Dialysis Sources for your Essay

Angel Medical Portable Dialysis Device


2006) might become too thick (and therefore insufficiently permeable) from the continuous exposure to glucose, and from the acidic pH of the dialysate. The patient could become too obese due to absorption of some of the glucose in the dialysate (Ho-Dac-Pennekeet 1996)

Dialysis/Renal Failure When the Kidneys


Early diagnosis, aggressive management and treatment can retain kidney function and prevent or the progression of CRF to the end-stage (Cannon). Psychosocial and Physiological Changes - a study of 147 long-term renal failure patients, who were on dialysis, identified depression as the strongest predictor of death (Anderson 2005), it also significantly correlated with two-year mortality

Dialysis/Renal Failure When the Kidneys


). Chronic renal failure consists of a progressive loss of kidney function from disease or another cause (Cannon 2004)

Dialysis/Renal Failure When the Kidneys


A study of 336 hemodialysis and 185 peritoneal dialysis patients undergoing both types found that peritoneal dialysis was a preference 1.5 times more (Wellbery 2004)

Nursing Dialysis Among the Elderly


A number of studies have shown that dialysis, as compared to conservative therapy, increases longevity in older people, but not in those patients who are the sickest. Other data has indicated that a growing numbers of coexisting conditions often predicts an early death in patients with ESRD (Arnold and Zeidel, 2009)

Nursing Dialysis Among the Elderly


These findings are more interesting if you take into account the fact that treatment strategies such as geriatric assessment and multidisciplinary team care have been shown to be very effective in preventing functional decline in people. Disability among older dialysis patients problem that may have a substantial impact on nephrology health outcomes and care planning, but has not had much research done on it (Cook and Jassal, 2008)

Nursing Dialysis Among the Elderly


Many questions have been looked at surrounding this topic. Should older adults be able to choose to receive treatments that extend their lives? Are the treatments that they are available affecting the quality of life that these people are living? Are their alternatives that could be used instead? People who have renal disease often experience a decline in their state of health and the energy that is needed to keep up previously enjoyed activities (Curtis, Rothstein and Hong, 2009)

Nursing Dialysis Among the Elderly


The progress of the disease often affects the quality of a person's life. It has the potential to influence a person's physical and mental health which in turn affects their independence, personal relationships and social functioning (Cleary and Drennan, 2005)

Nursing Dialysis Among the Elderly


In the beginning when intermittent hemodialysis for chronic renal failure (CRF) was first used patient selection was determined by clinical evaluation committees and committees of community members (Moss, 2000). During this time the medical profession did not often discuss end-of-life (EOL) or palliative care for patients on dialysis due to the fact that only the healthiest patients were selected to undergo dialysis, so there did not seem to be a need (Haras, 2008)

Nursing Dialysis Among the Elderly


In recent years, physicians have become more successful at dialyzing patients who have complicated conditions, including many older patients. Many doctors feel that it is morally unjustified not to offer dialysis to any patient with ESRD regardless of their age (Kaufman, Shim and Russ, 2004)

Nursing Dialysis Among the Elderly


In recent years, physicians have become more successful at dialyzing patients who have complicated conditions, including many older patients. Many doctors feel that it is morally unjustified not to offer dialysis to any patient with ESRD regardless of their age (Kaufman, Shim and Russ, 2004)

Nursing Dialysis Among the Elderly


In many developed countries CVD and cancer are thought to be the leading causes of death. The WHO report has called for governments to provide leadership in addressing the projected continued increase in deaths due to chronic diseases (Levey, Atkins, Coresh, Cohen, Collins, Eckardt, Nahas, Jaber, Jadoul, Levin, Powe11, Rossert, Wheeler, Lameire, and Eknoyan, 2007)

Nursing Dialysis Among the Elderly


Nursing Dialysis among the Elderly The issues that surround the health of a person at the end of their life have started to attract growing attention over the last several years (Menec, Lix, Nowicki, and Ekuma, 2007)

Nursing Dialysis Among the Elderly


Clinicians are often not inclined to discuss death with patients, thereby limiting the choice of death over dialysis as a medical option (Kaufman, Shim and Russ, 2006). It is thought that the goals of care are different among older patients, which can be seen in the lower rates of nephrology referrals among patients who are 75 years of age and older (O'Hare1, Bertenthal, Walter, Garg, Covinsky, Kaufman, Rodriguez and Allon, 2007)

Nursing Dialysis Among the Elderly


At one end of the spectrum, discomfort with dying can lead to passivity, where the nephrologist serves purely passive role, overseeing dialysis and focusing on fluid and electrolyte balance. At the other end, the nephrologist can be seen as taking a leading role in end of life care (Siegler, Del Monte, Rosati, and von Gunten, 2002)

Nursing Dialysis Among the Elderly


The amount to which dialysis extends life and its effective on the quality of life in elderly patients remains a topic that is highly discussed among the experts. The extent to which dialysis affects a person's functional status or their ability to perform activities such as walking, bathing, dressing, getting out of bed, and using the toilet correlates with the quality of their life and often determines what care is needed (Tamura, Covinsky, Chertow and Yaffe, 2009)

Kidney Failure and Hemodialysis the


Hemodialysis will be prescribed but before beginning, we will need to undergo an extensive blood work-up. This will assess different levels in your blood so that we can see how progressed the kidney disease is (Daugirdas, Blake, & Ing 2006: 109)

Kidney Failure and Hemodialysis the


Physical Reaction. The client's psychological and emotional well-being has had major impact on his physical well-being, which is normal (Stein & Wild 2007: 100)

Kidney Failure and Hemodialysis the


There are many factors that will need to be addressed pertaining to your health. Patients who are undergoing hemodialysis can face a plethora of emotional issues that is caused by their illness and every patient needs assistance in psychological adjustment (Sullivan 1975)

Kidney Failure and Hemodialysis the


Blood tests can indicate whether or not the kidneys are functioning properly or if they are failing to eliminate waste. Urine tests can also show how quickly bodily wastes are being eliminated, and whether or not the kidneys are leaking abnormal amounts of protein (Walser & Thorpe 2004: 38)