...Introduction In our society, it is important to continuously improve the quality care patient’s receive. We must also improve our safety measures because it vital for the patient and health care professionals. As health care professionals, we should advocate for our patients and do everything to further prevent harm. The aim of this paper is to address the prevalence of catheter-related bloodstream infections in our hemodialysis clinic and to implement measures to reduce or prevent these infections. Catheter-related bloodstream infections create a cascade of potential serious health problems. These infections not only create a major challenge for the patient, but the health care professionals taking of the patient and subsequently the organization...
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...F., Marsh, J., Meyer, K., Powe, N., Wu, A. (2004), every year in the United States, nearly 90,000 patients with chronic kidney disease progress to ESRD and begin renal replacement therapy. Most patients optimally would prefer a kidney transplant, but many may not have the ability to find a donor and must get on a transplant list. So while they wait for a suitable kidney donor their only option is dialysis. End Stage Renal Disease patients have two choices of dialysis, either hemodialysis or peritoneal dialysis. Chronic dialysis can impose a considerable burden on patients and their families, with regards to health care and their quality of life. Many statistical studies have been done to compare the qualities of life with ESRD patients who are on hemodialysis and peritoneal dialysis. According to Lausevic, M., Nesic, V., Stojanovic, M., Stefanovic, V. (2006), health-related quality of life is a multidimensional concept that includes physical functioning, social functioning, mental health, and general health perceptions. This paper will discuss certain nursing issues, with regard to ESRD patients and their choice of renal replacement modalities, and review the literature from which this information was collected, and the statistical methods used and how the data was analyzed. Nursing Issues The choice of renal replacement modalities is usually a personal choice of the patient if they are given the proper information on...
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...associate-degree level and the baccalaureate-degree level in nursing and the competency differences between them. The associate degree program for a registered nurse became favorable and has come to be first choice as an attractive option for those who desire a quicker program time and a reduced tuition cost to becoming a registered nurse. The ADN program is focused mainly on basic competencies that include all age related assessments, subcutaneous, intramuscular, and intravenous drug administration, blood draws and blood product administration and the basic knowledge on how to run basic medical equipment. They also have to show knowledge with the use of cardiac monitoring, airway delivery mechanisms, drains, ventilation devices and wound care. Due to the severe nursing shortage during the postwar years the Associate degree...
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...Lacey Tucker PA203 Unit 3 Medical expenses/billing report Professor Olson August 17, 2014 Medical Service | ChargedTo HMO | Agreedto | % Diff. | $ Diff. | Typical Cost | % Diff. | $ Diff. | | | | | | | | | Office Visit | $ 60.00 | $ 45.00 | 25% | $ 15.00 | $ 47.50 | 20.83% | $ 12.50 | Pain Medication | $120.00 | $100. | 17% | $20 | $85.75 | 28.54% | $34.25 | Plastic Surgery | $15,000 | $15,000 | 0% | $0 | $14,000 | 6.7% | $1000.00 | Physical Therapy | $75.00(per visit) | $55.00 | 27% | $20. | $50.00 | 33.3% | $25.00 | Chiropractor | $ 100.00(Per visit) | $ 70.00 | 30% | $ 30.00 | $ 57.00 | 43% | $ 43.00 | Total Overages Date | Charge Type | Amount Overcharged | | | | 03/01/2002 | Office Visit | $ 15.00 | 03/15/2002 | Office Visit | $ 15.00 | 04/01/2002 | Office Visit | $ 15.00 | 04/15/2002 | Office Visit | $ 15.00 | 05/01/2002 | Office Visit | $ 15.00 | 05/15/2002 | Office Visit | $ 15.00 | 03/01/2002 | Pain Medication | $ 20.00 | 04/01/2002 | Pain Medication | $ 20.00 | 05/01/2002 | Pain Medication | $ 20.00 | 06/01/2002 | Pain Medication | $ 20.00 | 03/01/2002 | Physical Therapy | $ 20.00 | 03/08/2002 | Physical Therapy | $ 20.00 | 03/15/2002 | Physical Therapy | $ 20.00 | 03/22/2002 | Physical Therapy | $20.00 | 03/29/2002 | Physical Therapy | $ 20.00 | 04/07/2002 | Physical Therapy | $ 20.00 | 04/15/2002 | Physical Therapy | $20.00 | 04/22/2002 | Physical Therapy | $ 20.00 | 04/29/2002 | Physical...
