Relevant bibliographies by topics / Hemodialysis - Patients - Care

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers

Academic literature on the topic 'Hemodialysis - Patients - Care'

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Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Hemodialysis - Patients - Care"

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Koc, Zeliha. "Determination of self-care power of hemodialysis patients." New Trends and Issues Proceedings on Humanities and Social Sciences 4, no. 2 (August 28, 2017): 299–307. http://dx.doi.org/10.18844/prosoc.v4i2.2503.

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Ifudu, Onyekachi. "Care of Patients Undergoing Hemodialysis." New England Journal of Medicine 339, no. 15 (October 8, 1998): 1054–62. http://dx.doi.org/10.1056/nejm199810083391507.

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Sadir Ali, Sideeq. "SELF-CARE ACTIVITIES OF PATIENTS UNDERGOING MAINTENANCE HEMODIALYSIS IN ERBIL GOVERNORATE." Journal of Sulaimani Medical College 11, no. 1 (March 21, 2021): 1–12. http://dx.doi.org/10.17656/jsmc.10282.

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BALCI, Hatice, Gülfidan BAŞER, Evre YILMAZ, and Birol ÖZKALP. "Home Care Needs of Hemodialysis Patients." Turkiye Klinikleri Journal of Internal Medicine 6, no. 1 (2021): 6–13. http://dx.doi.org/10.5336/intermed.2020-76050.

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Parfrey, Patrick S. "BNP in Hemodialysis Patients." Clinical Journal of the American Society of Nephrology 5, no. 6 (May 27, 2010): 954–55. http://dx.doi.org/10.2215/cjn.02710310.

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Iqbal, Qura Tul Ain, Amna Shareef, Aurangzeb Afzal, and Sania Ashraf. "ARTERIOVENOUS FISTULA CARE." Professional Medical Journal 25, no. 09 (September 9, 2018): 1426–31. http://dx.doi.org/10.29309/tpmj/18.4422.

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Moura, Cristina, Helena Penaforte, Catarina Ribeiro, Catarina Sequeira, Maria Saraiva, and Manuela Martins. "Humanization of care patients in hemodialysis programm." Millenium - Journal of Education, Technologies, and Health, no. 02 (January 2017): 101–9. http://dx.doi.org/10.29352/mill0202.09.00042.

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Richardson, Michelle M., Susan S. Paine, Megan E. Grobert, Christine A. Stidley, Ezra Gabbay, Antonia M. Harford, Philip G. Zager, Dana C. Miskulin, and Klemens B. Meyer. "Satisfaction with Care of Patients on Hemodialysis." Clinical Journal of the American Society of Nephrology 10, no. 8 (June 30, 2015): 1428–34. http://dx.doi.org/10.2215/cjn.11241114.

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Chou, Sophia H., Marcello Tonelli, John S. Bradley, Sita Gourishankar, and Brenda R. Hemmelgarn. "Quality of Care among Aboriginal Hemodialysis Patients." Clinical Journal of the American Society of Nephrology 1, no. 1 (November 9, 2005): 58–63. http://dx.doi.org/10.2215/cjn.00560705.

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Loran, M. J., M. McErlean, G. Eisele, N. Raccio-Robak, and V. P. Verdile. "The emergency department care of hemodialysis patients." Clinical Nephrology 57, no. 06 (June 1, 2002): 439–43. http://dx.doi.org/10.5414/cnp57439.

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Dissertations / Theses on the topic "Hemodialysis - Patients - Care"

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Ferro, Paula Luz, and Fernandez Gloria Del. "Spirituality and compliance correlates of hemodialysis patients." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2663.

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The purpose of a study of spirituality and its relationship to the compliance of hemodialysis patients is to consider changing the approach of the treatment team in the dialysis setting. The interdisciplinary treatment team at the dialysis center consists of physicians, nurses, dietitians, and social workers. One of the many roles of the dialysis social worker is to facilitate the adjustment to and acceptance of the patient's need for dialysis.
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Lau, Wai-kwan, and 劉慧君. "An evidence-based nurse-led fluid and dietary control program for haemodialysis patient." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193072.

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End stage renal failure refers to an irreversible kidney dysfunction in which the kidneys fail to remove toxins from the blood stream. Haemodialysis is an effective treatment modality to sustain the lives of patients with end stage renal failure by removing waste products like urea, creatinine, and excess fluid. It involves a challenging regimen including dietary restrictions to ensure long-term survival. Failure to adhere with the regimen can result in fatal consequences. Renal patient discomfort related to non-adherence is commonly seen in clinical settings; however, there is currently no evidence-based fluid or dietary education program available to haemodialysis patients. This dissertation aims to identify and evaluate current evidence for the effectiveness of dietary and fluid control programs in the treatment of haemodialysis patients, to assess the transferability and feasibility of implementing a nurse-led education program regarding dietary and fluid control in haemodialysis patients, and to develop an evidence-based, nurse-led fluid and dietary control program for haemodialysis patients. Four electronic bibliographical databases including PubMed, Cochrane library, PsycInfo and CINAHL and two searching engines including Google scholar and ProQuest were used to identify studies that examined the effectiveness of educational programs or interventions on fluid or dietary control for patients on haemodialysis. Forty-five unique studies were identified as potentially relevant. Eleven of those studies met the selection criteria and were evaluated in this dissertation. Appraisal instrument was used to evaluate the quality of the selected studies. Six studies and three studies showed statistically significant in reduction of serum phosphate level and interdialytic weight gain respectively after educational intervention. Critical evaluation of the available studies led to an evidence-based, nurse-led, fluid and dietary control program for haemodialysis patients that followed the guideline development process of the Scottish Intercollegiate Guideline Network. Comparison on the similarity of patient characteristics, staff competence, and organizational settings of the evaluated studies were similar to those of the target unit. Therefore, the proposed program may be transferable and feasible. Furthermore, a cost-benefit analysis showed that the benefit of the fluid and dietary control program to patients outweighs the cost needed to implement the program. This dissertation outlines a proposed twenty-week program including marketing of the program, training of staff in the targeted renal unit, pilot testing, and application of the proposed program. Evaluation of the program will focus on three categories: patient outcome, health care provider outcome, and organization outcome. Clinical effectiveness of the program is defined by an overall reduction in patients’ mean interdialytic weight gain and mean serum phosphate level, improvement in knowledge test scores by patients, satisfactory nurses’ attendance rate in the renal training sessions, high nurse satisfaction with the educational program, and reduction of admission rate related to non-adherence.
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Nursing Studies
Master
Master of Nursing
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Oarde, Kristian, and Kristian Oarde. "Palliative Care Education in End-stage Renal Disease Patients Undergoing Hemodialysis." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/626645.

