Dialysis

understand depression in dialysis patients, we must know the meaning of the mental illness of depression. “Depression is a syndrome, a cluster of emotional, physical, and behavioral symptoms characterized by sadness, low self-esteem, loss of pleasure, and sometimes, difficulty functioning. If these problems persist for more than two weeks, cause real suffering, and interfere with the business and pleasure of daily life you may have clinical depression” (Pinsky, n.d.). “Depression is the most common psychiatric illness in patients with end-stage renal disease (ESRD). The reported prevalence of depression in dialysis population varied from 22.8% (interview-based diagnosis) to 39.3% (self- or clinician-administered rating scales)”…

On Monday, September 18th, I got the opportunity to observe outpatient dialysis treatments at DaVita Dialysis. I followed a Patient Care Tech and a LPN during the clinical, and observed great nursing care throughout the clinical. There was one RN in the facility and she was the charge nurse. She managed care as well as delegated patient assignment for the day/week. During my experience, I saw how much patient self-care was necessary during treatment. If the patients needed a kidney transplant,…

Upham provided strong leadership in the planning, coordinating and implementation of the Peritoneal Dialysis Program. This is a brand new program, developed to bring back the Veterans who were receiving their care out in the community. With the complexity of their care due to multiple co-morbidities it is critical for them to receive all their care at the Providence Veterans Administration Medical Center (PVAMC). Evidence based resources were used in creating the program and the Peritoneal…

During my dialysis experience I found it to be very informative and interesting. We were not allowed to touch the patients or help with any care but the staff was interactive and explained was they were doing. The staff also was able to provided scenarios of different complications that happened and how they 'd respond. By the end of the first day I was able to see what the caregiver would due if a patient had muscle cramps, was short of breath and had chest pain. The first day I mostly…

Western Dialysis Clinic Introduction This case describes the cost system at a regional non-profit full service renal dialysis clinic. The current system installed at the clinic is based on the traditional ratio-of-cost-to-charges method that was developed for government cost based reimbursement programs. Under this system, the service expenses were allocated to a particular department on basis of the percentage contribution in the revenues of the clinic by that department. There were two…

nausea, vomiting, headaches, severe itching, and there may also be a metallic taste in the mouth. When CKD first begins the kidneys are still able to perform its functions, but at the disease becomes progressively worse, the more complications will occur and the more the disease becomes, which results in Kidney Failure. Kidney failure affects the body in very negative way. At this stage you will need dialysis or a complete kidney transplant. (WebMD, 2016) Complications include Anemia because…

treatment of life-threatening features such as , shock, respiratory failure , hyperkalaemia, pulmonary oedema, metabolic acidosis and sepsis; stopping and avoiding administration of nephrotoxins, optimization of status; haemodynamic and fluid status; adjustment of drug dosage appropriate to glomerular filtration rate; nutritional support; and early referral to nephrologists for diagnosis of ARF cause, timely initiation of dialysis and initiation of specific treatment Mehta RL,Chertow GM.…

life-threatening. Kidney failure is life changing, it can be deadly and sometimes it can be treatable or curable. Kidney failure is considered permanent but in some cases it can get better after treatment. In some cases dialysis is only needed for a short amount of time. When someone has kidney failure the patient can…

Population: mortality. 0.208% of all deaths in South Dakota are linked with chronic kidney disease, or 156 of 75,000 deaths; this means that the person could have died from other reasons, but the patient did have chronic kidney disease (Midwest Kidney Network. Dialysis Deaths, 2015), (South Dakota Department of Health. At a Glance in 2014, 2015). Nationally, 0.0149% of all deaths are from some stage of chronic kidney disease, meaning that the death is as a result of this disease (Center for…

a week for about four to five hours at a time (NIH). Since this is not something that is done quickly, as long as you remain attached to the machine properly, patients are not subject to being alert or “glued” to the machine. They can watch television, read, and even sleep. Most people today receive dialysis treatments at a facility like DaVita or do at-home dialysis. There was a heavy reliance on dialysis to fill the absence of a damaged kidney. Today, although dialysis is still…