Download or read book Patients Perceptions of Their Experiences with End stage Renal Disease ESRD and Hemodialysis Treatment written by Deborah M. Gregory and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: To explore patients' perceptions of their experiences with ESRD and hemodialysis treatment, 71 interviews were conducted with 36 adult patients established on dialysis. The sample was equally divided by gender, with 78% over 50 years (M = 57) and most on dialysis for ≤ 3 years (72%). Using a grounded theory methodology and a constant comparative method of analysis, a theoretical model was developed which suggested that patients' perceptions of their experience revolved around three constructs. These include redefinition of self, quality of supports, and meanings of illness and treatment and are linked by "critical turning points" which facilitate or impede quality outcomes. The emerging theory suggests that a "new sense of self" is an emotional/psychological state that fluctuates with the evolving meanings of illness and treatment (acute/chronic illness, treatment effects) and perceived quality of supports (health care providers, family and friends, dialysis peers, dialysis environment). The findings indicate that when confronted with this new way of being-in-the-world, the individual becomes cognizant of an uncertain future, continued dependence on life-sustaining technology and the expertise of health care providers, and the demands upon and sacrifices incurred by significant others. All aspects of patients' experiences with ESRD and hemodialysis treatment must be considered if health care providers are to facilitate positive health outcomes. -- Conclusion: Patients' perceptions of their experiences on hemodialysis revolve around the psychological adjustment to illness chronicity, the quality of supports (particularly in facilitating this adjustment), acceptance of treatment regimes, and the tension between desired and expected, and the actual treatment outcomes. The perceived experience may influence the quality of outcomes. -- Key Words: hemodialysis; grounded theory methodology; quality of outcomes; patients' perceptions.

Download or read book Patients Perceptions of Their Experiences with End stage Renal Disease ESRD and Hemodialysis Treatment written by and published by . This book was released on 1998 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Contemporary Nephrology Nursing written by Anita E. Molzahn and published by Anna. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: First edition edited by Janel Parker in 1998

Download or read book Palliative Care in Nephrology written by Alvin H. Moss MD, FACP, FAAHPM and published by Oxford University Press. This book was released on 2020-07-14 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: Palliative care has become increasingly important across the spectrum of healthcare, and with it, the need for education and training of a broad range of medical practitioners not previously associated with this field of care. As part of the Integrating Palliative Care series, this volume on palliative care in nephrology guides readers through the core palliative knowledge and skills needed to deliver high value, high quality care for seriously ill patients with chronic and end-stage kidney disease. Chapters are written by a team of international leaders in kidney palliative care and are organized into sections exploring unmet supportive care needs, palliative care capacity, patient-centered care, enhanced support at the end of life, and more. Chapter topics are based on the Coalition for Supportive Care of Kidney Patients Pathways Project change package of 14 evidence-based best practices to improve the delivery of palliative care to patients with kidney disease. An overview of the future of palliative care nephrology with attention to needed policy changes rounds out the text. Palliative Care in Nephrology is an ideal resource for nephrologists, nurses, nurse practitioners, physician assistants, social workers, primary care clinicians, and other practitioners who wish to learn more about integrating individualized, patient-centered palliative care into treatment of their patients with kidney disease.

Download or read book Renal Medicine written by James Pattison and published by CRC Press. This book was released on 2004-03-22 with total page 231 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a comprehensive, authoritative, yet user-friendly guide to renal disease. More than any other subdivision of internal medicine successful nephrological practice is dependent on other specialities. The kidneys are affected by many systemic diseases. There is increased incidence of cardiovascular and neoplastic disease in patients with renal

Download or read book Supportive Care for the Renal Patient written by Edwina Brown and published by Oxford University Press. This book was released on 2010-03-18 with total page 331 pages. Available in PDF, EPUB and Kindle. Book excerpt: An international group of contributors provides a comprehensive, evidence-based overview of supportive care for the nephrology patient, emphasising the continuum of palliative care from the time of diagnosis through to end-of-life care and the issues surrounding withdrawal of dialysis.

Download or read book Expanded Hemodialysis written by C. Ronco and published by Karger Medical and Scientific Publishers. This book was released on 2017-09-14 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite constant significant advances, cardiovascular as well as more general outcomes of hemodialysis treatment remain unsatisfactory. The introduction of innovative 'high retention onset' membranes has led to the development of a new treatment modality called 'expanded hemodialysis' (HDx), which is the focus of this book. This new therapy is likely to benefit end-stage kidney disease patients, thanks to enhanced removal of molecules retained by current dialysis techniques. HDx is simple to set up and application does not require special hardware or specific nursing skills. This book contains emerging evidence and fascinating new hypotheses on HDx. It is highly recommended for all physicians and healthcare professionals who are caring for dialysis patients and are seeking innovation and improved care solutions. It will also be of considerable interest to students and fellows.

