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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...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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...
Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of fluid...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

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Related Experiment Video

Updated: Jun 20, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Helping nephrologists, staff understand DNR orders.

John Robertson

    Nephrology News & Issues
    |September 17, 2009
    PubMed
    Summary

    Outpatient dialysis facilities must now adopt standardized Do Not Resuscitate (DNR) policies due to new regulations. This is crucial for managing end-of-life care in the growing elderly End-Stage Renal Disease (ESRD) patient population.

    Area of Science:

    • Nephrology
    • Geriatrics
    • Healthcare Policy

    Background:

    • Outpatient dialysis facilities traditionally set local Do Not Resuscitate (DNR) policies.
    • New Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage and state laws mandate standardized policies.
    • The End-Stage Renal Disease (ESRD) patient population is growing, particularly among the elderly.

    Purpose of the Study:

    • To highlight the need for consistent and implementable DNR policies in outpatient dialysis facilities.
    • To address the challenges of end-of-life care for elderly ESRD patients initiating dialysis.

    Main Methods:

    • Analysis of demographic trends in the ESRD patient population from 1996 to 2003.
    • Examination of dialysis initiation rates and one-year mortality in octogenarian and nonagenarian ESRD patients.

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    Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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    Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

    Published on: August 5, 2020

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    Last Updated: Jun 20, 2026

    Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
    07:13

    Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

    Published on: April 12, 2021

    Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
    04:36

    Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

    Published on: August 5, 2020

    Main Results:

    • The number of ESRD patients aged 80 and over nearly doubled between 1996 and 2003.
    • Dialysis initiation rates in this age group increased by 57% after accounting for population growth.
    • The one-year mortality rate for this elderly dialysis segment was 46% during the study period.

    Conclusions:

    • A significant portion of elderly ESRD patients initiating dialysis face end-of-life issues.
    • Consistent and implementable DNR policies are critical for modern dialysis facilities to address these needs.
    • Regulatory changes necessitate a shift from local to standardized DNR policy implementation.