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Background: End-stage renal disease (ESRD) is a chronic medical condition where 90% or more of the kidneys are nonfunctional (Doig & Huether, 2014). The current treatment for ESRD is Hemodialysis [HD] (National Institute of Diabetes and Digestive and Kidney Disease [NIDDK], 2013). Individuals who have ESRD who undergo HD suffer from tremendous symptom and treatment burden that affects various facets of life (Axelsson, Klang, Hagelin, Jacobson, & Gleissman, 2014; Axelsson et al., 2012; Tamura & Cohen, 2010). Unfortunately, the symptom and treatment burden associated with ESRD are underrecognized and undertreated (Feely et al., 2016; Gelfman & Meyer, 2012; Murtagh, Addington-Hall, & Higginson, 2007; Russon & Mooney, 2010; Tamura & Meier, 2013). Purpose: The purpose of this quality improvement project is to explore if ESRD patients in Davita Desert Dialysis are knowledgeable about palliative care and if providing education might change their behavior. The primary aim is to create awareness in patients about PC services in an effort to improve their quality of care through education. Design: A quantitative pre- and post survey approach using qualtrics software was utilized to assess the baseline and post-education knowledge of patients who met the inclusion criteria. Setting: DaVita Desert Dialysis, Sun City, AZ. Intervention: The educational intervention is the viewing of a three-minute voice over presentation about palliative care. Limitations: The sample size was small and exposes this study to marked bias and non-generalizability due to the limited number of recruited individuals. Results: One hundred percent of the individuals in the posttest had better awareness about and knowledge about PC. Conclusion: PC can improve the quality of life of patients that suffer from the undertreated and underrecognized symptom and treatment burden (Tamura & Meier, 2013). Further data and studies will be needed to establish PC in the field of nephrology as it relates to the ESRD population undergoing HD. However, the quality improvement focus of increasing PC awareness among ESRD patients undergoing HD has shown great promise as all participants had increased awareness, knowledge availability, and readiness for PC services.
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Somuah, Lilian. "Educating Primary Care Nurses on Phosphorus Management in Chronic Kidney Disease Patients." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5785.

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Fifteen percent of adults in the United States have been diagnosed with chronic kidney disease (CKD). CKD is the slow, progressive, and irreversible loss of kidney function. The most effective means of controlling CKD is by managing dietary phosphorus intake. It is important that staff nurses be educated about effective patient education tools to improve dietary phosphorus management. The purpose of this project was to educate primary care nurses about phosphorus management in CKD patients through the introduction of the phosphorus pyramid as a visual tool. The project sought to understand if an educational intervention regarding phosphorus management in CKD patients could increase the primary care nurse's knowledge. The John Hopkins evidence-based practice model informed the development of this project. Ten primary care nurses participated in a 45-minute education program which focused on the use of the Phosphorus Pyramid. A pre and post-test of knowledge was completed via a Likert scale questionnaire that measured knowledge related to the educational objectives of the program. The posttest scores showed an increase of 15% overall in staff's knowledge regarding dietary phosphorus management, the participants were more likely to correctly answer questions related to the phosphorus content of food and drink. The phosphorus pyramid will serve as a user-friendly tool to assist patients in identifying high phosphorus foods that need to be avoided and low phosphorus foods that are recommended to incorporate in their renal diet. This project supports social change by improving the healthcare team's knowledge regarding dietary recommendations for CKD patients thereby contributing to improved patient outcomes and reduced healthcare costs.
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Schmalz, Gerhard, Anne Kauffels, Otto Kollmar, Jan E. Slotta, Radovan Vasko, Gerhard A. Müller, Rainer Haak, and Dirk Ziebolz. "Oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis and after kidney transplantation." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-210319.

