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A clinical project to evaluate reuse of a CAPD disconnect system minicap as a safe, effective practice. 一项评估CAPD断开系统迷你帽作为一种安全、有效的实践的临床项目。
ANNA journal Pub Date : 1999-12-01
C A Price, B Akin
{"title":"A clinical project to evaluate reuse of a CAPD disconnect system minicap as a safe, effective practice.","authors":"C A Price,&nbsp;B Akin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current health care environment is being driven by approaches to health care services that focus on quality and at the same time cost-effectiveness. With this in mind, a clinical project was designed to investigate the possibility of reusing the disconnect minicap as a safe, effective clinical practice. During a two-phase project, continuous ambulatory peritoneal dialysis (CAPD) disconnect caps were purposely touch contaminated and cultured before and after povodine iodine was instilled in the minicap. During the second phase of the project a simulated peritoneal effluent system was constructed and fluid cultures obtained. The specimen analyses demonstrated negative reports of the minicap after dwelling in povidine iodine and fluids after reuse of the minicap. The pilot project opens an area of research for nephrology nurses that could potentially lead to cost savings in the provision of care for patients with chronic renal failure.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"573-6"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing your potential to become a leader. 评估你成为领导者的潜力。
ANNA journal Pub Date : 1999-12-01
P Weiskittel
{"title":"Assessing your potential to become a leader.","authors":"P Weiskittel","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"559-60"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21719335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caring for the elderly with renal failure: gastrointestinal changes. 老年人肾功能衰竭的护理:胃肠道变化。
ANNA journal Pub Date : 1999-12-01
R Wade-Elliott
{"title":"Caring for the elderly with renal failure: gastrointestinal changes.","authors":"R Wade-Elliott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Provision of health care to the elderly individual with renal failure can be a challenging endeavor for nephrology nurses. With the continuous steady rise in the elderly population, comes the crucial necessity to acquire knowledge regarding changes unique to this segment of the population. Likewise, health care for patients with renal failure is multifaceted and requires acquisition of specialized knowledge to deliver quality care. The challenge comes when changes resulting from advancing age and kidney failure have to be addressed and integrated in the individualized plan of care. This article focuses on gastrointestinal alterations, renal and age-related, that occur. In addition, methods to manage these changes and complications with specific nursing implications are addressed.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"563-9, 596; quiz 570-1"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21719337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Putting the pleasure back into eating for the elderly on a maintenance hemodialysis diet! 将乐趣重新投入到饮食中，为老年人维持血液透析饮食!
ANNA journal Pub Date : 1999-12-01
A S McGhee
{"title":"Putting the pleasure back into eating for the elderly on a maintenance hemodialysis diet!","authors":"A S McGhee","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"603-4"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploration of factors that impact mode of death in the hemodialysis patient. 影响血液透析患者死亡方式的因素探讨。
ANNA journal Pub Date : 1999-12-01
M B Scott
{"title":"Exploration of factors that impact mode of death in the hemodialysis patient.","authors":"M B Scott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this quantitative and explorative qualitative study was to examine the illness trajectory, social integration, role change, and social support that may have influenced hemodialysis patients' mode of death. A quantitative archival medical record review recorded patients' mode of death as listed on the End Stage Renal Disease (ESRD) Death Notification form. Exploratory interviews were conducted with the deceased hemodialysis patient's significant other to explore patient's illness trajectory, end-of-life experiences, social integration, role change, and social support. Seventeen patients experienced a sudden, unexpected, unintentioned death, and 15 patients experienced an intentioned death after withdrawal of hemodialysis. Qualitative indicators of illness trajectory indicated either a fairly slow downward course with a sudden unintentioned death or a rapid downward spiraling course resulting in intentioned death after withdrawal of hemodialysis. While it was unknown if significant others would report of individuals withdrawing from treatment who lacked social integration or social support, findings suggest that some individuals in this study withdrawing from hemodialysis exercised their rights to self-determination and right to refuse life-saving treatments. Although findings of this study are not generalizable, it may be advisable for nurses to engage patients and family members in discussions regarding advance directives, rights to refuse treatment, and withdrawal from hemodialysis prior to a change in the patient's illness trajectory.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"577-83; discussion 584-5"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Categorizing the response to Epoetin alfa therapy. Case study of the anemic patient. 对促生成素治疗反应的分类。贫血病人的个案研究。
ANNA journal Pub Date : 1999-12-01
C Watson
