CANNT journal = Journal ACITN最新文献_第6页

Self-management support for peritoneal dialysis patients. 腹膜透析患者的自我管理支持。

CANNT journal = Journal ACITN Pub Date : 2012-07-01

Mari Sarian, Diane Brault, Nathalie Perreault

{"title":"Self-management support for peritoneal dialysis patients.","authors":"Mari Sarian, Diane Brault, Nathalie Perreault","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: The increasing prevalence of chronic illnesses and kidney disease, in particular, makes it necessary to adopt new approaches towards their management (Wagner, 1998). Evidence suggests that promoting self-management improves the health status of peritoneal dialysis (PD) patients, as they manage upwards of 90% of their own care. Patients who are unable to self-manage suffer from various complications. This project proposes an intervention aimed at improving self-management skills among PD patients.Goal: To promote self-management in peritoneal dialysis patients. This is achieved through the following objectives: (a) develop an algorithm that can improve patients' ability to solve the specific problem of fluid balance maintenance, (b) develop an educational session for patients on how to use the algorithm, and (c) develop an implementation strategy in collaboration with the PD nurse.Method and results: Three measures evaluate the effectiveness of the intervention. First, a telephone call log shows that participating patients call the clinic less to inquire about fluid balance maintenance. Next, a pre- and post-intervention knowledge test measures definite knowledge increase. Finally, a Patient Satisfaction Questionnaire reveals overall satisfaction with the intervention.Conclusion: This project, which proved beneficial to our patient population, could be duplicated in other clinics. The algorithm \"How do I choose a dialysis bag\" and the slides of the educational sessions can be shared with PD nurses across the country for the benefit of PD patients.","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 3","pages":"18-24"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31062073","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 community health promotion plan: a CKD prevention and management strategy. 社区健康促进计划:CKD的预防和管理策略。

CANNT journal = Journal ACITN Pub Date : 2012-07-01

Lisa Sinasac

引用次数: 0

Hemodialysis and toxins: is there a risk? 血液透析和毒素:有风险吗?

CANNT journal = Journal ACITN Pub Date : 2012-07-01

Réjean Quesnelle

引用次数: 0

Establishing a successful intradialytic exercise program: Part 1. 建立一个成功的分析性锻炼计划:第一部分。

CANNT journal = Journal ACITN Pub Date : 2012-07-01

Kristen Parker

引用次数: 0

As the seasons change.... 随着季节的变化....

CANNT journal = Journal ACITN Pub Date : 2012-07-01

Marilyn Muir

引用次数: 0

Kidney disease in Canada: highlights from the Canadian Institute for Health Information Annual Report. 加拿大的肾脏疾病:来自加拿大健康信息研究所年度报告的亮点。

CANNT journal = Journal ACITN Pub Date : 2012-04-01

Colleen Wile

引用次数: 0

The handwriting on the wall: program transformations utilizing effective change management strategies. 不祥之兆:利用有效变更管理策略的程序转换。

CANNT journal = Journal ACITN Pub Date : 2012-04-01

Anita Amos, Colleen Johns, Nordia Hines, Tracey Skov, Linda Kloosterman

{"title":"The handwriting on the wall: program transformations utilizing effective change management strategies.","authors":"Anita Amos, Colleen Johns, Nordia Hines, Tracey Skov, Linda Kloosterman","doi":"","DOIUrl":"","url":null,"abstract":"Historically, there have been indications that we need to change the way we work and think about our health care processes. Yet, with the urgency to keep abreast of the changing needs of our patients, have we seen these signs? Moreover, how do we respond to the inevitable change processes that must occur? In 2010, St. Michael's entered into a five-year partnership with Baxter Canada. The overall goal is to improve the quality of care and life for people living with chronic kidney disease. This initiative was undertaken in response to concerns identified internally related to existing health care delivery processes within the renal program. As in any work environment, the depth and breadth of inevitable changes evoke a variety of responses that are based on the individual's attitudes regarding change. As we embarked on this journey, the nursing leadership team and staff within the program were encouraged to review their usual responses toward change utilizing the book, Who Moved My Cheese? (Johnson, 1998). It is imperative to identify the attitudes of those people involved in change processes. This awareness facilitates the use of specific strategies to enhance the effectiveness of their engagement in the process and the outcome of the initiative. Reading the writing on the wall prepares people to participate in and embrace changes that promise to benefit those for whom we provide professional care.","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 2","pages":"31-5"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30851082","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

