| 特集名 | 透析室のベッドサイドケア技術 | |
|---|---|---|
| 題名 | 何を観察し，どう看護に結びつけるか | |
| 発刊年月 | 2007年 10月 | |
| 著者 | 中原 宣子 | トキワクリニック・看護師 |
| 【 要旨 】 | 透析室において，透析患者を理解し必要なケアを提供するには，まず，観察から行う．それには透析患者との会話や表情，動作などから情報を得る．また，バイタルサイン，血液検査やX線検査などの科学的なデータも必要なことが多い．透析室では安全な血液透析が施行されているか，身体的症状に異常はないか，慢性的な症状や緩慢な変化はないか，自己管理はどの程度行えているか，精神面は安定しているかなどを観察する．これらをアセスメントし，必要に応じて指導，援助あるいは，治療へと発展させていくことが重要である．このように必要な観察ができるように，専門職として日々の研鑽を怠らないように努力することが大切である． | |
| Theme | Skills of Bedside Care in Dialysis Treatment | |
|---|---|---|
| Title | Hemodialysis patients care | |
| Author | Nobuko Nakahara | Department of Nursing, Tokiwa Clinic |
| [ Summary ] | To provide appropriate care, it is essential to understand individual patients, including their physical and mental condition, as well as other problems the patient may be facing. Useful information can be obtained through daily conversations with the patient and by observing patient facial and body expressions. To confirm the patient's condition, vital signs, blood tests and / or X-ray examination are helpful and sometimes essential. During operating hemodialysis, safety measures, appropriate treatment methods and vital signs should be monitored. In addition, the patients' self-management progress and the patients' mental condition can be monitored at bedside. From those observations and the information gathered, assessment of patients' condition can be made, allowing us to provide appropriate care including education, support and necessary medical treatment. To make assessments at the patients' bedside, during hemodialysis, nephrology nursing expertise is required. Continued efforts for self education and training are necessary to maintain and improve this expertise. |
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