Case Study Haemodialysis Patient.

9447 words - 38 pages

IntroductionThe focus of this assignment is to analyse the care given to a patient on haemodialysis. It will attempt to explore the physical, psychological and social needs and to identify whether the care delivered met the individual needs of the patient.The Nursing Midwifery Council (NMC) Code of Conduct cites that nurses should "protect all confidential information concerning patients obtained in the course of professional practices and make disclosure only with consent". To adhere to this ruling, the pseudonym "Gloria" is used to identify the patient in this study.Patients Biography and Medical HistoryI have chosen Gloria as the focus of my assignment because, as her Named Nurse, it is my responsibility to assess her care needs. She presented with various medical problems, such as diabetes, anaemia, hypertension and anxiety over her sexual function with an altered body image due to the formation of her Arterio-Venous Fistula.Gloria is a 28-year-old single lady, who lives with her family. She gave up her studies due to haemodialysis treatment, resulting in feelings of isolation, loneliness and depression. Gloria's mother is very supportive and also copes remarkably well with two disabled daughters. Gloria is 53.5 kgs, 5'5 inches tall, thin, pale and tires easily due to her anaemia. Before commencing haemodialysis in September 2002 her haemoglobin was 9.9 g/dl. Gloria has been an insulin dependent diabetic since 1980 and has developed end stage renal failure as a result of diabetic nephropathy. She was diagnosed with retinopathy in 1990 and has undergone laser treatment in 1991.Apart from uncontrolled blood sugars, Gloria has rarely been unwell. In December 2001, she consulted her General Practitioner with occasional vomiting and shortness of breath upon exertion and bipedal leg oedema. On examination it was discovered that her blood pressure had risen from 140/85 mmHg to 150/90 mmHg. Normal blood pressure is 120/80 mmHg ( Urine testing showed proteinuria (+3) and blood sampling showed a gradual increase in creatinine from 686 umol/L to 783 umol/L. Gloria was commenced on Frusemide 80 PO mg daily. Her local General Practitioner had referred Gloria to the Nephrology Team. She attended the Renal Clinic who discovered that there was a deterioration in her kidney function and that Renal Replacement Therapy would be required. Regular hospital appointments and the general effect of her treatment interfered with her studies in the University.Gloria attended both the Nephrology and Pre-Dialysis Clinic where she was informed about the various treatment modalities. Dialysis in the form of Haemodialysis and Continuous Ambulatory Peritoneal Dialysis were the treatment options open to Gloria. She decided that haemodialysis would be the best treatment option for her.An Arterio-venous fistula was formed last June 2002. Gloria's blood was monitored monthly and her serum creatinine had risen from 408 to 701 mmol/l. A referral to...

Find Another Essay On Case Study - Haemodialysis Patient.

Trial Protocol Essay

1836 words - 8 pages seems to be a solution of constipation. 2.5 Rationale and risks/benefits The primaly benefit of this study is improvement of constipation in haemodialysis patients since sufficient dietary fibre intake is suggested as a constipation preventable factor. (Yasuda et al., 2002) Secondary expected benefit is excreting metabolised elements as dietary fibre intake decreased blood creatinine level in chronic kidney disease (Salmean et al., 2013), also

Nutritional Assessment: Subjective Global Assessment Essay

1412 words - 6 pages treatment; 60 haemodialysis patients were involved and two thirds of them had low albumin level which is below 3.8 g/dl in the study. These patients were provided anti inflammatory and anti oxidative oral supplement that which contains borage oil and fish oil with 8 oz of fluid oral supplement which is ideally made for dialysis patients for three times in a week. After 4 weeks period of supplementation, patients improved their serum albumin

The Breakdown of a Manuscript and the Content

932 words - 4 pages The Breakdown of a Manuscript and the Content The introduction, located in the first paragraph of the manuscript, prepares the reader. It documents the main points covered and gives the reader insight into the rest of the paper. The synopsis of the article Management of Diabetes in the Dialysis Patient includes four crucial content areas, which are headings, abbreviations, crediting sources, and reference. Synopsis The supervision of dialysis

Discharge Planning: Patients with Haemodialysis

1832 words - 7 pages commence as soon as a patient is admitted. This to identify the different needs of the patient and to help make it a smooth transition (Corman 2005). Unlike wards, satellite renal units do out-patient haemodialysis only. Patients are admitted to the unit on their arrival that day for dialysis and also discharged the same day. However when a patient presents a serious medical problem, they will not be discharged home as normal unless it is

