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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

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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...
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Hemodialysis II: Procedure and Complications01:24

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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,...
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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...
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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...
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Hemodialysis III: Nursing Management01:25

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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...
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Peritoneal Dialysis I: Introduction and Procedure01:30

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Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
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Articles linked to this work by shared authors, journal, and citation graph.

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[After more than 3,400 home hemodialysis sessions, Aziz shares his story].

Revue de l'infirmiere·2026
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[Home dialysis and me].

Aziz Aberkane1

  • 1c/o La revue de l'infirmière, 65, rue Camille-Desmoulins, 92442 Issy-les-Moulineaux cedex, France.

Revue De L'Infirmiere
|February 20, 2021
PubMed
Summary
This summary is machine-generated.

Patients with end-stage renal failure face the difficult challenge of mourning their former lives. Proper patient support is crucial to navigate the devastating consequences of kidney failure.

Keywords:
autonomieautonomydialyse à domicileexpert patientfamillefamilyhome dialysisinsuffisance rénalepatient expertrenal failure

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Area of Science:

  • Nephrology
  • Psychology
  • Patient Support

Background:

  • End-stage renal failure (ESRF) presents significant life changes for patients.
  • The emotional and psychological impact of ESRF is often profound.
  • Lack of adequate support can exacerbate patient distress.

Purpose of the Study:

  • To highlight the challenges faced by new patients with renal failure.
  • To emphasize the importance of patient accompaniment during the ESRF journey.
  • To share insights from an expert patient's lived experience.

Main Methods:

  • Qualitative research through patient testimony.
  • Exploration of the psychological impact of renal failure.
  • Focus on the patient's perspective and coping mechanisms.

Main Results:

  • Mourning the loss of a previous life is a primary challenge for novice renal failure patients.
  • The consequences of ESRF can be devastating without sufficient support.
  • Expert patient testimony provides valuable insights into navigating ESRF.

Conclusions:

  • Comprehensive patient support is essential for those with end-stage renal failure.
  • Addressing the psychological impact of ESRF is critical for patient well-being.
  • Patient-centered care, informed by lived experiences, improves outcomes.