| Theme | Nursing care for dialysis patients having difficulty in body weight control | |
|---|---|---|
| Title | Hospitalization for self management review improve fluid management of dialysis patient : A case | |
| Publish Date | 2014/10 | |
| Author | Tomoe Inoue | Department of Nursing, Omihachiman Community Medical Center |
| Author | Miyako Kitamura | Department of Nursing, Omihachiman Community Medical Center |
| Author | Masayuki Hara | Department of Nephrology, Omihachiman Community Medical Center |
| Author | Kazuhiro Sonomura | Department of Nephrology, Omihachiman Community Medical Center |
| Author | Tsuguru Hatta | Departmant of Nephrology, Kyoto Prefectural University School of Medicine / Hatta Medical Clinic |
| [ Summary ] | Hypervolemia, which is caused by excess salt and water levels in the body, places a burden on the cardiovascular system of dialysis patients. In our hospital, we conduct fluid management programs which mainly focus on instructing patients to decrease their salt intake. We treated patients with hypervolemia who were instructed on fluid management after hospitalization to enable a review of their self management. Patients were provided with visual illustrations explaining insensitivity to perception of salt, salt intake, and changes in body weight. Their diets were also carefully reviewed. This enabled patients to realize their diets include excessive salt. With a decrease in salt intake, they stopped experiencing discomfort during dialysis that accompanied their salt intake management. This gave patients additional motivation to continue decreasing their salt intake. In order to effectively utilize hospitalization with the aim of helping patients review their self-management, it is important to increase patient motivation in regard to their recuperative lifestyle prior to hospitalization. | |