Related Experiment Video

Updated: May 13, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

Medical traumatic stress symptoms in pediatric patients on dialysis and their caregivers: a pilot study

Shari K Neul1

  • 1Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. skneul@texaschildrens.org

Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
|March 9, 2013
PubMed

Insights

Pediatric patients on dialysis and their caregivers can experience medical traumatic stress, especially during treatment initiation. Understanding these experiences is key to improving pediatric patient care and family well-being.

Area of Science:

  • Pediatric medicine
  • Psychology
  • Trauma studies

Background:

  • Burdensome medical treatments can cause significant distress for children and their families.
  • Medical traumatic stress is a recognized issue in pediatric populations undergoing intensive care.

Purpose of the Study:

  • To screen pediatric dialysis patients and their caregivers for medical traumatic stress.
  • To identify the prevalence of trauma symptoms associated with the initiation of dialysis.

Main Methods:

  • Utilized a modified trauma symptom checklist to screen patients and caregivers.
  • Focused screening on the experience of initiating dialysis treatment.

Main Results:

  • A significant number of pediatric patients on dialysis reported traumatic stress symptoms.
  • Caregivers also frequently indicated that starting dialysis was a traumatic experience.

Conclusions:

  • Initiating dialysis can be a traumatic event for pediatric patients and their families.
  • Addressing medical traumatic stress is crucial for enhancing pediatric patient care and outcomes.

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,...
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...
Nephrotic Syndrome III : Nursing Management01:24

Nephrotic Syndrome III : Nursing Management

Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
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...
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...