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Related Concept Videos

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...
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 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...
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,...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...

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Related Experiment Video

Updated: May 28, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Developing a decision support intervention regarding choice of dialysis modality.

Marie-Chantal Loiselle1, Annette M O'Connor, Cécile Michaud

  • 1School of Nursing, University of Sherbrooke, Sherbrooke, QC. marie-chantal.loiselle@usherbrooke.ca

CANNT Journal = Journal ACITN
|October 22, 2011
PubMed
Summary

Predialysis nurses need support for patient decision-making about renal replacement therapy. This study proposes a method using a decision aid and decision coaching to improve patient choices and nurse skills.

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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Published on: July 20, 2022

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

Area of Science:

  • Nephrology Nursing
  • Health Decision Science
  • Patient Education

Background:

  • Predialysis nurses play a crucial role in supporting patients facing renal replacement therapy decisions.
  • Currently, no established interventions effectively support nurses in providing this critical decision-making assistance.
  • The Ottawa Decision Support Framework offers a structure for developing interventions, including patient decision aids and decision coaching.

Purpose of the Study:

  • To propose a structured method for developing and implementing a decision support intervention for predialysis nurses.
  • To enhance the quality of patient decision-making regarding dialysis modality.
  • To build nurses' competencies in delivering effective decision support.

Main Methods:

  • A mixed-methods design guided by the Ottawa Decision Support Framework.
  • Development involves knowledge synthesis and decisional needs assessment with key informants.
  • Intervention components include a patient decision aid and nurse training in decision coaching via a skill-building workshop.
  • A constructivist evaluation approach will be employed.

Main Results:

  • A novel intervention framework combining a patient decision aid and nurse decision coaching training.
  • The proposed method integrates knowledge synthesis and needs assessment for targeted intervention development.
  • Training will focus on developing specific decision coaching competencies for nurses.

Conclusions:

  • This study introduces an innovative approach for developing decision support interventions in predialysis care.
  • The proposed intervention is expected to improve the quality of patient decisions about dialysis modality.
  • The approach aims to significantly enhance nurses' skills in providing essential decision support to patients.