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...Maintaining Fluid Balance: A Health Promotion Paper Victoria Mendiola Excelsior College Health Assessment and Promotion in Nursing Practice NUR442 Dr. Deborah Mandel December 8, 2012 Maintaining Fluid Balance: A Health Promotion Paper • • . INTRODUCTION Fluid overload is a major clinical issue in patients with end stage renal failure. Oftentimes, unresolved and unaddressed fluid overload leads to congestive heart failure. Congestive heart failure is a progressive and systemic disease process that involves the interaction between the heart and kidneys. (Krishnan, 2007). Over time, worsening heart failure coupled with progressive kidney failure leads to diuretic resistance, consistent fluid volume overload and refractory heart failure. (Francis, 2006). Fluid balance is a goal for ESRD patients and should be one of the priorities for health promotion and prevention education. Fluid Overload and the Peritoneal Dialysis Client It is important to note that the client in this paper was diagnosed in 2007 for ESRD and hemodialysis treatment was initiated for this client right away. Initially, patient was getting three times a week dialysis treatments in-center. However, in the last three years, the client’s dialysis treatments were raised to four times per week to avoid fluid overload. Per client’s report, within the last year he would have 1-2 episodes of shortness of breath every three months ending in hospitalizations for congestive heart failure (CHF). In...
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...Nursing learning has an immense contact on a nurse’s capability to practice, so as patient also requires the knowledgeable nursing personnel. I am an associate degree nurse. I have been working in the hospitals for last 8 year. I do have experience but still I am lacking something as a nurse then I have decided to add three more letters after RN. Nurses with Bachelor of Science in Nursing (BSN) degrees are well-educated to meet the workload placed on today’s nurse. BSN nurses are appreciated for their proficiency in critical thinking, problem solving, case management, clinical decision and health promotion. Baccalaureate nurse have additional chances to move up in nursing employment ladder in a variety of health care areas which offers as extensive professional development. Furthermore, nurses with a baccalaureate degree exhibit more nursing competencies as compared to their associate degree or diploma nurses. This discussion will point out the dissimilarity between Associate degree nurse (ADN) and Baccalaureate degree nurse (BSN) and also their ability to make sound clinical decisions. Associate Degree Nursing Versus Baccalaureate Degree Nursing The nation’s demand for nurses increased noticeably after World War II, as 78 million children were born between 1946 and 1964 (eventually known as baby boomers) (Creasia &. Friberg, 2011). Because of the nurses’ shortage after the World War II, associate degree nursing was originated by Mildred Montage in 1951. ADN was introduced...
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...Collaborative Approach to End Stage Renal Disease Patient Care Chronic kidney disease (CKD) affected 15.1% of the U.S. population in 1999-2000. During the fifth stage of kidney disease, kidney failure occurs. This is known as end-stage renal disease (ESRD). As of 2006, 25% of the Medicare budget was being used for the treatments for CKD and ESRD patients. As the baby boomers age, these numbers are expected to rise as well. An innovative and collaborative approach, such as a patient-centered medical home (PCMH), to ESRD treatment will provide higher quality patient care while reducing cost (Odum &Whaley-Connell, 2012). A case study using the PCMH approach will be conducted. Case Description Natalie is a 53-year-old African American woman. She...