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Background: Aim of this single center cross-sectional study was to investigate oral behavior, dental, periodontal and microbiological findings in patients undergoing hemodialysis (HD) and after kidney transplantation (KT). Methods: Patients undergoing HD for end-stage renal failure and after KT were investigated. Oral health behavior was recorded using a standardized questionnaire, e.g. dental behavior, tooth brushing, oral hygiene aids. Oral investigation included screening of oral mucosa, dental findings (DMF-T) and periodontal situation (Papilla bleeding index [PBI] periodontal probing depth [PPD] and clinical attachment loss [CAL]). Additionally, microbiological analysis of subgingival biofilm samples (PCR) was performed. Statistical analysis: Student’s t-test or Mann–Whitney-U-test, Fisher’s exact test (α = 5 %). Results: A total of 70 patients (HD: n = 35, KT: n = 35) with a mean age of 56.4 ± 11.1 (HD) and 55.8 ± 10.9 (KT) years were included. Lack in use of additional oral hygiene (dental floss, inter-dental brush) was found. KT group presented significantly more gingivial overgrowth (p = 0.01). DMF-T was 19.47 ± 5.84 (HD) and 17.61 ± 5.81 (KT; p = 0. 21). Majority of patients had clinically moderate and severe periodontitis; showing a need for periodontal treatment of 57 % (HD) and 71 % (KT; p = 0.30). Significantly higher prevalence of Parvimonas micra and Capnocytophaga species in the HD group were found (p < 0.01). Conclusion: Periodontal treatment need and lack in oral behavior for both groups indicate the necessity of an improved early treatment and prevention of dental and periodontal disease, e.g. in form of special care programs. Regarding microbiological findings, no major differences between KT and HD patients were found.
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Wolf, Emily A. "Assessing the Prevalence and Characteristics of Vitamin D Deficiency in Hemodialysis Patients in a Long Term Acute Care Hospital." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1320682123.

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Hegay, Olga, and Cristina Larsson. "Hälsa trots sjukdom : Om att leva med hemodialys i hemmet. En litteraturöversikt." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-2680.

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Bakgrund: Hemodialys är en livsuppehållande behandling för människor med kronisk njursvikt. Men behandlingen påverkar människans livssituation med till exempel begränsad frihet, känsla av bundenhet till dialysmaskinen och känsla av beroende från vårdpersonal. Den framgångsrika utvecklingen av teknologin har gett patienterna möjlighet att behandla sig själva med hemodialys i hemmet (HHD), vilket kan förbättra patienters livssituation. För att behandlingen ska fungera krävs vårdpersonalens kunskap och engagemang att utbilda patienten i egenvården. För närvarande används behandlingsformen i hemmet i låg omfattning i förhållande till totala antalet patienter i hemodialys, men antalet användare ökar. Sjuksköterskor behöver förstå patienters upplevelser av behandlingen för att kunna förbättra och erbjuda individanpassad omvårdnad. Syfte: Att beskriva patienters upplevelser av att leva med hemodialys i hemmet. Metod: Detta är en litteraturöversikt med tio vetenskapliga artiklar till grund som beskriver och analyserar nya uppkomna teman utifrån de likheter som framkom i resultatdelarna. Resultat: Resultatet visar på att trots behandlingen och sjukdom finns det möjlighet att uppleva hälsa och välbefinnande. Detta redovisas under sju teman: 1) Ökad frihet med HHD ger ett aktivt liv; 2) Medvetenhet om egenvårdens betydelse; 3) Att inte känna sig som patient; 4) Att inleda HHD och en förändrad hemmiljö; 5) Relation med anhöriga och vårdpersonal; 6) Sjukdom och behandling som börda; 7) Hopp och oro inför framtiden. Diskussion: Resultatet diskuteras utifrån patientens perspektiv med hjälp av Orems omvårdnadsteori. Hälsa upplevs när patienten omvärderar och accepterar sin situation. Patientens förmåga till egenvård ökas, vilket främjas genom patientens aktiva medverkan i sin behandling. Detta är möjligt genom sjuksköterskans stöd till att öka patientens egenvårdskapacitet utifrån individuella behov.
Background: Hemodialysis is a life-sustaining treatment for people with end stage renal disease. But the treatment affects individual's life situation with for example limited freedom, feeling of bondage to the dialysis machine and feeling of dependence from healthcare professionals. The successful development of technology has given patients an opportunity to treat themselves with hemodialysis in the home (HHD), which may improve patients' lives. It requires knowledge and involvement of nursing staff in educating the patient in self-care for the achievement of successful functioning of treatment. Currently the usage of this treatment in the home is in low scope in relation to the total number of patients on hemodialysis, but the number of users increases. There is a need for nurses to understand patients' experiences of treatment in order to improve and offer individualized care. Aim: To describe patients' experiences of living with hemodialysis in the home. Methods: This is a literature review with basis of ten scientific articles, which describes and analyzes new themes based on similarities that emerged in resulting parts. Results: The findings show that it is possible to experience health and well-being despite treatment and disease. These findings are presented in the following seven themes: 1) Increased freedom with HHD provides an active life; 2) Awareness of self-care importance; 3) Feeling of not being a patient; 4) Accommodating HHD and changed home environment; 5) Relationship with family members and health professionals; 6) Burden of disease and treatment; 7) Hope and uncertainty about the future. Discussions: The findings are discussed from the patient's perspective using Orem's nursing theory. Health is experienced when the patient re-evaluated and accepted his situation. The patient's ability to self-care increases, which is promoted through the patient's active participation in care. This is possible through the nurse‟s support to increase the patient's self-care capacity based on individual needs.
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Irvin, Renee A. "Quality of care, asymmetric information, and patient outcomes in U.S. for-profit and not-for-profit renal dialysis facilities /." Thesis, Connect to this title online; UW restricted, 1998. http://hdl.handle.net/1773/7489.

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Lundberg, Tunå Sophia, and Emma Svedu. "Att leva på gränsen - en litteraturstudie om kroniskt njursjuka patienters upplevelse av att vara beroende av hemodialys." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-24541.

