RESUMO
A comprehensive assessment tool and intervention typology for adult hemodialysis patients, based on the Roy Adaptation Model, is presented. The Roy model is reviewed, and examples from the assessment tool and intervention typology are presented. A case study illustrates application of the tool and typology to nephrology nursing. Comparison of the tool and typology with the ANNA Standards of Clinical Practice revealed that the Roy Adaptation Model includes additional important aspects of nephrology nursing practice.
Assuntos
Adaptação Fisiológica , Adaptação Psicológica , Modelos de Enfermagem , Avaliação em Enfermagem/métodos , Diálise Renal/enfermagem , Diálise Renal/psicologia , Adulto , Humanos , Nefrologia , Guias de Prática Clínica como Assunto , Especialidades de Enfermagem/normasRESUMO
The results of a survey designed to identify existing images of nephrology nursing practice are reported. The sample included 374 attendees at meetings sponsored by the American Nephrology Nurses' Association (ANNA). Content analysis revealed that the typical nephrology patient is elderly, has a chronic illness and negative affect, is not compliant, and is dependent on others. The typical nephrology nurse-patient interaction emphasizes teaching and support. The most common nursing activities are assessment, teaching, dialysis treatment, and psychological support.
Assuntos
Modelos de Enfermagem , Nefrologia , Prática Profissional/normas , Especialidades de Enfermagem/normas , Atitude do Pessoal de Saúde , Humanos , Descrição de Cargo , Inquéritos e QuestionáriosRESUMO
Dialysis patients often experience a diminished quality of life. Epoetin alfa therapy, which increases hematocrit, can result in improvements in exercise capacity, cognitive function, and other factors. Nurses play a critical role in monitoring and educating dialysis patients and in helping them achieve an optimal quality of life.
Assuntos
Anemia/terapia , Eritropoetina/farmacologia , Qualidade de Vida , Diálise Renal/psicologia , Adulto , Anemia/etiologia , Eritropoetina/uso terapêutico , Feminino , Humanos , Falência Renal Crônica/complicações , Falência Renal Crônica/psicologia , Masculino , Diálise Renal/enfermagemRESUMO
Hemodialysis of HIV-positive patients poses a new challenge to dialysis facilities. Organizations need to address treatment options, staffing issues, and occupational risks as programs for treatment of these individuals are developed. This article presents an overview of these concerns and one facility's experience.
