The Japanese Journal of Clinical Dialysis Vol.30 No.12(2-3)

Theme Nursing care for dialysis patients having difficulty in body weight control
Title Dialysis nursing practice based on the Professional Learning Climate (PLC) to increase the self-esteem for weight management difficult case
Publish Date 2014/10
Author Yuka Ohga Department of Nursing, Akaiwa Medical Association Hospital
Author Kyoko Takeuchi Department of Nursing, Akaiwa Medical Association Hospital
Author Kenji Kawaguchi Akaiwa Medical Association Hospital
[ Summary ] The Japanese Society for Dialysis Therapy recommends particular treatment modes for dialysis patients receiving every other day treatment. Weight gain of less than 6 % over predialysis status is recommended. However, many patients gain too much weight during treatment periods, which may cause the medical staff to become dispirited. The self-esteem of patients may be decreased as well. This short report, dealing with weight management in these difficult cases is based on professional learning climate (PLC). It was performed trough nursing intervention with the goal of increasing the self-esteem of patients. The research was performed in rural settings to achieve information concerning patients' positive adjustments to farm work, despite the negative feelings possibly exhibited by the medical staff to the patient. It is necessary to assess the value of life and health perception involved when approaching the issue of weight gain in patients with chronic renal failure.
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