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Bakgrund: Hemodialys är en livslång behandling av njursvikt som är en allvarlig kronisk sjukdom. Hemodialyspatienter har frekventa möten med sjuksköterskor och utvecklar ofta en nära kontakt som kan sträcka sig över flera år. Sjuksköterskan behöver arbeta personcentrerat för att främja patienternas hälsa. Syfte: Syftet med studien var att belysa kroniskt njursjuka patienters upplevelser av att leva med hemodialys.Metod: Litteraturstudie med kvalitativ ansats. Olika sökblock byggdes upp baserade på forskningsfrågan och sökningar utfördes i databaserna CINAHL och PubMed. Efter att ha relevans- och kvalitetsgranskats befanns 12 artiklar vara relevanta för analys. Forsberg och Wengströms förenklade innehållsanalys användes för att analysera materialet.Resultat: Fem teman trädde fram: Tiden då, nu och framåt, Uppfattningen om jaget och kroppen, Relationer, Beroenden och begränsningar samt Förlust, acceptans och tacksamhet.Konklusion: Livet med hemodialys påverkar patienterna både socialt, mentalt och fysiskt. Patienterna upplevde sig begränsade, i beroendeposition och deras sociala relationer förändrades. Sjuksköterskan behöver finnas tillgänglig för patienten för att denne ska uppleva hälsa.Nyckelord: Hemodialys, mellanmänskliga relationer, patient, personcentrerad vård upplevelse.
Background: Hemodialysis is a lifelong treatment of chronic kidney failure - a severe and demanding disease. Patients going through hemodialysis have frequent interaction with nurses and often develop a personal relationship which can continue for several years. The nurse has to apply patient centered care to promote health for the patient.Aim: The aim of this study was to illuminate the lived experience of patients with chronic kidney failure receiving hemodialysis.Method: This study was conducted as a literature review with a qualitative approach. The database searches were conducted in CINAHL and PubMed. 12 articles passed the relevance- and quality review. A content analysis method of five steps was used to analyse the material.Result: Five themes emerged; The past, the now and the future, The perception of self and the body, Relationships, Dependency and limitations and Loss, acceptance and gratitude.Conclusion: Life on hemodialysis affects the patients both socially, mentally and physically. The patients felt restricted, in dependency and that their social relationships were changed. The nurse has to be there for the patient in order for the patient to experience healthKeywords: Experience, hemodialysis, human-to-human relationship, patient, patient centered care.
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Sousa, Maiana Regina Gomes de. "Segurança do paciente em uma unidade de hemodiálise: análise de eventos adversos." Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/4227.

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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
INTRODUCTION: Health care comes accompanied with potential to cause adverse events (AE) and compromising patient safety. In hemodialysis units there are numerous risk factors that increase the potential of occurrence of these events, suggesting that the supply of safe care to this population presents some exclusive challenges, beyond generic questions of patient safety common to all health establishments. OBJECTIVES: To analyze the occurrence of AE related to hemodialysis treatment. METHODOLOGY: Sectional study, conducted in a hemodialysis unit of a teaching hospital of Goiás. Data collection occurred between March and September 2013, by analyzing the records of the evolution of the hemodialysis sessions, from medical records of patients attended between January and December, 2012 in the unit. Was used an instrument in which were transcribed information related to the patient, treatment and possible AE. Participated in the study 117 patients, all obeyed the inclusion criteria. The analysis of the records was conducted by one researcher and two external reviewers, independently. Statistical analysis was performed using SPSS version 19.0 for Windows. The study was approved by the Research Ethics Committee and obeyed regulatory standards of Resolution 466/2012. RESULTS: Among the 117 patients who participated of the study, 60.7% were male, aged 01-89 years, mean 42 years, median 45 years; 79.5% had chronic renal failure; 21.4% had a diagnosis of diabetic nephropathy as primary renal disease and 4.3% had positive serology for hepatitis B. About the treatment 50.4% had 3.5 hours of session; 87.2% of patients received treatment three times a week and 56.4% had up to three months of treatment, with a median of 02 months. Of the total of 5,938 analyzed hemodialysis sessions was identified in 1,036 at least one record of AE in 94 patients, totaling 1,272 AE. The prevalence of AE per patient was 80.3% and the AE by hemodialysis session was 17.4%. The most prevalent AE were inadequate blood flow (40.6%), bleeding from the venous access (11.6%), infection/signs of infection (9.6%) and clotting in the extracorporeal system (7.1%). In relation to damage caused 76.1% were classified as mild, 22.9% as moderate, 0.9% as severe and 0.1% death. It was evident as an independent variable associated with the AE to be aged 43 years or more. Was found positive correlation between the number of AE per month and number of sessions per month, indicating that the greater the number of hemodialysis, greater the number of EA sessions. CONCLUSION: The investigation has identified a high prevalence of adverse events related to hemodialysis pointing out that there is need to review the care processes and develop actions to identify and control risk situations, as a way to establish more secures procedures and ensure the quality of care.
INTRODUÇÃO: A atenção à saúde vem acompanhada do potencial de causar eventos adversos (EA) e comprometer a segurança do paciente. Em unidades de hemodiálise existem numerosos fatores de risco que aumentam a probabilidade de ocorrência desses eventos, sugerindo que a oferta de assistência segura a esta população apresenta alguns desafios exclusivos, além das questões genéricas de segurança do paciente comuns a todos os estabelecimentos de saúde. OBJETIVOS: Analisar a ocorrência de EA relacionados ao tratamento hemodialítico. METODOLOGIA: Estudo transversal, realizado em uma unidade de hemodiálise de um hospital de ensino de Goiás. A coleta de dados ocorreu entre março e setembro de 2013, por meio da análise dos registros de evolução das sessões de hemodiálise, presentes nos prontuários de pacientes atendidos entre janeiro a dezembro de 2012 na unidade. Foi utilizado um instrumento no qual foram transcritas as informações relacionadas ao paciente, ao tratamento e aos possíveis EA. Participaram do estudo 117 pacientes que atenderam aos critérios de inclusão. A análise dos registros foi realizada pela pesquisadora e por dois revisores externos, de forma independente. A análise estatística foi realizada pelo programa SPSS versão 19.0 for Windows. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa e foram obedecidas as normas regulamentadoras da Resolução 466/2012. RESULTADOS: Dentre os 117 pacientes que participaram do estudo, 60,7% eram do sexo masculino, com idade entre 01 a 89 anos, média de 42 anos e mediana de 45 anos; 79,5% apresentavam insuficiência renal crônica; 21,4% tinham a nefropatia diabética como diagnóstico da doença renal primária e 4,3% possuíam sorologia positiva para o vírus da hepatite B. Sobre o tratamento 50,4% realizavam 3,5 horas de sessão; 87,2% dos pacientes recebiam o tratamento três vezes por semana e 56,4% possuíam até três meses de tratamento, sendo a mediana de 02 meses. Do total de 5.938 sessões de hemodiálise analisadas em 1.036 foi identificado pelo menos um registro de EA em 94 pacientes, totalizando 1.272 EA. A prevalência de EA por paciente foi de 80,3% e a de EA por sessão de hemodiálise foi de 17,4%. Os EA mais prevalentes foram o fluxo sanguíneo inadequado (40,6%), sangramento pelo acesso venoso (11,6%), infecção/ sinais de infecção (9,6%) e coagulação do sistema extracorpóreo (7,1%). Em relação aos danos causados 76,1% foram classificados como leves, 22,9% como moderados, 0,9% como graves e 0,1% óbito. Evidenciou-se como variável independente de associação com o EA ter idade igual a 43 anos ou mais. Foi encontrada correlação positiva entre o número de EA por mês e número de sessões por mês, mostrando que quanto maior o número de sessões de hemodiálise, maior o número de EA. CONCLUSÃO: A investigação permitiu identificar alta prevalência de eventos adversos relacionados à hemodiálise apontando que há a necessidade de revisar os processos assistenciais e desenvolver ações para identificar e controlar situações de riscos, como forma de estabelecer procedimentos mais seguros e garantir a qualidade do cuidado
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Books on the topic "Hemodialysis - Patients - Care"

