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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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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...
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Dialysis01:27

Dialysis

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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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Chronic Kidney Disease IV: Nursing Management01:18

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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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Kidney Transplant III: Nursing Management01:16

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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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Acute Kidney Injury VI: Nursing Management01:22

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Acute Kidney Injury V: Interprofessional Care01:20

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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...
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Updated: Aug 11, 2025

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Decision coaching for people with kidney failure: A case study.

Louise Engelbrecht Buur1,2,3, Hilary Louise Bekker2,3,4, Caroline Løntoft Mathiesen5

  • 1Department of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.

Journal of Renal Care
|February 3, 2023
PubMed
Summary
This summary is machine-generated.

Decision coaching helped kidney failure patients facing end-of-life decisions feel clearer about their choices. This study indicates decision coaching reduces decisional needs for these patients.

Keywords:
chronic kidney diseasedecision coachingend-of-life carehealth professionalsskills

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Area of Science:

  • Nephrology
  • Decision Science
  • Palliative Care

Background:

  • Limited understanding of decision coaching's utility for end-of-life care decisions in kidney failure patients.
  • End-of-life care decisions in kidney failure present unique challenges for patients and healthcare providers.

Purpose of the Study:

  • To explore the experiences of individuals with kidney failure who received decision coaching for end-of-life care decisions.
  • To assess the impact of decision coaching on decisional needs and clarity regarding next steps.

Main Methods:

  • Prospective case study adhering to the Ottawa Decision Support Framework.
  • Involved adults with kidney failure facing end-of-life decisions.
  • Utilized the SURE test for screening decisional needs, decision coaching via the Ottawa Personal Decision Guide, and postcoaching interviews. Analyzed SURE test changes descriptively and interviews using systematic text condensation. Decision coaching sessions were content-analyzed with the Decision Support Analysis Tool.

Main Results:

  • Four adults with kidney failure received decision coaching.
  • Median SURE test scores improved post-coaching, indicating reduced decisional needs (pre-median 2.5, post-median 3).
  • Participants reported gaining an overview of options, identifying needs for further discussion, and clarifying next steps. High Decision Support Analysis Tool scores (median 9) suggest effective coaching.

Conclusions:

  • Decision coaching appears to reduce decisional needs for patients with kidney failure facing end-of-life care decisions.
  • Participants reported increased clarity regarding the decision-making process and subsequent steps after receiving decision coaching.