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...StnGroup 2- 8 StnOrtho Clinic/Physio Clinic12 Nov-16 Nov ( Holiday)19 Nov-23 NovGroup 1-7 StnGroup 2- 8 Stn | Hospital OrientationWARD 17Pediatric WardBSN Clinical Practice VI AN 3320 * Clinical Learning Objective: 1. Provide individualized quality care to all assigned clients following the nursing process 2. Perform management and organizational ability during the provision of nursing care 3. Apply critical appraisal skills to evaluate the available evidence which underpins practice 4. Plan health promotion activities for clients and family to maintain appropriate behaviors to attain or maintain health 5. Integrate significance of research in clinical practice to achieve best patient outcomesSpecific Objectives: * Plan timely execution of nursing task in the ward * Perform independent learning through self-study and reflective practice * Effectively use up to date information through electronic access of literature and searching database * Critically evaluate an aspect of service delivery that can influence the quality of healthcare system * Utilize assessment, benchmarking audit and quality assurance tools effectively * Incorporate evidence based interventions in healthcare delivery and meeting health inequalities...
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...Peritoneal Dialysis” General Purpose: To demonstrate Specific Purpose: To demonstrate to my audience how to hook up to a peritoneal dialysis machine. Central Idea: Of the many people in the USA on hemodialysis, going 3-4 times a week may not be convenient for everyone. There is an alternative option though. INTRODUCTION: I. Did you know that there are over 350,000 people on hemodialysis in the United States of America? Hemodialysis is where the blood circulates outside the body of the patient - it goes through a machine that has special filters. The blood comes out of the patient through a catheter (a flexible tube) that is inserted into the vein. The filters do what the kidney's do; they filter out the waste products from the blood. The filtered blood then returns to the patient via another catheter. The patient is, in effect, connected to a kind of artificial kidney. A patient usually has to go to the dialysis center about 3 times a week and can be hooked up to the dialysis machine anywhere from 1 to 4 hours each time. That can be a very inconvenient to some people. There is however an alternate option for those that are willing to be involved in their dialysis treatment. This option is automated peritoneal dialysis and the patient, family member, or home health care provider can perform it in the home setting. It may seem difficult at first, but many dialysis patients say that peritoneal dialysis has made life much less complicated due to the fact that you can set...
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...Health Care Experiences (Option B) University of Phoenix Health Care Vocabulary HCS/212 Coralene Quimby-Worrell July 21, 2014 Health Care Experiences (Option B) Health care technology today is far more advanced than it was 30 years ago. With a variety of technology available to medical agencies, patients can now be diagnosed and treated quicker than they could 30 years ago. One piece of technology that I have always wanted to know more about is the dialysis machine. Though I work in a hospital, my job is medical administration so I never have see for my own eyes how this type of technology works. A couple of years ago my mother went in for a routine checkup. A few days after her checkup, she was notified that both her kidneys were deteriorating and that she had about a year to live, if she did not have a kidney transplant. The entire family was in shock, disbelief, how could this happen to us. We did not sit around long feeling sorry for ourselves. Once the dust cleared my two sisters and I began doing research on what we could do to help our mother. It did not matter that I was in Korea, or my older sister was in Oregon and the other in California. We all pulled together and did our homework and shared what each had found. To make a long story short, my mother did have a transplant; the donor was my younger sister. Today both my mother and sister are leading healthy lives. Though my mother needed dialysis it was something that we all looked into before...
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...scenario about a newly diagnose patient with end-stage kidney failure. The reader will learn about the kidney and function. What would happen if the kidneys stop working correctly? Continue to read to find the answer. A 40-year-old white well-nourished pleasant male presented with nausea, fatigue, shortness of breath has bilateral lower leg edema with chief complains of not urinating on two days. He and his supportive wife have come to the emergency department. John Doe has not been to the doctors in 20 years. He denies smoking or alcohol abuse. He could not give any family history because he came from a closed adoption at birth. He is usually in good health but has been not feeling well the last couple of months. He currently works at a labor ware house as a manager who has worked there for the past 20 years. Him and his family have health insurance provided threw his place of employment. He and his married have two young children. His educational background is high school equivalent. After blood tests, urinalysis, and a computed tomography scan, confirmed he has PKD. I would further assess his and his wife’s needs after the Nephrologists has come firm his diagnoses with him. Some of the teaching methods for John Doe and his wife to learn about PKD would be to explain the anatomy of the human body and what the disease is all about. I would give him a packet he could take home with him, consists of a six grade level reading material with pictures of what a healthy kidney should looks...
