...Hemodialysis and Its Impact to end Stage Renal Disease Patients Student’s Name University Contents 1.0 Background to the Study.........................................................................................3 2.0 Introduction.............................................................................................................3 3.0 Problem Statement..................................................................................................4 4.0 Data Collection........................................................................................................4 5.0 Data Management and Analysis..............................................................................5 6.0 The Protection of Human Rights.............................................................................6 7.0 Interpretation of Findings........................................................................................7 8.0 Conclusion...............................................................................................................7 References.....................................................................................................................8 Hemodialysis and Its Impact to end Stage Renal Disease Patients 1.0 Background to the Study The final stage of chronic kidney diseases is when the kidneys can longer support their functions; this is the end stage where organs are pronounced to have failed completely (Esra, 2013)...
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...complexity of the signs, symptoms and progression of the disease. Cancer patients are chronic sufferers and require effective physiological and psychological management of the complications. Pain is a common complication of end stage cancer patients who are undergoing either curative or palliative treatment. It can range from mild, moderate and severe depending on the progress of the disease. When it comes to palliative or end stage cancer (terminal illness), severe chronic pain management becomes even difficult for the family and health care providers. In fact, in such cases pain becomes primary and chief complaint of people for referrals....
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...roughly 3:30-4 pm, I observed a male patient in the atrium. The patient was 12 years old and was accompanied by a nursing student. According to the chart, the patient had speech & language delay and intellectual delay. The patient had his head wrapped and the leads connected to a ‘fanny-pack’ appeared to slightly physically limit the patient. From my observations, the patient’s developmental status was that of a 6 or 7-year-olds. The patient’s affect was content, and he enjoyed playing with his student nurse. Based on observations, I categorized the patient to be school age. The patient appeared to be in the same developmental stage as his chronological age would be; however, the patient was moving more slowly through this stage and was closer to the younger age for the developmental stage and had the development status of a 6/7-year-old....
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...Abstract This paper is written to discuss the ethical dilemma we come across when asking our self whether or not we should place a tube feeding in a patient with a history Alzheimer’s or Dementia. Will this prolong the patients’ life or just the inevitable death? Most often a decision needs to be made regarding the placement of a tube feeding. The question is not initiated by the patient themselves. This is the reason why educating our patients are so important. In this paper I will discuss how important the role of the healthcare professional plays in advocating for a patient. To help answer this ethical dilemma several issues will be explored. I will focus on the seven principles of ethics, education, utilitarianism, top-down theory alternate treatment options. Will Tube Feedings Prolong Life? While working with the majority of geriatric population, we frequently come across patients with Dementia and Alzheimer’s disease. The most common problem in these patients is the inability to swallow as well as the patients are failure to thrive. Many healthcare workers and family members become upset when the patient does not have proper nutritional intake. As human beings it is our nature to take care of our loved ones when they are ill, this is our ways of showing love and affection tore’s each other. We often question the situation regarding the need for artificial feeding. Care givers have misconceptions if we provide artificial nutrition it will help prolong...
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...is to look at the issue of end of life care in dialysis satellite units, as these areas tend to be nurse led units. My interest in palliative and end of life care has arisen from the growing number of poorly patients we continue to dialyse, this has proved distressing especially for the patient, who often has unmanaged symptoms and for their families, it is also upsetting for the staff involved in their care, as it is felt nobody is acting as the patients’ advocate and helping the decision to facilitate the withdrawal of what is now an ineffective and unnecessary treatment. One of the latest developments by the Government and Department of health is the concept of Advance Care Planning. I have looked at this from various perspectives and would like to be involved in introducing the process to Sheffield Kidney Institute. In 2004, the number of patients receiving renal replacement therapy in England, Scotland and Wales was 33,511, this figure is sourced from data which has been made available to them from participating renal units throughout the country, the number of patients receiving dialysis since 2000 has risen by 7% (Ansell et al 2005) with it projected to rise by a further 10 percent over the next 5 years (Ansell et al 2005). About 15-29 percent of deaths of patients with end stage renal disease results from a decision to discontinue dialysis (Davison 2006). Importantly we need to explore which patients especially those reaching the end of their lives are choosing...
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...diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with chronic kidney disease. Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis.[1] It is differentiated from acute kidney disease in that the reduction in kidney function must be present for over 3 months. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a lower glomerular filtration rate and as a result a decreased capability of the kidneys to excrete waste products. Creatinine levels may be normal in the early stages of CKD, and the condition is discovered if urinalysis (testing of a urine sample) shows that the kidney is allowing the loss of protein or red blood cells into the urine. To fully investigate the underlying cause of kidney damage, various forms of medical imaging, blood tests and often renal biopsy (removing a small...
