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Related Concept Videos

Dialysis01:27

Dialysis

582
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...
582
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

260
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...
260
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

391
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...
391
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

178
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,...
178
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

188
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...
188
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

97
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...
97

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Updated: Oct 7, 2025

A Murine Model of Hemodialysis Access-Related Hand Dysfunction
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Shared Decision-Making for a Dialysis Modality.

Xueqing Yu1, Masaaki Nakayama2, Mai-Szu Wu3,4

  • 1Division of Nephrology, Guangdong Provincial People's Hospital, Guangzhou, People's Republic of China.

Kidney International Reports
|January 10, 2022
PubMed
Summary
This summary is machine-generated.

Shared decision-making (SDM) empowers kidney failure patients to choose dialysis treatments, increasing satisfaction. Patient participation in this iterative process is key for successful, informed dialysis modality selection.

Keywords:
continuous renal replacement therapyeducationhemodialysisperitoneal dialysis

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Area of Science:

  • Nephrology
  • Public Health
  • Health Policy

Background:

  • Global rise in kidney failure prevalence necessitates informed treatment choices.
  • Dialysis is a primary treatment, requiring patient involvement in modality selection.
  • Shared decision-making (SDM) is crucial for patient empowerment in this process.

Purpose of the Study:

  • To review the role of SDM in guiding kidney failure patients toward selecting a dialysis modality.
  • To assess the impact of SDM on patient satisfaction with their chosen dialysis treatment.

Main Methods:

  • Literature review synthesizing evidence on SDM in dialysis modality selection.
  • Analysis of studies examining patient involvement and satisfaction outcomes.

Main Results:

  • SDM significantly enhances patient satisfaction with their chosen dialysis modality.
  • Active and iterative patient participation is vital for successful SDM.
  • Effective SDM requires high-quality, unbiased, and culturally tailored educational components.

Conclusions:

  • SDM is essential for empowering kidney failure patients in dialysis modality decisions.
  • Encouraging patient participation in SDM and its design is recommended.
  • Tailored educational materials are critical for successful SDM implementation.