1

Office, General Accounting. Medicare quality of care: Oversight of kidney dialysis facilities needs improvement : report to the Special Committee on Aging, U.S. Senate. Washington, D.C: The Office, 2000.

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Florida. Legislature. House of Representatives. Committee on Health Regulation. Overview of kidney dialysis studies and providers of end stage renal disease care. [Tallahassee, Fla.]: The Committee, 2001.

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United States. Congress. Senate. Special Committee on Aging. Kidney dialysis patients: A population at undue risk? : hearing before the Special Committee on Aging, United States Senate, One Hundred Sixth Congress, second session, Washington, DC, June 26, 2000. Washington: U.S. G.P.O., 2000.

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Rivalland, Paul. It's more than machines and medicine: They should understand, there's a Yan̲angu way : summary report : a short report ... on the activities of Western Desert Nganampa Walytja Palyantjaku Tjutaku. Casuarina, N.T: Cooperative Research Centre for Aboriginal Health, 2006.

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Newberry, Mark A. Textbook of hemodialysis for patient care personnel. Springfield, Ill., U.S.A: Thomas, 1989.

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Office, General Accounting. Medicare: Federal efforts to enhance patient quality of care. Washington, D.C: The Office, 1996.

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The Quartermaster Corps: Operations In The War Against Germany. Washington, D.C., USA: U.S. G.P.O., 2004.

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Ross, William. Quartermaster Corps Operations in the War Against Germany (S. hrg). United States Government Printing, 2000.

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Gutch, Charles, Judith Z. Kallenbach, Martha Stoner, and Anna Corea. Review of Hemodialysis for Nurses and Dialysis Personnel (Review of Hemodialysis for Nurses & Dialysis Personnel). 7th ed. Mosby, 2005.

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Kallenbach, Judith Z. Review of Hemodialysis for Nurses and Dialysis Personnel. Mosby, 2020.

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Book chapters on the topic "Hemodialysis - Patients - Care"

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Poeppel, Karen, and Cathy Langston. "Technical Management of Hemodialysis Patients." In Advanced Monitoring and Procedures for Small Animal Emergency and Critical Care, 431–48. Chichester, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118997246.ch34.

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Vanchakova, Nina Pavlovna, Natalia Valerjevna Krasilnikova, Elizaveta Aleksandrovna Vatskel, and Anna Artemjevna Babina. "Hemodialysis Patients Care by Means of Audiotherapy." In Current Research in Systematic Musicology, 162–74. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-74039-9_16.

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Roscoe, Janet M. "Hemodialysis in a chronic care facility." In Nephrology and Urology in the Aged Patient, 219–24. Dordrecht: Springer Netherlands, 1993. http://dx.doi.org/10.1007/978-94-011-1822-4_24.

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Chan, Melanie, and Marlies Osterm. "Epidemiology of Chronic Dialysis Patients in the Intensive Care Unit." In Hemodialysis. InTech, 2013. http://dx.doi.org/10.5772/52424.

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Vinsonneau, Christophe, Christophe Ridel, and Jean-François Dhainaut. "Indications for and Contraindications to Intermittent Hemodialysis in Critically Ill Patients." In Critical Care Nephrology, 1239–43. Elsevier, 2009. http://dx.doi.org/10.1016/b978-1-4160-4252-5.50236-7.

