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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...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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...

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5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Choosing dialysis modality: decision making in a chronic illness context.

Anna Winterbottom1, Hilary L Bekker, Mark Conner

  • 1Senior Research Fellow, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|July 4, 2012
PubMed
Summary

Patients with chronic kidney disease (CKD) often view dialysis as a treatment, not a choice. Information provided does not lead to informed decisions, highlighting a need for proactive patient engagement with dialysis options.

Keywords:
chronic kidney diseasedialysisend stage renal failurepatient decision makingqualitative

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Area of Science:

  • Nephrology
  • Patient Decision Making
  • Chronic Illness Management

Background:

  • Chronic kidney disease (CKD) management involves informed dialysis decisions.
  • Significant variation exists in peritoneal dialysis uptake despite equivalent survival rates.
  • The impact of chronic illness context on patient treatment choice is understudied.

Purpose of the Study:

  • To describe patient decision-making processes regarding dialysis.
  • To understand how the experience of CKD influences treatment choices.

Main Methods:

  • Interview-based survey with 20 CKD patients.
  • Thematic framework analysis of patient experiences and treatment decisions.

Main Results:

  • Patients discussed CKD challenges and received varied information.
  • Patients lacked in-depth knowledge and did not differentiate dialysis types.
  • Dialysis was perceived as an inevitable treatment, not an active choice.

Conclusions:

  • Patients often see the choice as 'dialysis' vs. 'no dialysis', not an active decision.
  • Information dissemination may favor haemodialysis, impacting perceived choice.
  • A proactive approach is needed to facilitate informed engagement with dialysis options.