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Related Concept Videos

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Kidney Transplant III: Nursing Management

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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...
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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Kidney Transplant I: Introduction01:28

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
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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...
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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Updated: Sep 21, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Navigating medication-taking after kidney transplant.

Aparna Balakrishnan1, Richard Weinmeyer1, Marina Serper2

  • 1Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Research in Social & Administrative Pharmacy : RSAP
|May 31, 2022
PubMed
Summary
This summary is machine-generated.

Kidney transplant recipients face adherence barriers like insurance issues and poor mental well-being. Addressing patient and system-level gaps is crucial for improving medication adherence in these individuals.

Keywords:
Kidney transplantMedication adherenceMedication-takingMixed methodsPost-transplant experienceQualitative research

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Area of Science:

  • Transplantation Science
  • Health Behavior Research
  • Qualitative Health Research

Background:

  • Mixed methods research is vital for understanding complex health behaviors such as medication adherence.
  • Kidney transplant recipients (KTRs) have intricate medication schedules and higher nonadherence risks.
  • Limited mixed-methods studies exist on KTR medication adherence, particularly for non-immunosuppressant drugs.

Purpose of the Study:

  • To explore factors influencing prescription medication adherence in adult KTRs.
  • To gain deeper insights into adherence barriers identified in prior quantitative research.
  • To describe patient and health system factors affecting medication-taking behaviors.

Main Methods:

  • Conducted semi-structured interviews with 14 adult KTRs from a Chicago transplant center.
  • Employed a purposive sampling strategy for participant recruitment.
  • Utilized deductive and inductive content analysis to identify key themes in interview transcripts.

Main Results:

  • Patient-level barriers include insurance challenges, routine disruptions, and poor mental well-being.
  • Health system barriers for Black and Hispanic KTRs involve poor provider communication and disjointed care transitions.
  • Black and Hispanic KTRs face higher medication burden from comorbidities; Hispanic KTRs also report medication and digital literacy challenges.

Conclusions:

  • KTRs are motivated but may lack the capacity or support for adherence.
  • Addressing patient and health system gaps through KTR perspectives is essential for improving adherence.
  • Recognizing the burden of comorbidity medications, especially for Black and Hispanic KTRs, is important.