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...Where we as nurses fail our patients in hemodialysis within our facility is that we forget about the psychological aspect of our patients health. We are so focus on the physiological aspect because they can become detrimental that we create care plan base on that. According to Keskin and Engin (2011) because patients with chronic renal failure have to deal with so much physiologically: dieting, fluid limitations, limitations in bodily functions, time limitations, and sexual dysfunction that it often lead to severe depression. Research has found that 20-30% of patients with renal failure experience depression. Severe and untreated depression decreases quality of life and increased mortality in patients undergoing hemodialysis (HD). Within our...
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...the treatment of several chronic illnesses such as kidney disease and End Stage Renal Disease (ESRD) which is the last stage of chronic kidney disease and is characterized by permanent irreversible kidney failure. ESRD patients include those who are treated with dialysis—and those who have a functioning kidney transplant. According to the National Kidney Foundation’s website (National Kidney Foundation, http://www.kidney.org/kidneydisease/threesimpletests.cfm) the numbers are epidemic as many as 25 million American adults are diagnosed with chronic kidney disease. In an effort to combat kidney disease and to find treatment cures, the National Institute of Health (NIH) spends $655 million on kidney disease research and Medicare spends approximately $24 billion per year or approximately more than $35 billion towards the care for over 525,000 patients with end-stage kidney failure alone. Individuals with end-stage renal disease (ESRD)—irreversible loss of kidney function—require either dialysis or kidney transplantation to survive (add cite). Dialysis replaces the filtering function of the kidneys when they fail to operate properly and transplantation involves the transplanting of a donor kidney to an ill patient. There are two methods of dialysis and both have advantages and disadvantages—no one type of dialysis is best for everyone. The dialysis method that people select are based on what their provider suggests, their quality of life and their awareness of the different methods...
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...Shortage of Kidneys for Transplantation Introduction As a health care provider, everyday I see patients presenting to the Emergency Department due to renal failure. For kidney failure patients, we at least have the technology to keep them alive using hemodialysis. For liver failure patients, they are often left without real recourse and their mortality is almost certain. While a more permanent solution in the form of organ transplant is technological feasible, few organs are available for needed patients. The inequality between supply and demand is both expensive and fatal. In this paper, I will focus on the problem with insufficient kidney available for transplant, analyze its social and economic effects in the United States and evaluate the problem and a possible solution using economic sociology principles. Social and Economic Costs Currently, there are over 100,000 end-stage renal disease (ESRD) patients on the waiting list for a kidney transplant in the United States. (National Kidney Foundation, 2014) Patients have to wait anywhere between 5 to 10 years for a deceased organ. While they wait for available organs, most patients endure a four-hour session in a dialysis center three times per week. In 2009, the annual cost of taking care of an ESRD patient is around $70,000. The total cost was estimated to be over $40 billion. (USA Today, 2009) Because of Medicare rules written in the 1970’s, hemodialysis is a covered service, and no politician who desires to be...
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...United States. Numerous nations taken after the comparative design of out-of-pocket investing for medicine and medicine. In any case, Italian and Japanese patients confronted higher medicate investing than the test, while confronting generally low medicine medicate investing. In these nations, comparison between medicine costs and medicine costs demonstrates that looking at as it were medicine costs would significantly diminish patients’ money related burden. The American patients confronted the most noteworthy out-of-pocket investing for medicine drugs and moreover for medicate investing (Richard A. Hirth, 2008). The cost of dialysis is developing by 7% each year. The health care costs are raising by 1% each year. Population more noteworthy than 65yrs are developing. ESRD patients are developing. One year of hemodialysis treatment can fetched up to $72,000 per patient. Guarantee are suggested...
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