The Japanese Journal of Clinical Dialysis Vol.26 No.11(1-1)

Theme Nursing Care During Dialysis Treatment and Its Usefulnessy
Title Managements for patient under hemodialysis
Publish Date 2010/10
Author Noriko Koteda Department of Nursing, Sanai Memorial Hospital
[ Summary ] Dialysis patients have various backgrounds in regard to their primary disease, age, gender, occupation, and social history. As dialysis nurses, we collect each patient's background information, including information about their family, and personal health history, in order to provide the right treatment and care. To insure patient comfort and safety, nurses and co-medical staff members need to have the proper experience and skills to be able to detect unusual changes in each patient's attitude, by observing verbal and non-verbal communication. During dialysis, it is not only important to observe each patient's vital signs and physical condition, but also to monitor and assess dialysis units and bed side environment to reduce the chances of incidents. Each patient has their own self monitoring responsibility, including weight control, checking and monitoring their own blood pressure and taking medications. It is necessary for doctors, nurses and co-medical staffs to train patients to conduct self-care, and work as a team to insure the patient's safety and comfort during dialysis, and to maintain the patient's quality of life.
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