{"title":"Categorizing the response to Epoetin alfa therapy. Case study of the anemic patient.","authors":"C Watson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hyporesponse to Epoetin alfa therapy can be minimized by categorizing patients on the basis of trends in hemoglobin/hematocrit levels and initiating a continuous quality improvement effort that focuses on subnormal outcomes. An algorithm is provided that clinicians can use to proactively assess common causes that contribute to hyporesponse and limit the effect on patient outcomes.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"629-32"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of psychosocial education on adaptation in elderly hemodialysis patients. 心理社会教育对老年血液透析患者适应的影响。
ANNA journal Pub Date : 1999-12-01
T R Mathers
{"title":"Effects of psychosocial education on adaptation in elderly hemodialysis patients.","authors":"T R Mathers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this experimental field pilot study was to determine whether the application of psychosocial education sessions had an effect on the adaptation level of elderly hemodialysis patients. A pretest, posttest control group design with two randomly selected groups was used. Ten patients, 4 males and 6 females, age 65 years and older, were randomly selected and stratified according to gender, with 2 males and 3 females assigned to either an experimental or a control group. The Psychosocial Adjustment to Illness Scale, Self-Report (PAIS-SR) was administered as a pretest 1 week prior to implementation of the intervention with the experimental group. It was again given as a posttest 30 days after completion of the intervention. The intervention, 7 psychosocial educational sessions with 7 audiotapes and a companion text module, provided information. These sessions were conducted with the experimental group, 2 days a week, during the subjects' hemodialysis treatments, taking approximately 20 minutes each, over a period of 4 1/2 weeks. Data were analyzed utilizing t-tests and descriptive statistics. No significant differences were found between the scores of the pretest and posttest when comparing the two groups. However, a significant value of 0.035 (p < 0.05) was evident in one domain of the PAIS-SR, the domestic environment, when comparing the scores of the pretest and posttest of the experimental group. The application of psychosocial education sessions did not have a significant effect on the adaptation level of elderly hemodialysis patients.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"587-9"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preserving the art of nephrology nursing. 保存肾脏病护理艺术。
ANNA journal Pub Date : 1999-12-01
D M Collins
{"title":"Preserving the art of nephrology nursing.","authors":"D M Collins","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"638"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving adequacy of dialysis: using in-series dialyzers. 提高透析的充分性:使用串联透析器。
ANNA journal Pub Date : 1999-12-01
H A Dennison
{"title":"Improving adequacy of dialysis: using in-series dialyzers.","authors":"H A Dennison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In larger clients where standard methods of urea removal do not provide adequate dialysis, the increase in surface area of in-series dialyzers has accomplished this goal. Each step that we took imparted to W.T. that our concern was to improve his health. Our objective was to improve the URR in W.T. when his rigorous \"standard\" treatment did not provide adequate dialysis. An in-series set of dialyzers was designed and configured, necessary supplies were obtained, staff education was performed, and a pilot study was attempted with W.T. An improvement in URR from .52 to .64 occurred during the first month of in-series dialyzers. This resulted in an increased urea reduction of 23%. Once we recognized the usefulness of in-series dialyzers as a tool to improve URR, we applied it to several other patients with similar success rates. The benefits of in-series dialyzers include cost effectiveness (we realized a cost savings of $6 per treatment), higher URR capabilities, the ability to provide adequate dialysis to outliers, improved compliance with treatment times, and a method to maintain a healthy client.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"610-2"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does iron cause bacterial infections in patients with end stage renal disease? 铁是否会引起终末期肾病患者的细菌感染?
ANNA journal Pub Date : 1999-12-01
E Cieri
{"title":"Does iron cause bacterial infections in patients with end stage renal disease?","authors":"E Cieri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anemia management using erythropoietin and intravenous iron supplementation has improved the lives of many patients with end stage renal disease (ESRD). However, because iron is an essential nutrient for microorganisms, it is plausible that iron supplementation may promote infection. This review examines the literature on the connection between iron and infection, with a focus on the relevance of these data to hemodialysis patients treated according to the National Kidney Foundation--Dialysis Outcomes Quality Initiative (NKF-DOQI) Guidelines for Anemia Management. The current evidence does not show a cause-and-effect relationship between intravenous iron administration and an increased susceptibility to infection in hemodialysis patients. Therefore, the author does not recommend changing current iron management practices in ESRD patients because of concern about infectious risk.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 6","pages":"591-6"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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