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Vong, Li Van, Christophe Ridel, and Christophe Vinsonneau. "Indications for and Contraindications to Intermittent Hemodialysis in Critically Ill Patients." In Critical Care Nephrology, 928–32. Elsevier, 2019. http://dx.doi.org/10.1016/b978-0-323-44942-7.00153-9.

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Cukor, Daniel, and Elissa Kozlov. "Systematic Psychosocial and Spiritual Needs Assessment and Management." In Palliative Care in Nephrology, edited by Alvin H. Moss, Dale E. Lupu, Nancy C. Armistead, and Louis H. Diamond, 178–87. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190945527.003.0017.

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The mental healthcare and spirituality of patients is an important and often undermanaged aspect of holistic palliative care for patients with end-stage kidney disease (ESKD). Assessment for psychological problems should be a standard part of dialysis patient care. Studies show that some form of depression is prevalent in about 30-% to 40% of ESKD patients being treated with hemodialysis, with about 10-% to 20% with a major depressive disorder. Anxiety is also prevalent in dialysis, but it is less well studied. Treatment for both entails both pharmacologic and non-pharmacologic approaches with cognitive behavioral therapy being one of the most effective of the latter. The goals of this chapter are to outline the major psychological and spiritual reactions to living with ESKD, to suggest an approach to a systematic assessment strategy, and to summarize treatment issues in the management of common comorbid psychiatric disorders.
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Lameire, Norbert, Jill Vanmassenhove, Wim Van Biesen, and Raymond Vanholder. "Outcomes of Intermittent Hemodialysis in Critically Ill Patients With Acute Kidney Injury." In Critical Care Nephrology, 960–66. Elsevier, 2019. http://dx.doi.org/10.1016/b978-0-323-44942-7.00158-8.

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Will, Nicholas D., and W. Brian Beam. "Central Line Placement." In Mayo Clinic Critical and Neurocritical Care Board Review, edited by Eelco F. M. Wijdicks, James Y. Findlay, William D. Freeman, and Ayan Sen, 890–91. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190862923.003.0123.

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Central venous catheter placement is one of the most commonly performed procedures in the intensive care unit. Common indications for central venous catheter placement include the need for vasoactive or caustic medication infusions, vascular access in patients with poor peripheral veins, long-term access for intravenous medications, infusion of parenteral nutrition, hemodynamic monitoring, transvenous cardiac pacing, and access for hemodialysis or plasmapheresis. There are no absolute contraindications to central venous catheter placement because it is a potentially lifesaving intervention, but careful planning and site selection are warranted in some cases, such as a patient with a known coagulopathy.
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Rothstein, William G. "Hospitals and Health Care." In American Medical Schools and the Practice of Medicine. Oxford University Press, 1987. http://dx.doi.org/10.1093/oso/9780195041866.003.0020.

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The use of hospitals for medical care became more varied after 1950. More patients were admitted for a wide variety of conditions and more different types of treatments were provided. Many new technologies were adopted that have raised costs considerably. Hospitals employed more residents, foreign medical graduates, and nurses. Between 1946 and 1983, hospitals grew both in size and importance in the health care system. The number of short-term nonfederal hospitals increased by only one-third, but the number of beds and the average daily census doubled and the number of admissions increased 2.6 times, while the U.S. population grew by only two-thirds. Much of the additional use was for nonsurgical care. During the 1928–1943 period, 74 percent of all hospital admissions were surgical. This declined to 60 percent between 1956 and 1968 and to 50 percent between 1975 and 1981. Outpatient care grew even more rapidly than inpatient care, with the number of hospital outpatients doubling between 1965 and 1983. The hospital system has become dominated by large hospitals, practically all of which have affiliated with medical schools. In 1983, the 18 percent of nonfederal short-term hospitals that had 300 or more beds admitted 50 percent of the patients, carried out 59 percent of the surgery, and had 55 percent of the outpatient visits and 61 percent of the births. They employed 72 percent of all physicians and dentists employed in hospitals and 90 percent of all medical and dental residents. At least 60 percent of them had nurseries for premature infants, hemodialysis units, radiation therapy or isotype facilities, computerized tomograhy (CT) scanners, and cardiac catheterization facilities, and almost one-half had open-heart surgery facilities. Most also offered types of care not traditionally associated with hospitals. Practically all of them provided social work services and physical therapy, at least 75 percent provided occupational and speech therapy, and 40 percent provided outpatient psychiatric care. On the other hand, fewer than one-third provided family planning, home care, or hospice services, or partial hospitalization for psychiatric patients. The expanding services of nonfederal short-term general hospitals has led to the employment of larger numbers of workers.
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Conference papers on the topic "Hemodialysis - Patients - Care"

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Han, Su-Jeong, and Hye-Won Kim. "Self-care Behavior and Physical Factors in Elderly Hemodialysis Patients." In Healthcare and Nursing 2016. Science & Engineering Research Support soCiety, 2016. http://dx.doi.org/10.14257/astl.2016.128.14.

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Druml, W., W. Winnicki, P. Metnitz, P. Zajic, T. Fellinger, and B. Metnitz. "ASSOCIATION OF BODY MASS INDEX AND OUTCOME IN CHRONIC HEMODIALYSIS PATIENTS REQUIRING INTENSIVE CARE THERAPY." In Nutrition 2017 – Ernährung: eine multiprofessionelle Herausforderung. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1603238.

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Abohtyra, Rammah M., C. V. Hollot, J. Horowitz, M. G. Germain, and Y. Chait. "Designing Robust Ultrafiltration Rate Profiles Based on Identifying Fluid Volume Model Parameters During Hemodialysis." In ASME 2017 Dynamic Systems and Control Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dscc2017-5341.