My top 10 ways to promote health, wellness, and disease risk reduction (part I). 我的十大方法来促进健康，健康和疾病风险的降低(第一部分)。

CANNT journal = Journal ACITN Pub Date : 2012-04-01

Rejean Quesnelle

引用次数: 0

Physiologic and psychosocial approaches to global management of the hemodialysis patient in the Southern Alberta Renal Program. 生理和社会心理方法的血液透析患者在南阿尔伯塔肾计划的全球管理。

CANNT journal = Journal ACITN Pub Date : 2012-04-01

Tina Cormier, Ofelia Magat, Suzy Hager, Fanny Ng, Miran Lee

{"title":"Physiologic and psychosocial approaches to global management of the hemodialysis patient in the Southern Alberta Renal Program.","authors":"Tina Cormier, Ofelia Magat, Suzy Hager, Fanny Ng, Miran Lee","doi":"","DOIUrl":"","url":null,"abstract":"As frontline nurses, we know firsthand the many challenges of renal disease faced by our patients and the impact on their lives and their families. How can we help them cope with their illness? How can we improve their quality of life? How can we prevent the complications inherent to the disease? How do we know we are doing a good job? Where do we start? The purpose of this presentation is to showcase the global management of the hemodialysis (HD) patient. It provides a collaborative and systematic approach to assessing, implementing, evaluating and coordinating the physiologic and the psychosocial aspects of their care. It is a model of case management followed by the Southern Alberta Renal Program (SARP) in meeting the many and complex needs of our hemodialysis patients. The quality indicators, to name a few, that relate to the physiologic aspects of their care are dialysis adequacy and fluid removal, improved blood pressure (BP) control, maintenance and improved vascular access function, anemia, bone and mineral disease management, nutritional, and diabetes management. The psychosocial aspects of care encompass goals of care, residential support, transportation, and mobility programs in the community. There may be positive implications resulting from our practice that we believe would be invaluable in terms of improved patient care, increased adherence to therapeutic regimens, improved mortality and morbidity and overall enhanced quality of life. Moreover, better communication would possibly be fostered and wise and prompt use of resources may be a result. To date, we have not done studies to prove or disprove these outcomes.","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 2","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30851084","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

Impact of incident comorbidity on functional loss in elderly chronic kidney disease patients undergoing hemodialysis. 老年慢性肾病血液透析患者并发症对功能丧失的影响

CANNT journal = Journal ACITN Pub Date : 2012-01-01

Juan José Mansilla Francisco, Francisco Díez De los Ríos Cuenca, Sandra Cabrera Azaña, Joaquín Cortés Torres, M José Macías López, José Antonio González Castillo, Juan Luís Ferreras Duarte

{"title":"Impact of incident comorbidity on functional loss in elderly chronic kidney disease patients undergoing hemodialysis.","authors":"Juan José Mansilla Francisco, Francisco Díez De los Ríos Cuenca, Sandra Cabrera Azaña, Joaquín Cortés Torres, M José Macías López, José Antonio González Castillo, Juan Luís Ferreras Duarte","doi":"","DOIUrl":"","url":null,"abstract":"The incidence of end stage renal disease in older persons has been increasing progressively over the last 10 years. Improved survival rates with renal replacement therapy are making this increased prevalence even more pronounced. The usual risks of morbidity and requirements for specialized care associated with older people increase dramatically when they have chronic kidney disease (CKD). It has been seen that the majority of patients in hemodialysis units are over the age of 60, and have significant co-morbidities. The relationship between older age, chronic disorders and functional dependence (FD) is well known. Accordingly, nursing care planning must be designed with this in mind. The aim of this study was to assess whether the comorbidity associated with CKD modifies FD in patients on hemodialysis. We undertook a prospective longitudinal cohort study of hemodialysis outpatients in Málaga, Spain, using the Barthel test to establish FD and the Charlson comorbidity index to quantify comorbidity. All health events were analyzed to select those study patients with incident comorbidity, understood as the appearance of a new disease that could modify the Charlson comorbidity index, and determine the change in FD. Multivariate linear regression showed that the best model for predicting functional loss was that which considered comorbidity adjusted for age, particularly when it occurred as a result of hospital admission, as it was shown to have an important predictive value for the onset of a decrease in functional dependency scores in patients with CKD.","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 1","pages":"25-9"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30595624","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