| Theme | Expanding Clinical Experimental Findings for Nutritional Management | |
|---|---|---|
| Title | Nursing consultation and communication with dialysis patients undergoing diet therapy | |
| Publish Date | 2001/11 | |
| Author | Setsuko Aoyama | Maeda Institute of Renal Research Musashi Kosugi Clinic |
| Author | Noriko Ebizuka | Maeda Institute of Renal Research Musashi Kosugi Clinic |
| Author | Ayako Hokama | Maeda Institute of Renal Research Musashi Kosugi Clinic |
| Author | Fumiko Fukuuchi | Maeda Institute of Renal Research Musashi Kosugi Clinic |
| Author | Teiryo Maeda | Maeda Institute of Renal Research Musashi Kosugi Clinic |
| [ Summary ] | Renal replacement therapy has made great progress in the efficiency of dialysis treatment and new improved medication is indicated. Although it plays a vital role, dialysis is not a perfect therapy and does not provide the level of functionallity, does the natural kidney. In order to prevent any discomfort or complications in the future and to provide good prognoses, diet therapy is indispensable. In this paper, nursing consultation on diet therapy is noted with the example of a diabetic hemodialysis patient with poor control and weight gain during the interval of dialysis treatment, caused by poor understanding of her disease. This patient has experienced a vascular access occlusion, which by chance and raised her consciousness of the necessity of self control. Before this accident, her poor awareness of her condition was being improving through communication and consultation. In this case, less than one year after dialysis introduction, the patient could not fully accept her life under dialysis. It was difficult make her understand the importance of diet therapy. Nutritional consultation, with psychological support for her life as a dialysis patient was continued by nurses until she was able to understand. It is required that nurses consult patients in an on-going fashion with maximum. |
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