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Communication as a teamwork tool in peritoneal dialysis. 沟通作为腹膜透析的团队合作工具。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00028.X
M. Rivetti, P. Barrile, M. Borgata, G. Cerruti, S. Battú
{"title":"Communication as a teamwork tool in peritoneal dialysis.","authors":"M. Rivetti, P. Barrile, M. Borgata, G. Cerruti, S. Battú","doi":"10.1111/J.1755-6686.1999.TB00028.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00028.X","url":null,"abstract":"The growing complexity of the problems which have to be faced in providing a peritoneal dialysis service, such as giving assistance over a territory, consideration of the needs of the individual and the greater emphasis on the prevention of complications, makes multidisciplinary teamwork necessary, with the interaction of various skills. In order to succeed, teamwork requires the identification of clear objectives which are shared by all the members of the team. The various skills can best be exploited by defining roles and agreeing common aims and objectives so that the team can provide the patient with holistic treatment, which recognises the needs of the individual rather than the needs of the illness. Active cohesion between the various components is only possible through a defined communication strategy and an on-going transfer of knowledge.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"47 1","pages":"27-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73485186","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: 1
Residual renal function and post dialysis urea rebound. 残余肾功能和透析后尿素反弹。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00019.x
O Carofei, A Taratufolo, S Atti, F Fringuello, M Alaimo
{"title":"Residual renal function and post dialysis urea rebound.","authors":"O Carofei,&nbsp;A Taratufolo,&nbsp;S Atti,&nbsp;F Fringuello,&nbsp;M Alaimo","doi":"10.1111/j.1755-6686.1999.tb00019.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00019.x","url":null,"abstract":"<p><p>Kt/v is used to estimate haemodialysis prescription and treatment adequacy and usually does not include evaluation of urea rebound. In addition urea clearance provided by the presence of residual renal function (RRF) is additive to dialytic urea clearance. Rebound is a phenomenon involving other molecules such as creatinine and phosphorus. The aim of this study was to investigate the role of RRF on post dialysis urea, creatinine and phosphorus rebounds. We investigated 7 patients with RRF (group 1) and 7 uraemic anuric patients (group 2). Urea rebound was lower in group 1 than group 2: 9.5 +/- 4% vs 18 +/- 7% (p = 0.04). Creatinine rebound and phosphorus rebound were similar in both groups 15.2 +/- 9% group 1 vs 14.6 +/- 5% group 2 (p = NS) and 16.7 +/- 7% group 1 vs 20 +/- 7% group 2 (p = NS) respectively. Our data suggest Kt/v calculated without considering rebound overestimates haemodialysis efficacy.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"7-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00019.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393197","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
Communication as a teamwork tool in peritoneal dialysis. 沟通作为腹膜透析的团队合作工具。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
M Rivetti, P Barrile, M Borgata, G Cerruti, S Battu
{"title":"Communication as a teamwork tool in peritoneal dialysis.","authors":"M Rivetti,&nbsp;P Barrile,&nbsp;M Borgata,&nbsp;G Cerruti,&nbsp;S Battu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The growing complexity of the problems which have to be faced in providing a peritoneal dialysis service, such as giving assistance over a territory, consideration of the needs of the individual and the greater emphasis on the prevention of complications, makes multidisciplinary teamwork necessary, with the interaction of various skills. In order to succeed, teamwork requires the identification of clear objectives which are shared by all the members of the team. The various skills can best be exploited by defining roles and agreeing common aims and objectives so that the team can provide the patient with holistic treatment, which recognises the needs of the individual rather than the needs of the illness. Active cohesion between the various components is only possible through a defined communication strategy and an on-going transfer of knowledge.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"27-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393072","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
Basic tools to integration in management and continuous quality improvement: protocols and procedures. 整合管理和持续质量改进的基本工具:协议和程序。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
S Geatti, M Pegoraro
{"title":"Basic tools to integration in management and continuous quality improvement: protocols and procedures.","authors":"S Geatti,&nbsp;M Pegoraro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to support interested colleagues with the concepts of Continuous Quality Improvement (CQI) and Clinical Standards for Nephrology Practice, a package of education support has been set up. We enhance the use of procedures, protocols, working plans, guidelines and nursing care plans as instruments of organisational integration. For the nursing care of renal patients in HD and PD we believe that all the procedures and protocols (P&P) above could have an important impact in the renal nursing practice. We propose that group members run a programme which is presented and implemented as a modular package including, theoretical knowledge, setting up working groups involved in literature revision, evaluation of defined P&P after a period of implementation, final implementation & periodic evaluation.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"36-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393074","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
The influence of hygienic practices to the exit site/tunnel on peritoneal catheter infections. 出口部位/通道卫生习惯对腹膜导管感染的影响。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00025.x
P Gruart, L Andreu, A Gil
{"title":"The influence of hygienic practices to the exit site/tunnel on peritoneal catheter infections.","authors":"P Gruart,&nbsp;L Andreu,&nbsp;A Gil","doi":"10.1111/j.1755-6686.1999.tb00025.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00025.x","url":null,"abstract":"<p><p>In Peritoneal Dialysis (PD), correct handling of the equipment and especially of the catheter exit site are essential. The PD nurse is responsible for preparing the patient to be able to carry out self care. As there are no universally accepted procedures for catheter care, we evaluated the procedure recommended in our unit, to identify the level of achievement by our patients and compare it with the infection incidences of exit site/tunnel (ES/T). 31 patients were surveyed on aspects related with hygiene, care and support of the catheter. This was complemented with a direct observation of the way of fixing and protecting the catheter and exit site, relating these facts with the incidence of infection. The results show the incidence of the infection is similar to data from other centres. It seems that the non compliance with the recommendations is due to either a misunderstanding on the patients' part or difficulty to adapt these recommendations to their particular way of life.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"19-21"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00025.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393069","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: 1