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...the heart muscle become hard and narrow, causing the heart to be deprived of blood and oxygen. Managing coronary artery disease can be difficult and stressful for some patients. Research about this topic is commonly explored and has positive reviews when management interventions are implemented. There have been patients who have benefited from different behavioral and pharmacological techniques that produce healthy outcomes. However, patients do not have the knowledge or resources to obtain the correct information on their own. Nurses, as advocates, should educate patients on proper care of this illness. Annotated Bibliography Driscoll, A., Hare, D. L., & Toukhsati, S. R. (2015)....
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...They discuss the history of hospice care and what initially sparked interest into bringing the program to life, and eventually what it has become today. They shed some light on interesting facts regarding the current state of the hospice care program and how it’s current patients affect Medicare financially. My initial thoughts before diving into the article was “How could someone put a price tag on another persons quality of life as they die...”, but soon after finishing the article my perspective...
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...Physician Assisted Suicide: Appropriate or Atrocious How much pain can a patient withstand until they feel that they can not take it anymore? Will physician assisted suicide be viewed as something positive rather than a deadly sin? The procedure taken with physician assisted suicide has become one of the most debatable topics since the unjust acts done by Dr. Kevorkian. Dr. Kevorkian was a doctor in medicine who would grant anyone death that seeks it. This story has traveled around the world and time to where it affects the decision of assisted suicide being legal. No one wants to see a slippery slope occur to where it is just another category for murder. In the United States, physician assisted suicide has become legal in five states: Oregon, California, Vermont, Washington and Montana. This is where licensed doctors perform a procedure in assisting a patient with suicide. Within those states, this is only an option not a misfortune. However, society has viewed this topic to be either unethical and morally wrong or something that can help with the terminally ill patients suffering in a hospital. For a doctor to assist the terminally ill in death, it can not be something to be frowned upon. Physician...
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...Leggio, L. , Ferrulli, A. , D' Angelo, C. , et al. (2013). Liver transplantation in alcoholic patients: Impact of an alcohol addiction unit within a liver transplant center. Alcoholism: Clinical and Experimental Research, 37(9), 1601-1608. This article discusses an experiment that was done on an alcoholic addiction unit in a liver transplant center. This Alcohol Addiction Unit (AAU) was formed for alcoholic patients who are affected by end-stage liver transplant and are on the waiting list of transplantation. It includes tables and graphs of the characteristics of Alcohol Abuse in Recidivistic (Lapse or Relapse) and Nonrecidivistic patients. This article can be useful for my memo topic by providing useful information such as the number of patients who relapse after a liver transplant, based on the experiment. It also evaluates the relationship between relapse and the duration of alcohol abstinence after a transplant. It would also help by providing an example that alcohol patients that get liver transplants can stop drinking by participating in a program such as the Alcohol Addiction Unit. GLANNON, W. (2009). Responsibility and priority in liver transplantation. Cambridge Quarterly of Healthcare Ethics, 18(1), 23-35. This article summarizes a paper that argues that it is wrong to give...
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...FPCP, FPSN Chronic Kidney Disease (CKD) is a dreaded condition . CKD includes a continuum of kidney dysfunction from mild kidney damage to end-stage renal disease (ESRD). Chronic renal disease is interchangeably used for CKD but to be unifom in usage, we will use the term Chronic Kidney Disease or CKD. In the U.S., there are 20 million adults who have chronic disease and over 400,000 persons have ESRD and require dialytic or transplantation therapy. In the Philippines, annually we have about 6,ooo patients started on dialysis most of which are caused by diabetis mellitus. Complications of this condition have also made this the 9th cause of death in our country. This is how important this disease entity has become over the last decade. Each of us has 2 kidneys, one on each side of our flanks. Chronic kidney disease is a permanent damage to both kidneys that persists for at least 3 months. If the kidney damage is temporary and has occurred less than 3 months, this is referred to as acute kidney or renal failure. Acuteness does not refer to the severity of the condition, but to a recent and temporary event, therefore, almost always reversible. Chronicity implies long-term event that is permanent and irreversible. This is probably why most patients fear to hear that they have kidney disease and would need dialysis. CKD has five (5) stages based on the kidney function as estimated by the glomerular filtration rate (GFR).The best overall measure of kidney function is the GFR and...
