Related Experiment Videos
ESRD--finite or infinite treatment options
Le Journal CANNT = CANNT Journal : the Journal of the Canadian Association of Nephrology Nurses and Technicians
|January 1, 1993
Summary
End-stage renal disease (ESRD) treatments vary. This case study follows one patient
Area of Science:
- Nephrology
- Renal replacement therapy
- Patient case study
Background:
- End-stage renal disease (ESRD) necessitates renal replacement therapy.
- Treatment options include renal transplantation, peritoneal dialysis, and hemodialysis.
- Individual patient factors dictate the most suitable treatment modality.
Observation:
- A patient with ESRD underwent 18 years of varied treatments.
- Treatment progression included peritoneal dialysis, two failed renal transplants, and hemodialysis.
- Complex vascular access issues arose during hemodialysis, necessitating an inferior vena cava catheter.
Findings:
- The patient ultimately withdrew from all treatments.
- Nursing interventions were crucial throughout the patient's treatment journey.
- Focus on nursing care during the final two years of treatment withdrawal.
Implications:
- This case highlights the complex, long-term management of ESRD.
- It underscores the importance of individualized care and patient autonomy.
- The case demonstrates the evolving role of nursing in palliative care for ESRD patients.