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Revista de Nefrología, Diálisis y Trasplante

ISSN 0326-3428 (Print)
Órgano de difusión científica de la Asociación Nefrológica de Buenos Aires
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2020, Number 3

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Rev Nefrol Dial Traspl 2020; 40 (3)

Nursing care in the emotional management of hemodialysis patients

Martínez PS
Full text How to cite this article

Language: Spanish
References: 5
Page: 237-241
PDF size: 148.58 Kb.


Key words:

hemodialysis, renal dialysis, social isolation, emotional issues, quality of life, nursing diagnosis, emotional management, nephrology nursing.

ABSTRACT

Hemodialysis is a renal replacement therapy technique. Patients receiving this treatment have three sessions per week (average) for four hours. This arouses negative feelings in these patients, affecting their life quality. Case presentation: A female subject, aged 55, with chronic kidney failure, secondary to diabetic glomerular disease, states that her life has changed negatively since hemodialysis was prescribed. Is clear that the patient is experiencing social isolation due to a change in her body image and low self-esteem, as well as skin damage caused by itching and dry skin. A care plan is prepared and implemented following the NANDA, NOC and NIC standards. Results are evaluated after the application of the proposed interventions. In this case, the importance of the participation of patients in the same situation in a support group is highlighted. Nursing interventions to manage hemodialysis patient emotions are effective. They are based on the most current scientific evidence. Sometimes, nurses only focus on the physical problem and the best way of handling it, but it is essential to consider the emotional aspects of patients as well and to teach them, as shown in this case, to manage these emotions in order to improve their wellness and life quality.


REFERENCES

  1. Kotanko P, Kuhlmann MK, Levin NW. Hemodialysis:principles and techniques. En: Comprehensive clinicalnephrology. [Edited by] Richard J. Johnson, JohnFeehally, Jurgen Floege. Philadelphia, PA: Elsevier,Saunders; 2015, p. 1067-74.

  2. Yeun JY, Ornt DB, Depner TA. Hemodialysis. En:Brenner & Rector’s the kidney. [Edited by] Karl Skorecki,Glenn M. Chertow, Philip A. Marsden, et al. 10th ed.Philadelphia, PA: Elsevier; 2016. Chapter 65.

  3. Chiu E, Markowitz SN, Cook WL, Jassal SV. Visualimpairment in elderly patients receiving long-termhemodialysis. Am J Kidney Dis. 2008;52(6):1131-8. doi:10.1053/j.ajkd.2008.05.032.

  4. Gordon M. Manual de diagnósticos de enfermería. 11a ed.Barcelona: McGraw-Hill, Interamericana de España;2007. 432 p.

  5. North American Nursing Diagnosis Association.NANDA, NOC, NIC. En: NNN Consult [Internet].Elsevier; 2017. Disponible en: (Consulta: 09/01/2019).




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Rev Nefrol Dial Traspl. 2020;40