| Theme | Nursing skill -- integrating cure and care | |
|---|---|---|
| Title | Nursing approach to support for living with chronic kidney disease | |
| Publish Date | 2018/03 | |
| Author | Tomoe Inoue | Department of Nursing, Osaka Medical College Hospital / Certified Nurse Specialist in Chronic Care Nursing |
| [ Summary ] | In order to live with chronic kidney disease, it is important to accept that renal function has deteriorated. However, it is difficult for a patient to do so because medical care is usually targeted to maintain renal function and prevent complications. We supported the process through which a patient refused initiation of hemodialysis and came to accept his disease. We did not condemn his past behavior, but negotiated with his doctor to let him receive his choice of treatment and respect his refusal of hemodialysis, while making him aware that he must be responsible for his illness. He accepted living with his chronic kidney disease by talking about his experience with the illness. | |