Prevention of Hypotension During Dialysis

1913 words - 8 pages ).Conclusions:Dheena et al (2001) one study presented in order to learn which techniques is the mosteffective so that rational approach in preventing intradialytic hypotension could thenbe formulated. Five different protocols was undertaken in 10 haemodialysis patientswith a prior history of hypotension during dialysis. Each patient underwent one week(three dialyses) of standard dialysis with a dialysate sodium of 138 mEq/L. Then eachpatient was

Managing and Controlling the Risks Associated With the Transmissions of Blood Borne Viruses in the Health Care Setting

2378 words - 10 pages Irish clinical setting:  EMI Toolkit - Guidelines for the Emergency Management of Injuries (including needlestick and sharps injuries, sexual exposure and human bites) where there is a risk of transmission of bloodborne viruses and other infectious diseases (2012) (Available in HPSC website, Date Accessed: 26/02/2014).  Bloodborne viruses in haemodialysis, CAPD and renal transplantation

The comparison of quality of life in Hemodialysis and peritoneal patients with a socioeconomics and demographic evidence in Iran

2072 words - 8 pages Iran, because of the limitations of peritoneal services there, fewer research have been done about this method .The goals of this study is the compression of quality of life in Hemodialysis and peritoneal patients and the study socioeconomic and demographic factors of them. Methods We conducted a cross section and comparative – descriptive study for 81 patients with kidney failure that 41 patient were being treated with Hemodialysis method

Caring For an Aboriginal Patient with Chronic Renal Failure

2832 words - 11 pages kidney (19%), Hypertension (12%), and Polycystic Kidney Disease (5%) Putting the patient at the centre of care Renal failure requires renal replacement therapy as a substitute for renal function through dialysis or kidney transplantation. Dialysis is the separation of solutes, such as drugs and toxins, across a semi membrane into a dialysate either by haemodialysis or peritoneal dialysis (Field, Pollock & Harris, 2010, p. 101). Both treatment


6210 words - 25 pages approach is that it leads to quality management that assesses customer perception аnd reacts to it. In healthcare there may well be а mismatch between patient аnd client demand for services аnd professional assessment of their level of need: ethically it could not be justified to allocate scarce resources to those who want rather than need them (Doyal 1998: p57). In contrast а manufacturer-based view is concerned with


4034 words - 16 pages with bladder cancer. The study was conducted in Córdoba, a province in Argentina whose water is without the additional pollutants such as in the case of Taiwan. In addition, the inhabitants of the province have an ethnic background similar to the United States and a low occurrence of malnutrition. The study was led by Claudia Hopenhayn-Rich from the University of California, Berkeley. The water in Córdoba has high levels of naturally

Adverse Effects of Anesthetic Agents

634 words - 3 pages epinephrine. After the procedure was finished, a 3-4 cm brown pigmented area was seen on the patients left chin. The case report describes the lesion as “leathery” and states there were no motor or sensory deficits. This case report was linked to 4 other similar case reports, with the difference being that the pigmented lesion in this case remained, as opposed to resolving in the other 4 cases. The patient in this study was scheduled to have removal

Similar Essays

Nursing Case Study: Psychiatric Patient

1981 words - 8 pages In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented

A Case Study In The Pharmacological Regime Of An Aids Patient

3181 words - 13 pages Case Study:Read the following case study then:* Identify and briefly discuss the pathophysiology of Rodney's medical condition.* Describe the pharmodynamics of each of the drugs Rodney was prescribed linking this to the pathology.* Justify the pharmacological regime, including choice of drug, changes to the regime, dosages and scheduling, and routes of administration.* Critically discuss the mechanisms associated with resistance of either

Moral Conflict With Ethical Principles And Laws Suicidal Cancer Patient Tells Nurse Intentions Ethics And Law Of Health Case Study

2568 words - 11 pages HLTH3000: Case Study Written Assessment A 57-year-old male patient is suffering from late stage prostate cancer and is currently in care of the oncology department at a general hospital in Brisbane, Queensland. He was diagnosed seven years ago by a urologist, but refused conventional medical intervention and chose to seek alternative treatment. Since this diagnosis, his current admission to the hospital was due to anemia and hypoproteinemia

Case Study Of A Patient With Periodontal Disease

2299 words - 10 pages HD CASE REPORT Introduction: A 39 years old male adult attended for a regular 6 monthly dental check up and routine scaling. The patient reports to suffer from anxiety, he is a teacher, a non-smoker, non-drinker and a regular dental attender. On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with