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...plays a critical role in the revenue cycle, largely due to the fact that the revenue cycle begins and ends with medical records (Anderson & Underwood, 2005). The term revenue cycle covers all events that take place in the patient care process that permits the organization to receive payment for the services rendered, and it is important to be aware that this is heavily reliant upon data (Dunn, 2009). In order to fully appreciate the participation of HIM in the revenue cycle process, it is imperative to first gain an understanding of who the key players are, and to summarize the flow of activities that comprises the revenue cycle of a healthcare facility. The key players in hospital revenue cycle management are Administration, Finance, Patient access, Health information management (HIM), Patient accounting, and Clinical services, which includes physicians, diagnostic services, and therapeutic services. Administration sees to strategic goals and operational efficiency and effectiveness. Finance deals with cash flow and contract management. Patient access is responsible for data integrity, demographic and financial data, insurance verification, and pre-certification. Clinical services is responsible for documentation of services, as well as documentation and recording of charges. Health information management takes charge of coding, abstracting, and data validation. Finally, Patient accounting oversees compilation of charges, billing, and collections (Davis, 2011, p. 3). The flow...
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...cause is a life-threatening condition called end-stage kidney disease” (Wingerd 322). From the name of the disease you can see that it is the last stage in renal failure. End-stage kidney failure is preceded by chronic renal failure that gets worse “until less than 10% of renal function remains” (Huether and McCance 1253). It can lead to death if it is not treated immediately. According to Bruce Wingerd, an “aggressive course of action” is required to save the patient’s life (322). This can include “hemodialysis and, if possible, kidney transplant” (Wingerd 322). The symptoms of end-stage kidney disease (ESKD) may vary from person to person. The most common symptoms are swelling, fever, weakness, muscle cramps, no or high urine output, and abdominal pain (Johns Hopkins Medicine). According to John Hopkins Medicine, high blood pressure, diabetic nephropathy, and cystinosis can cause kidney damage that may lead to the development of ESKD. When a person’s blood pressure is high for too long it puts pressure on the kidneys to filter more blood which causes stress. Stress causes damage that makes it harder for the kidneys to function adequately. The symptoms of kidney failure are similar to the symptoms of other common illnesses. Because of the similarities in symptoms, it is important to get a checkup with your doctor in order to know what is really going on....
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...care for patients who are near the end of life from a terminal illness. This is a group of professional health care workers that are there to take care of the patient and the patient’s family. They work as a team to make sure these patients have as less pain and problems dealing with the end of life as possible. They provide the family of the patient with the knowledge of how the dying process works. They will inform the patient and family stage by stage of what is happening. They will let the family members know the details of the sounds a person may make when the process begins so the family is well aware of what is going to happen. Although hospice helps the family deal with the loose of the patient, hospice caregiver’s main focus is to make the patient feel comfortable, by easing any discomfort possible during the process of dying. They also help the patient pass with as much dignity as possible. Hospice can start caring for a patient as early as six months, the physician of the patient has to recommend for services to be start. A patient may be on hospice for as little as a few days, no matter the length the services and care given is always important for the patient and family. Most of the patients on hospice are older, however hospice services will be provided to any patient in their final stages of life young, middle age or old. Many patients dealing with the final stages of their illness receive hospice care; there are also on the other hand, many patients and families...
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...Hospice Care HCS 212 December 12, 2012 Hospice Care Hospice is a very special type of healthcare that offers comfort and support for patients and families that are facing a terminal illness. The focus is put on making a patient comfortable with a quality of life instead of a cure. The main goal is for a patient to have comfort and free of pain, with the hope that they will live each day as fully as possible, allowing people to live the remainder of their life with comfort and dignity. Hospice services are available for people that can no longer benefit from curative treatments, and are different from other types of care. You may require more help than you are used to which can be both good and bad. The life expectancy for these individuals is normally six months or less, but sometimes they do live past six months. These patients are encouraged to try and live as much of a normal life as possible and to the fullest as possible as well, they do not have to confined to a bed or stay at home 24/7. A multi-disciplinary team of physicians, nurses, pharmacists, social workers, dietician’s, hospice certified nursing assistants, clergy, therapist and bereavement counselors as well as volunteers who all work together as team to address the physical, mental, emotional, spiritual, and social needs of each and every family member. This care is provided in their own home no matter what age...
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