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Chronic dialysis is a necessary treatment for end-stage kidney disease (ESKD) patients in order to increase life span, with hemodialysis (HD) being the dominant modality. Despite significant advances in HD technology, only half of ESKD patients treated with this modality survive more than 3 years. Fluid management remains one of the most challenging aspects of HD care, with serious implications for morbidity and mortality. Ultrafiltration has been associated with intradialytic hypotension, also associated with adverse outcomes. Therefore, removing a specified fluid volume to achieve an adequate balance without negative outcomes remains a critical challenge to improving patient outcomes. Therefore, it has been suggested that in addition to blood pressure information, routine HD treatments should include blood volume monitoring. Sensors integrated in dialysis machines are able to track the concentration of various blood components, such as hematocrit, with high accuracy and resolution and to derive a relative blood volume (RBV) changes. In this paper, we propose a novel algorithm to design an optimal, robust ultrafiltration rate profile based on identifying the parameters of a fluid volume model of an individual patient during HD and RBV sensor. Our design achieves, if exists, an optimal ultrafiltration profile for the identified nominal model under maximum ultrafiltration and hematocrit constraints, and guarantees that these constraints are satisfied over a pre-defined set of parameter uncertainty. We demonstrate the performance of our algorithm through a combination of clinical data and simulations.
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Kumaraguruparan, Meenatchi, Seema Karanjgaokar, Rajapriya Manickam, Balavenkatesh Kanna, and Raghu Loganathan. "Do Medical Intensive Care Unit (ICU) Prognostic Scores Predict Need For Hemodialysis In Critically Ill Patients With Acute Kidney Injury?" In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a1623.

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Broderick, Stephen P., Gráinne Carroll, and Micheal Walsh. "Geometric Enhancements of an Arteriovenous Graft." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-206863.

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End Stage Renal Disease (ESRD) is the degeneration of kidney function to remove uremic toxins from the blood. Currently there are over 484,000 sufferers of ESRD in the United States, with this figure predicted to rise to over 800,000 by 2020 [1]. The total cost of care for patients with ESRD was estimated to exceed 1 billion dollars in the United States [2]. A kidney transplant is the ideal solution for ESRD patients; however with the increasing number of ESRD patients the odds of receiving a donor kidney are poor. The alternative is hemodialysis. This process is involves the extraction of blood from the patient to an extracorporal machine. Blood is pumped at a rate of 350 mL/min to ensure effective dialysis. The blood is then returned to the body cleaned. The gold standard for hemodialysis access is the native arteriovenous fistula [3] with the most common type being the Brescia-Cimino fistula at the wrist [4]. In some subgroups the fistula performs poorly. In diabetics and the elderly, specifically over 70s [2] or can’t be constructed because of unsuitable blood vessels [5]. In this case an alternative is the synthetic AV graft. Made of polytetrafluoroethelyne, it has lower patency rates against the fistula [6] [7] mediated by the susceptibility to thrombosis induced by stenosis development and infection [7].The majority of stenosis development is within the venous anastomosis (kanterman1995). The formation of intimal hyperplasia (IH) leading to stenosis formation is caused by smooth cell proliferation and migration as a result of endothelial cells reacting to shear stress receptors. The development of IH has been linked to local hemodynamics and turbulence in the flow, which in turn are heavily influenced by the geometry of the graft.
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Abohtyra, Rammah M., and Y. Chait. "New Algorithm to Design Real Time Optimal and Robust Ultrafiltration Rates in Chronic Kidney Disease to Prevent Cardiovascular Morbidity and Mortality." In ASME 2018 Dynamic Systems and Control Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dscc2018-9172.

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Hemodialysis (HD) is a necessary treatment for end-stage kidney disease (ESKD) patients in order to prevent cardiovascular morbidity and mortality that may be related to the hemodynamic effects of rapid ultrafiltration. Despite significant advances in HD technology, only half of ESKD patients treated with HD survive more than 3 years. Fluid management remains one of the most challenging aspects of HD care, with serious implications for morbidity and mortality. In this paper, we develop a novel algorithm to design real time optimal, robust ultrafiltration rates based on actual HD data to identifying the parameters of a fluid volume model of an individual patient during HD. Our design achieves, if exists, an optimal ultrafiltration profile for the identified nominal model under maximum ultrafiltration and hematocrit constraints and guarantees that these constraints are satisfied over a pre-defined set of parameter uncertainty. We demonstrate the robust performance of our algorithm through a combination of clinical data and simulations.
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Rosales, A., and N. Aypa. "182 A retrospective cohort study of brachial plexus blocks in vascular surgeries for hemodialysis access of kidney patients in a tertiary care center (2016–2019)." In ESRA 2021 Virtual Congress, 8–9–10 September 2021. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/rapm-2021-esra.182.

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Krampf, Jeff, Ramesh Agarwal, and Surendra Shenoy. "Effects of Stenosis Geometry on Flow in Arteriovenous Fistula Patients." In ASME-JSME-KSME 2019 8th Joint Fluids Engineering Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/ajkfluids2019-4689.