Download or read book Chronic Kidney Disease in Disadvantaged Populations written by Guillermo Garcia-Garcia and published by Academic Press. This book was released on 2017-07-08 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic Kidney Disease in Disadvantaged Populations investigates the increased incidence and prevalence of kidney disease in vulnerable populations world-wide. The volume explores the complex interactions of genetic, biologic, cultural and socioeconomic factors such as the environment, and specific health behaviors that seem to be responsible for a significant proportion of the health disparities in these communities. Each chapter is written by leading experts in the field and analyzes the prevalence and incidence of pre-dialysis kidney disease in disadvantaged populations across both developed and developing countries. In addition, each contribution analyzes differentiated risk factors and compares the disparities in access to screening, prevention strategies, treatment protocols and renal replacement therapies. Chronic Kidney Disease in Disadvantaged Populations is essential reading for residents, fellows, clinicians and biomedical researchers working in nephrology, internal medicine, and epidemiology, especially those working in areas with high concentrations of disadvantaged populations. Presents a comprehensive account of both traditional and non-traditional risk factors for kidney disease Explores the mechanisms by which poverty increases the burden of kidney disease in these populations, barriers to access to renal health care, including renal replacement therapies, organ donation, and organ commercialization Offers the latest perspectives on outcomes in renal replacement therapies as well as prevention strategies

Download or read book The Checklist Manifesto written by Atul Gawande and published by Metropolitan Books. This book was released on 2010-04-01 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: The New York Times bestselling author of Being Mortal and Complications reveals the surprising power of the ordinary checklist We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

Download or read book Thyroid Pathology written by Kurt W. Schmid and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, a series of excellent textbooks have been published dealing with pathology of the thyroid gland. The present volume of CURRENT TOPICS IN PATHOLOGY provides further information for both pathologists and clinicians interested in the thyroid gland. The contributions deal with surgical pathology of the thyroid as well as with basic aspects of thyroid metabolism, hormone transport, and growth factors in thyroid cells. The topics covered in this book should mainly be considered as adjuncts to common textbooks on thyroid pathology. The contributions should help pathologists in their routine diagnosis and should stimulate further thyroid research.

Download or read book Evidence Based Practice in Primary Care written by Christopher Silagy and published by BMJ Books. This book was released on 2001-08-08 with total page 220 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence Based Practice in Primary Health Care is split into two sections. The frist discusses how the individual can apply evidence based medicine in the clinical setting, and the second covers the wider issue of changes in organisation and strategy to promote better and more effective delivery of care within a practice or primary care group. Chapters are writtten by leading specialists in evidence based primary care from Australlia, the UK,and mainland Europe.

Download or read book Outcomes Assessment in End Stage Kidney Disease Measurements and Applications in Clinical Practice written by Paraskevi Theofilou and published by Bentham Science Publishers. This book was released on 2013-10-08 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: With an increase of the population of elderly people in modern society due to advances in medicine and healthcare facilities, there is also an increase in the incidence and duration of chronic illnesses. Similarly, advanced age is considered a significant determinant of depression and poor quality of life. Additionally, the provision of therapies relevant to chronic diseases addresses the issues beyond the concept of cure, bringing to the center the need for a dignified quality of life of patients. An increased interest in quality of life is observed in patients who suffer from chronic diseases, including those with end-stage kidney disease (ESKD). End-stage kidney disease patients have a high burden of disease affecting their quality of life and dramatically shortening their life expectancy. Therefore, exploring quality of life issues among such patients becomes an essential task in the management of this population. This volume is written by researchers with a well-rounded understanding of the characteristics and impact of ESKD and provides a penetrating practical discussion to date of alternative approaches for comprehensively measuring the burden of end-stage kidney disease. Outcomes Assessment in End-Stage Kidney Disease focuses on the impact of this complex and exacting condition on patients and those that care for them. It also examines the economic impact of ESKD and the healthcare policy implications of this disease. It also brings comprehensive and thoughtful insights into the issues confronted by patients with ESKD to readers interested in nursing or medical caregiving, geriatrics and health psychology.

