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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 I: Introduction01:25

Chronic Kidney Disease I: Introduction

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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
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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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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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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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Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

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Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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Kidney Failure Patients' Perceptions and Definitions of Health: A Qualitative Study.

Renata Sledge1, Beatrice P Concepcion2, Beth Witten3

  • 1Department of Social Work, Fontbonne University, Saint Louis, Missouri.

Kidney Medicine
|March 17, 2023
PubMed
Summary

Patients with kidney failure interpret health by their ability to engage in meaningful activities and maintain balance. Shared decision-making can improve kidney failure treatment experiences.

Keywords:
Decision-makingdialysiskidney transplantqualitative researchshared decision-making

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Area of Science:

  • Nephrology
  • Qualitative Health Research
  • Patient-Centered Care

Background:

  • Patients with kidney failure utilize diverse treatment modalities, offering unique insights into personal values and treatment preferences.
  • Understanding patient interpretations of health is crucial for effective shared decision-making in kidney failure management.

Purpose of the Study:

  • To explore how patients with kidney failure interpret their health and treatment experiences.
  • To inform healthcare providers in facilitating shared decision-making conversations.

Main Methods:

  • Qualitative, interpretive phenomenological study.
  • Semi-structured interviews with 18 patients who had used 3 or more kidney failure treatment options (transplant, home dialysis, in-center dialysis).
  • Iterative data analysis process concurrent with data collection.

Main Results:

  • Three themes emerged: ability to engage in meaningful activities, working for balance, and living in context.
  • Patients evaluated health based on engagement in meaningful activities and balancing emotional/physical needs with life goals.
  • Supportive social and treatment environments that fostered autonomy positively influenced patients' perception of health.

Conclusions:

  • Patient health evaluation is intrinsically linked to meaningful activities and balance, influenced by treatment context and provider interactions.
  • Healthcare providers' responses to patient autonomy and experience significantly shape treatment interpretation.
  • Integrating patient health interpretations with quantitative data can enhance collaborative care for kidney failure.