may take hours to carry out).

For the further thinking and more advanced managerial training, any nurse manager could also remember that their staffs are essential resources that contribute great effort to do the job. Such researches conducted here will provide important data for the medical resources (and open for further investigation), and even for indirectly related organization like Food and Drugs Administration. It is a great thinking that such ordinary ward in the hospital or clinics may house thousands of important sources of laboratory-like research station.

Nurse manager should encourage the staffs to respect the research procedures. It is not recommended to conduct a research just based on individual perception, but most likely the whole management and process will be based on team working as well as fair cooperation with the patients and patients' family.

Counts and Holmes (2002) stated that the nurse manager should be able to set standard procedure for the research, and communicate the clear version to all of the staffs that each person is sure with his or her role in the project. This is a great way for every person in the managerial… [END OF PREVIEW]

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Hemodialysis on End Stage Renal.  (2002, November 11).  Retrieved April 20, 2019, from https://www.essaytown.com/subjects/paper/hemodialysis-end-stage-renal/5951222

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"Hemodialysis on End Stage Renal."  Essaytown.com.  November 11, 2002.  Accessed April 20, 2019.
https://www.essaytown.com/subjects/paper/hemodialysis-end-stage-renal/5951222.