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Related Concept Videos

Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...

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An Open-Source Normothermic Perfusion System Designed for Research Scientists
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Published on: July 18, 2025

[Relationship and dependency in a hemodialysis unit].

Thomas Will1, Patrick Saudan, Marie-Geneviève Droulez

  • 1Service de psychiatrie de liaison, département de psychiatrie, hôpitaux universitaires de Genève, 24, rue Micheli-du-Crest, 1211 Genève, Suisse.

Nephrologie & Therapeutique
|February 5, 2008
PubMed
Summary

Dialysis, a life-sustaining treatment, often leads to patient dependency, negatively impacting their quality of life. Focusing on relational aspects during dialysis can shift patient perception and improve their experience.

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Published on: September 30, 2020

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Last Updated: Jul 7, 2026

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

  • Nephrology
  • Patient Experience
  • Psychosocial Aspects of Healthcare

Context:

  • Dialysis is a critical treatment for kidney failure, replacing the function of a deficient organ.
  • The procedure is resource-intensive, requiring skilled professionals, time, and significant financial investment.
  • Societal emphasis on autonomy contrasts sharply with the dependency inherent in dialysis, leading to negative patient perceptions.

Purpose:

  • To explore the influence of autonomy and dependency on the lived experiences of patients undergoing dialysis.
  • To propose an alternative approach to dialysis care centered on relational aspects.
  • To illustrate this new perspective through case reports.

Summary:

  • Dialysis, while life-saving, often diminishes patient autonomy, a significant source of distress and negative life experience.
  • Patients and caregivers frequently prefer renal transplantation due to the perceived restoration of autonomy.
  • An alternative approach focusing on the relational dynamics during dialysis can positively alter patient perception and enhance their overall life experience.

Impact:

  • This relational approach offers a paradigm shift in understanding and managing the psychosocial challenges of dialysis.
  • It provides a framework for improving the quality of life for patients dependent on dialysis.
  • The findings suggest that fostering positive relationships during treatment can mitigate the negative psychological impact of kidney failure management.