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Abstract This focus of this study is to understand the relationship between the fluid properties present in and the geometric parameters of stenoses developed in end-stage renal disease (ESRD) patients, after creation of an arteriovenous fistula (AVF). Stenosis is the leading cause of failure in AVF creation and maturation. A fistula is meant to provide an access point for hemodialysis treatment necessary for ESRD patients, but large failure rates in fistula creation and maturation cause reoccurring problems for patients and a disproportionately high amount of spending on ESRD patient care. In the United States alone, ESRD patients account for 1% of the Medicare patient population, but the Centers for Medicare & Medicaid Services spent $35.4 billion, 7.2% of the 2016 Medicare budget on their treatment (United States Renal Data System, 2018 Annual Report). This study uses CFD to simulate blood flowing through venous stenoses of varying lengths and initial flow conditions. Computational modeling allows for specific control of geometric conditions as well as simple generation of resulting properties, such as wall shear stress, that are difficult to acquire in vivo. For this study, five different geometric models were constructed to represent straight vascular segments with varying lengths of stenosis. Each vessel was 4-millimeters in diameter with a 2-millimeter diameter stenosis. The lengths of the inlet and outlet vessel segments adjacent to the stenosis were each four times the vessel diameter. Stenosis lengths of 5, 15, 30, 45 and 60-millimeters were used. Vessels were treated as rigid tubes, and the geometries were created using PTC Creo Parametric (PTC Inc., Needham, MA), a commercially available CAD software. CFD analysis of the flow through the vessel segments was performed using ANSYS Fluent (ANSYS, Inc., Canonsburg, PA) for each geometric model with a range of boundary conditions. The working fluid was blood, treated as a Newtonian fluid for the shear rates present, with dynamic viscosity of 2.55 × 10−3 kg/m-s and density of 1060 kg/m3. To model the range of pressure experienced by vessels during the cardiac cycle, simulations were performed using a range of pressure values at the vessel inlet. The boundary condition used at the inlet was a static pressure ranging from 50 to 160 mmHg in increments of 10 mmHg for each geometric model. Outflow pressure values of 10, 15, and 20mmHg were used on the outlet boundary. As expected, flow rate through the system was found to increase linearly with inlet pressure for each geometry and outlet pressure. Flow rate decreased logarithmically as stenosis length increased for each inlet and outlet pressure. Flow rate through the system also decreased as outflow pressure increased, as it would in the presence of further downstream blockages in patients. The data collected here shows under which flow conditions different stenosis geometries can result in a failed fistula, as well as under which conditions the stenosis alone will not prevent the fistula from providing the required flow for dialysis treatment.
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DECHELETTE, E., P. POUZOL, C. JURKOVITZ, and B. POLACK. "ENOXAPARINE (LOVENOXR), DURING RENAL DIALYSIS, IN 46 PATIENTS WITH CHRONIC RENAL FAILURE (CRF) AND WITH HIGH RISK OF BLEEDING (HRB)." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643213.

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Standard heparin, usually used as an anticoagulant during hemodialysis, may be dangerous in patients with HRB. Low-molecular-weight-heparin (LMWH) fragments have been shown to induce less bleeding than standard heparin. We assessed the ability of Enoxaparine, a LMWH, to prevent clotting during hemodialysis, in such patients.46 patients with CRF, requiring regular maintenance hemodialysis were included. 136 episodes of HRB occurred in these 46 patients : renal transplantation (17) , deep vessel catheterization (18) , biopsy (11), surgical.operation other than renal transplantation (46), obvious bleeding or HRB (44). 493 hemodialysis were performed using a single dose of Enoxaparine, as a bolus, 0.5 mg/kg for a double pass system, 0.75 mg/kg for a single pass system. Blood flow rate was maximum (350 ml/mn) in case of arterio-venous fistulas, and varied between 200 and 250 ml/mn in case of superior veina cava catheters. Air-blood exchange areas were maintained as small as possible. Bubble traps were examined every half an hour. Hemodialysis lasted 4 or 5 hours.Extensive clotting within the extracorporeal circulation occurred only 3 times (0.6 %) ; (in 2 of the 102 hemodialysis performed with a single pass system and in 1 of the 391 hemodialysis performed with a double pass system). Efficiency of hemodialysis was always very good ; one patient had a genital hemorrhage requiring red cell transfusion. No other bleeding complication due to Enoxaparine was detected. 7 surgical operations and 3 renal biopsies were performed just after a hemodialysis without any problem.This study shows that hemodialysis can be performed with Enoxaparine, 0.5 - 0.75 mg/kg, as a bolus in patients with HRB. It is efficient in preventing clotting, does not increase the risk of bleeding and ensures a very good quality of extrarenal filtration.Enoxaparine (LOVENOXR) - PHARMUKA S.F.
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Matsuo, T., T. Yamada, and K. Nakao. "EFFECT OF A SYNTHETIC ANTICOAGULANT (MD 805) ON PLATELETS IN HUMAN VOLUNTEERS AND HEMODIALYSIS PATIENTS." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1643457.

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Twelve normal subjects were injected with 5000 U of commercial mucous heparin with or without preloading of 1.0 g aspirin, and 0.2 mg/kg MD 805, an arginine derivative, which is a new synthetic compound with an extremely strong affinity for thrombin, at an interval of 4 weeks after each injection. Heparin injection with or without aspirin significantly increased platelet factor 4 release. In contrast, the preloading of aspirin significantly inhibited the decrease of platelet count and the elevation of /8 thromboglobulin induced by heparin. However, MD 805 had no effect on platelet release proteins, and adequate anticoagulation by APTT was still present 60 min after the injection. MD 805 shows no stimulative effects on platelets such as with heparin.In the case of the patient's study, three patients complicated with heparin induced thrombocytopenia plus thrombus formation in the extracorporeal circulation during hemodialysis, and were treated with MD 805 instead of heparin. The platelet counts in those patients quickly returned to within the normal range, and adequate anticoagulation was obtained in the following hemodialysis sessions and no further bleeding or clot formation was noted.In conclusion, MD 805 may represent a useful alternative anticoagulant in patients with heparin induced thrombocytopenia.
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