{"title":"Standards of palliative care in a renal care setting.","authors":"J Hine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Palliative care has been described as the active total care of patients whose disease is not responsive to curative treatment. The principles of palliative care are applicable to patients living with non-malignant disease such as end stage renal failure. This paper describes the development of standards of palliative care in a renal care setting. It emphasises the need for a multidisciplinary basis for palliative care and specifies standards of practice in six core areas: Assessment and Referral, Pain and Symptom Control, Communication and giving information, Sexuality, Spirituality and Bereavement.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"27-9, 35"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093774","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}
E Galimberti, F Belluschi, M Bosaglia, S Bianchessi
{"title":"Radiology examinations in non infectious complications of CAPD.","authors":"E Galimberti, F Belluschi, M Bosaglia, S Bianchessi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Continuous Ambulatory Peritoneal Dialysis (CAPD) patients may have non infectious abdominal complications that affect the survival of their dialysis treatment. It is important to document the origin of leakages and hernias, causes of catheter malfunction or haemoperitoneum. Therapeutic options will depend on investigations and include catheter removal or replacement, surgical intervention or eventual transfer to automated peritoneal dialysis (APD). In this paper we report our experience of the technical implementation of Peritoneography and Peritoneum Computed Tomography.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"36-8"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093640","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":"Humour and dialysis.","authors":"Z Leibovitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are many articles on the connection between the spirit and the body and the influence of a good mood on the way people deal with physical problems. This paper will demonstrate that the use of humour is a way of influencing our patients' spirit in order to help them deal with problems relating to their illness. In our every day experience with renal patients, we have noticed that humour helps us reduce patients' anxiety, before the first dialysis, before using the dialysis needles, or before performing painful procedures. Humour also helps us to offset the anger patients often express during treatment. Humour brings about a better atmosphere and the possibility of creating positive communication with the patients in a more relaxed environment and in a much more effective way. Our findings are similar to those in the literature and conclude that humour is an aid for dealing with patients' problems.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"17-8"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093769","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":"Whatever happened to foot care? Preventing amputations in patients with end stage renal disease.","authors":"M J Richbourg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lower extremity amputations in patients with diabetes are largely preventable through proper foot hygiene, routine foot surveillance, and patient education about proper foot care. Diabetics with end stage renal disease are at especially high risk for foot complications, but nephrology nursing has been largely silent about the importance of diabetic foot care. This article discusses the diabetic pathophysiology underlying the development of most foot complications and outlines the basic principles of safe and effective foot care.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"4-10"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093768","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":"Patient compliance in renal replacement therapy: whose problem is it? The patient's perspective.","authors":"H Hedman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drawing on the author's personal experience both as a renal patient and involvement with patient organisations, this paper identifies issues related to patient choice and compliance with renal replacement therapy. The author emphasises the importance of effective patient education and describes the contribution that patient organisations can make in advancing this process.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"15-6"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093770","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":"24 hour CVVH treatment on the intensive care unit: a reality.","authors":"P Hameleers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intermittent renal replacement therapy is a problem in haemodynamically unstable intensive care patients. Continuous renal replacement therapy may be of more benefit. 24 hour continuous venovenous haemofiltration (CVVH) treatment on the intensive care is attainable by adequate instruction of the intensive care staff.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"21-2"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093773","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":"Reflections by the families of organ donors in Japan.","authors":"N Nakahara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The number of kidney grafts in Japan is remarkably small compared to that in Europe and America. We conducted a questionnaire survey to donor families in order to examine problems surrounding kidney grafts, from their viewpoints. Thirty one families of post-mortem kidney donors responded and the majority perceived the donation positively. The survey also revealed that in most cases, donation was decided by the family without knowing the patient's wishes, families who made organ donations were apprehensive about Japanese society being critical of organ donations, and some families later regretted their decision of organ donation. In Japanese society, organ donation continues to face some resistance. It is important that medical professionals concerned with organ grafts understand with compassion the feelings of donor families, and make a greater effort in developing public understanding and support for organ grafts.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093776","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":"Dynamic pressure measurement for detection of blood access stenosis.","authors":"H D Polaschegg, F Techert, V Wizemann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A novel method for detection of access failure has been developed. It is based on the continuous evaluation of pre-pump arterial and venous pressure in the extracorporeal circuit. Knowing the flow resistance properties of the arterial and venous branches of the extracorporeal circuit from in-vitro measurements and the height differences, calculating the fistula pressure dynamically is possible. The fistula pressure allows identification of access failure as has been shown by other authors. The dynamic measurement however allows identification of bad needle placement. Dynamic measurement at different flow rates and comparison with static measurements allow for the identification of intra-access stenosis. The mathematical algorithm is described and pressure-flow curves for two sets of extracorporeal circuits are shown. In-vivo examples show a \"normal\" fistula and a fistula with intra-access stenosis.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 4","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21093777","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":"Social support and renal care.","authors":"C Webb, L Cordingley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social support has been found to have a strong influence on health but the precise way in which this works is not agreed. Definitions of social support also vary. This paper considers these definitions and theories and goes on to look at how social support affects coping, its possible negative aspects, and reciprocity in giving and receiving support. These ideas are then applied to the role of confidants and lay supporters as well as professional support. Finally the discussion is related to renal nursing.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 3","pages":"16-21"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259803","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 anaemia research nurse in effective multi-disciplinary management of patients on erythropoietin.","authors":"L Bennett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Following recommendations published by the Renal Association, the standard regarding optimal haemoglobin levels was questioned by members of the Oxford Renal Unit Management Team as perhaps being unrealistic in a unit responsible for nearly 400 patients on dialysis. Subsequent to the appointment of an anaemia research nurse a base-line audit revealed that only 61.3% of the dialysis population had a haemoglobin > 10 g/dl and also identified the reasons why the unit was failing to meet this pre-set target. This paper identifies how the unit addressed these problems which has subsequently led to a change in views about achieving the standard. The establishment of clear management guidelines cannot be over emphasised and all aspects of anaemia in this unit will now be addressed as part of the multi-disciplinary team function rather than being led by medical intervention.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"24 3","pages":"38-9"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21259663","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}