Download or read book The Ethics of Shared Decision Making written by John D. Lantos and published by Oxford University Press. This book was released on 2021-08-17 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients today are more empowered and knowledgeable than they have ever been. By law, they must be told about the risks and benefits of proposed treatments and give informed consent before treatment is initiated. Through the democratization of medical information, they have access to peer-reviewed medical journals. Social media allows patients to share stories with others and to learn about other people's experiences with various treatments. There are websites written by experts at leading medical schools to help patients understand diseases and treatments. They have the right to see their medical records. The net result of all changes is a shift in the power balance between doctors and patients. Ideally, as a result of these shifts, the patients' values and preferences should guide treatment decisions. However, this proliferation of information often leads to confusion rather than clarity. Publicly available information often includes seemingly contradictory conclusions and recommendations. Patients don't know which opinions to trust. So, although patients have more information than ever, and many want to make decisions for themselves, they need more guidance than ever to help them process an avalanche of information. This volume aims to help both medical professionals and their patients navigate the evolving healthcare landscape by analyzing the process of shared decision-making (SDM) in clinical medicine. The concept of SDM has emerged in the last two decades as a middle ground between, on the one hand, old-fashinioned physician paternalism of the "doctor-knows-best" variety and, on the other hand, unfettered patient autonomy by which patients are thought capable of individually and independently choosing their own medical interventions. Advocates of SDM imagine that decisions will be made best if they follow a complex discussion and negotiation between doctor and patient; such discussions should incorporate the doctor's medical and technical expertise as well as the patient's goals, values, and preferences. SDM takes different forms for different patients in different clinical circumstances. This volume gathers experts in SDM to share their insights about how it ought to be done. The authors include clinicians, social scientist, and philosophers, all of whom have thought about or cared for patients from a variety of backgrounds and in a variety of clinical circumstances. The papers explore the complexity of SDM and offer practical guidance, gained from years of experience, about how to employ SDM as effectively as possible.

Download or read book Caregiving and Home Care written by Mukadder Mollaoglu and published by BoD – Books on Demand. This book was released on 2018-02-14 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of chronic diseases is one of the tasks of all members of the health team, and different models need to be applied in the practice of chronic care management. One of these models is home care services. There are two main sections in this book. In the first part of the section, the concept of caregiving and care at home is explained. In the second part, the responsibilities of caregivers at home and the responsibilities of caregivers of people who have health problems that occur during different periods of life are discussed. In the second section, the problems of caregivers are also included. I would like to think that what is quoted in this book, which contains examples from different cultures of the world for home care approaches, will contribute to the development of home care services. This book is presented to all health professionals working in the field of health services as well as health politics professionals and students trained in these areas.

Download or read book Health Intervention Research written by Souraya Sidani and published by SAGE. This book was released on 2014-10-20 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a time when evidence-based practice is the standard bearer for understanding health behaviour, problems and interventions, ensuring that researchers know the appropriate designs and methods for their research is more paramount than ever. Health Intervention Research will equip those doing research in these communities with the knowledge and tools they need to inform their methodological decisions when planning and conducting studies. This book describes both commonly used (e.g., randomized clinical trials) and advanced (e.g. preference trials, pragmatic trials) designs and methods for health intervention research. It outlines the theoretical reasoning underlying these different approaches, and synthesizes the evidence which supports or disputes different designs and methods. To achieve its aims, the book is divided into three main sections. The first section points to the need to base methodological decisions on evidence and highlights the importance of carefully selecting research designs and methods to maintain validity. The second section focuses on designs to determine the effects of intervention on outcomes, outlining their features and discussing how these can be used to evaluate interventions. The last section covers methods used in conducting intervention evaluation research. For each design and method, the following is covered: what it is, what the logic underlying it is, what the evidence supporting its effectiveness is, and also includes its advantages, its limitations, and how can it be implemented. This will be key reading for postgraduates and novice researchers in health and clinical psychology, health sciences and nursing.

Download or read book The Kidney written by A. A. G. Lewis and published by John Wiley & Sons. This book was released on 2009-09-17 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.

Download or read book Patient Reported Outcomes in Performance Measurement written by David Cella and published by RTI Press. This book was released on 2015-09-17 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-reported outcomes (PROs) are measures of how patients feel or what they are able to do in the context of their health status; PROs are reports, usually on questionnaires, about a patient's health conditions, health behaviors, or experiences with health care that individuals report directly, without modification of responses by clinicians or others; thus, they directly reflect the voice of the patient. PROs cover domains such as physical health, mental and emotional health, functioning, symptoms and symptom burden, and health behaviors. They are relevant for many activities: helping patients and their clinicians make informed decisions about health care, monitoring the progress of care, setting policies for coverage and reimbursement of health services, improving the quality of health care services, and tracking or reporting on the performance of health care delivery organizations. We address the major methodological issues related to choosing, administering, and using PROs for these purposes, particularly in clinical practice settings. We include a framework for best practices in selecting PROs, focusing on choosing appropriate methods and modes for administering PRO measures to accommodate patients with diverse linguistic, cultural, educational, and functional skills, understanding measures developed through both classic and modern test theory, and addressing complex issues relating to scoring and analyzing PRO data.