{"title":"Use of Carnitor for Epogen resistant anemia.","authors":"J C Simard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Carnitor use for carnitine deficiency in chronic renal failure is a multidisciplinary management issue. This medication and its usefulness needs require further nursing investigation.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"26 1","pages":"41-2"},"PeriodicalIF":0.0,"publicationDate":"1999-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093289","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}
{"title":"Management of the patient with ESRD after withdrawal from dialysis.","authors":"R DeVelasco, L C Dinwiddie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When dialysis no longer achieves the goal of prolonging quality life for the ESRD patient, withdrawal from dialysis is an option. Many patients, their families, and caregivers cannot make an informed decision to withdraw because they do not have sufficient information or, worse, are misinformed about what the patient might experience. This paper reviews the clinical circumstances in which dialysis is discontinued as well as the physiological signs and symptoms of the uremic-related death. Palliative management of those symptoms is from one nephrologist's model and provides a starting point for dialogue about this necessary care.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"611-4"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060030","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}
{"title":"The dilemma of \"the last access site\".","authors":"L C Dinwiddie","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"636, 659"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060036","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}
{"title":"The final story: events at the bedside of dying patients as told by survivors.","authors":"R Berns, E R Colvin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Events at the bedside of a dying patient form lasting memories for families and friends. What is said, who is there, and how care is delivered prevail when individuals are recalling the dying event. The La Crosse Advance Directive Study (LADS) (Hammes & Rooney, 1998) was conducted to examine end-of-life planning in a Midwestern community where an extensive advance directive education program exists. The results indicated that families and friends wanted to be present at death; wanted to give their loved one permission to die; and wanted to have consistent, thorough, and honest communications with their providers. Families also felt compelled to keep the promises they made to their dying loved ones. This study provides an opportunity for families and friends to tell their stories of the events at the bedside of dying patients. Their stories identify a need for more medical, nursing, patient, and family education in end-of-life care.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"583-7"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060795","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}
{"title":"Legal considerations at the end of life.","authors":"D K Kjervik, L Badzek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with end stage renal disease (ESRD) and their families face questions related to dying that are touched by legal mandates. This article addresses patients' legal rights and the nurse's role in advocating for these rights. Advance directives, competency to make health care decisions, assisted suicide, disability law, and the duty to provide reasonable and safe care are specific areas discussed in the article. Nurses must become familiar with legal requirements; communicate effectively with patients, families, and other caregivers; provide care that falls within the standard of care expected of nephrology nurses; and advocate for policies that enhance ESRD patient care.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"593-7"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060797","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}
{"title":"Why hospice? The case for ESRD patients and their families.","authors":"F G Soltys, M Brookins, J Seney","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article defines hospice by giving its historical context, its development over time, and its relevancy for the end stage renal disease (ESRD) patient. A literature review and explication of hospice usage statistics show the lack of utilization by the ESRD community. Comparison of hospice and traditional medical care highlights the philosophy of care over cure and hospice standards of practice are given. Medicare rules and two case studies support the appropriateness of hospice for ESRD patients and their families.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"619-24, 578"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060032","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}
{"title":"The many facets of loss: strategies for nurses.","authors":"C E Latham","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"570"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060792","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}
{"title":"When a chronic illness becomes terminal.","authors":"B B Germino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with ESRD and their families experience a variety of transitions across the trajectory of this chronic illness. A major transition occurs when patients who have been perceived as chronically ill become terminally ill, as changes and complications limit options for treatment. These changes are very disruptive, characterized by uncertainty and disturbances in the patients' prior view of themselves. In order to restructure a new reality, patients must acknowledge the losses and changes that have occurred. Several kinds of trigger events may facilitate this process. Patient responses to the transition include a variety of strategies such as seeking information, normalizing, comparing themselves to others, and finding their identity in continuing activities or substitutes that make them feel competent. Nephrology nurses knowledgeable about this transition process, because of their longstanding relationships with ESRD patients and their families, are in an excellent position to take advantage of opportunities to provide presence, understanding, and guidance in negotiating this difficult transition.</p>","PeriodicalId":76998,"journal":{"name":"ANNA journal","volume":"25 6","pages":"579-82"},"PeriodicalIF":0.0,"publicationDate":"1998-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21060794","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}