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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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

Chronic Kidney Disease III: Interprofessional Care

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...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

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...
Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

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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Related Experiment Video

Updated: Jun 23, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Structured Multidisciplinary Care for Clinically Complex Kidney Transplant Recipients: A 12-Month Single-Center

Beatriz Rodríguez Cubillo1, Maria Ángeles Moreno de la Higuera1, Aurora Viloria Jimenez2

  • 1Department of Nephrology, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain, madrid.org.

Journal of Transplantation
|June 22, 2026
PubMed
Summary

A multidisciplinary program improved symptom burden, emotional distress, and spiritual well-being in complex kidney transplant recipients. Early screening and integrated care demonstrated feasibility and significant longitudinal gains, particularly for vulnerable patients.

Keywords:
NECPALkidney transplantationmultidisciplinary carequality of lifespirituality

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Robot-Assisted Kidney Transplantation
07:30

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

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Last Updated: Jun 23, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Robot-Assisted Kidney Transplantation
07:30

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

Area of Science:

  • Nephrology
  • Transplantation Medicine
  • Palliative Care

Background:

  • Complex kidney transplant recipients often experience persistent symptom burden, emotional distress, and reduced quality of life.
  • Evidence for structured, multidisciplinary programs for this population is limited.

Purpose of the Study:

  • To evaluate the feasibility and impact of a coordinated, person-centered multidisciplinary program for complex kidney transplant recipients.
  • To assess improvements in symptom burden, emotional distress, spiritual well-being, and quality of life.

Main Methods:

  • A 12-month, single-center implementation cohort study involving 73 complex kidney transplant recipients.
  • Utilized the NECPAL criteria for complexity assessment and integrated nephrology, psychology, palliative care, and other specialists.
  • Assessed outcomes using validated instruments including ESAS-r, DME, GES, and SF-12 at multiple time points.

Main Results:

  • Significant reductions in symptom burden (ESAS-r) and emotional distress (DME) were observed.
  • Increases in spiritual well-being (GES) and improvements in health-related quality of life (SF-12) were noted.
  • Global adaptation was achieved by 43.9% of patients, with emotional coping as a key predictor of improvement.

Conclusions:

  • Implementation of a structured multidisciplinary model is feasible and beneficial for complex kidney transplant recipients.
  • The program led to longitudinal improvements in physical, emotional, spiritual, and functional domains.
  • Further validation in multicenter, controlled studies is warranted to confirm these preliminary findings.