Caring for renal patients during loss and bereavement. 在失去亲人和丧亲之痛期间照顾肾病患者。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
L Binkley
{"title":"Caring for renal patients during loss and bereavement.","authors":"L Binkley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many of us are not prepared in assisting patients through the final phase of the life cycle. Recognising physical manifestations of stress, understanding why patients experience loss with kidney disease, and realising the supportive role that staff play for a patient undergoing this process, are key to assisting the patient to cope with loss and bereavement. The renal caregiver can assist the patient to view the ESRD life from another perspective as they journey through the life cycle to death. In so doing, the renal caregiver can recognise the needs of the family during this period, thus making them feel they fulfil a valuable role in the patient's final care. Being with a patient and family at the time of death is extremely rewarding as it helps the staff bring closure to the nurse patient relationship.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"45-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393076","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
Evolution and development of a renal recipient transplant co-ordinator for the Asian community. 亚洲社区肾移植协调员的演变和发展。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00017.x
N Jain
{"title":"Evolution and development of a renal recipient transplant co-ordinator for the Asian community.","authors":"N Jain","doi":"10.1111/j.1755-6686.1999.tb00017.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00017.x","url":null,"abstract":"<p><p>The aim of this paper is to share with colleagues the development of this innovative role and the unprecedented experience in addressing issues of transplantation for a large Asian population. The author is the named transplant co-ordinator for all Asian patients who account for 30% of the total waiting list. During the first six months of the post the author has undertaken home visits, nurse-led clinics and liaison with dialysis units. This continuous direct rapport is unique, and facilitates the living donor programme. The author has been involved in developing specific educational material relevant and appropriate to this patient population. Patients and families comments and responses have been favourable and positive. Audit and evaluation of the role is on-going and the author feels privileged to be central to this process of providing holistic care equitably to all patients in a multicultural society.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00017.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393196","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: 3
Peritoneal membrane transport for low molecular weight substances with the use of one bag dialysate collection. 使用一袋透析液收集低分子量物质的腹膜运输。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01 DOI: 10.1111/j.1755-6686.1999.tb00026.x
M Ikonomou, K Katopodis, P Nousia, E Tzalavra, E Koliousi, B Tsaliou, A Katsaraki, V Betsiou, A Dimitriou, J Theodorou, K C Siamopoulos
{"title":"Peritoneal membrane transport for low molecular weight substances with the use of one bag dialysate collection.","authors":"M Ikonomou,&nbsp;K Katopodis,&nbsp;P Nousia,&nbsp;E Tzalavra,&nbsp;E Koliousi,&nbsp;B Tsaliou,&nbsp;A Katsaraki,&nbsp;V Betsiou,&nbsp;A Dimitriou,&nbsp;J Theodorou,&nbsp;K C Siamopoulos","doi":"10.1111/j.1755-6686.1999.tb00026.x","DOIUrl":"https://doi.org/10.1111/j.1755-6686.1999.tb00026.x","url":null,"abstract":"<p><p>The 24-hour collection of dialysate provides an accurate method for evaluation of both adequacy of dialysis and peritoneal membrane transport characteristics in patients on chronic ambulatory peritoneal dialysis. However, this test requires 24 hours to complete and therefore it is inconvenient for both patients and nurses in the every day practice. We determined the peritoneal membrane transport characteristics for low molecular weight substances of ten patients by using the dialysate collection of only one bag. Dialysate/plasma creatinine ratios were calculated for each of the 4 bags (DATT1, DATT2, DATT3, DATT4) as well as for the 24 hour dialysate (DATTo). We found a very good correlation between DATTo and the four DATTs. We therefore propose that the evaluation of the peritoneal membrane transport, at least for creatinine could be determined with the use of one bag dialysate collection.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"22-3"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1755-6686.1999.tb00026.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393067","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
Nursing implications of a vancomycin resistant enterococcus outbreak in a renal unit. 万古霉素耐药肠球菌在肾脏单位爆发的护理意义。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
J Taylor, G Stevenson
{"title":"Nursing implications of a vancomycin resistant enterococcus outbreak in a renal unit.","authors":"J Taylor,&nbsp;G Stevenson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vancomycin Resistant Enterococcus is a difficult organism to treat and is becoming more prevalent world-wide. When it was identified in a busy renal unit, radical and expensive measures were taken to try and control the outbreak. Although these had costs to both patients and staff, the organism was eradicated from the unit.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"42-4"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393073","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
Focus charting in renal nursing: a quality issue. 肾护理焦点图:质量问题。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-01
S Nickerson
{"title":"Focus charting in renal nursing: a quality issue.","authors":"S Nickerson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The paper explores how to minimise charting time, yet ensure that relevant information is documented in a concise manner in locations that are easy to access. This type of charting lends itself to review and data collection which is useful for quality improvement incentives. Patient centred documentation leads to quality improvements which ultimately results on cost savings.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 2","pages":"33-5"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21393071","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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