The Japanese Journal of Clinical Dialysis Vol.35 No.3(3-4)

Theme "Reflection" of nursing practice to chronic kidney disease patients
Title Practice report: Nursing for hemodialysis patients -- Initiation of dialysis
Publish Date 2019/03
Author Minori Sakaki Nursing Unit, University of Tsukuba Hospital / Certified Nurse Specialist in Chronic Care Nursing
[ Summary ] Patients with chronic kidney disease in stages 4 to 5 have a high risk of sudden pathological progress, sustaining these patients' care activities is important. Additionally, middle-aged patients are expected to face various difficulties in balancing work, home role, and medical treatment. Review of support for such patients revealed difficulties such as fatigue and low energy limiting ability to work, inability to continue working due to change in social role, difficulty of understanding the disease condition and treatment by family members, and increased medical costs. In an outpatient setting, nurses listen to patients' suffering and values, support successful experiences by exercising medical strategies matching their own lives, and utilize the medical subsidy system to ease medical expenses. Patients continue medical treatment, leading to behavioral changes necessary for a better life.
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