Sign Up Now
Get instant access to over 1 million+ study documents
OR
Already registered? click here to login
By creating your account, you agree to our terms of service, privacy policy and student honor code.
Intradialytic weight gain has become a major problem for End Stage Renal Disease (ESRD) patients who are dependent on hemodialysis. This issue has resulted in more complications and hospitalizations of ESRD patients who need effective IDWG management programs that are driven by nurses. This project proposes a project that is geared towards improving IDWG management for these patients by 10% through a 12-week educational program. The paper demonstrates how the project will be implemented in a 19 chair dialysis clinic that functions 6 days every week in order to accommodate 150 hemodialysis patients. The discussion includes a description of the proposed change, rationale for selecting it, implementation methods, and expected results. The author provides evaluation of baseline data collected from patients during implementation and conclusions based on the collected data.
Objectives of CNL Internship Project
The objectives or aim of this CNL Internship Project is to coordinate a plan of care that focuses on enhancing the intradialytic competence and results of hemodialysis patients admitted to the clinic. To this extent, the CNL Internship Project seeks to improve IDWG management in patients dependent on hemodialysis by 10% through implementing an education program that will last for 12 weeks. This project will help improve intradialytic knowledge and outcomes through patient education regarding target weight and better understanding of the impact of lifestyle actions and behaviors on health and overall well-being.
Actual Population and Setting
In order to accomplish the objectives or aim of this CNL Internship Project, an actual population and...
The actual population for this project is patients suffering from End Stage Renal Disease (ESRD) aged between 22 and 96 years. The patients' condition can be described the stage when kidneys cannot function effectively and require dialysis or transplant in order to work well enough. Since this type of kidney failure or problem is permanent and cannot be fixed, patients depend on dialysis or transplant for the kidney to function adequately. The setting for the project is a 19 chair dialysis clinic that functions 6 days every week in order to accommodate 150 hemodialysis patients. This clinic is situated around a major metropolitan memorial medical center.
Methods of Implementing the Project
The implementation of the project involved the application of Kotter's Eight-Step Model, which is a change theory that effectively applies to the proposed educational project (Mento, Jones & Dimdorfer, 2002). The project management team developed the project plan, tested a random sample of patients, developed educational materials, conducted staff training on using educational materials, administered educational questionnaires to patients, and commenced facility wide education of patient census. This was followed by conducting patient evaluations regarding their experience with the project, administering post-education questionnaires, assessing the success of the project, and making necessary adjustments depending on patient needs and survey results. Patient re-education was also carried out to reinforce educational materials and follow-up of patient knowledge on IDWG was conducted with staff and patients.
The…
References
Barnett, T., Li, Y.T., Pinikahana, J. & Si-Yen, T. (2008, February). Fluid Compliance among Patients having Haemodialysis: Can an Educational Programme Make a Difference? Journal of Advanced Nursing, 61(3), 300-306.
Lingerfelt, K. & Thornton, K. (2011). An Educational Project for Patients on Hemodialysis to Promote Self-Management Behaviors of End Stage Renal Disease. Nephrology Nursing Journal, 38(6), 483-489.
Mento, A., Jones, R. & Dirndorfer, W. (2002). A change management process: Grounded in both theory and practice. Journal of Change Management, 3(1), 45-70. Retrieved from EBSCO Host, AN 7329277.
Appendix
Hemodialysis on End Stage Renal Disease Patients and the Increasing Role for the Nurse It is a difficult condition of a kidney failure when one's kidney could no longer carry out the proper metabolism system to eliminate waste products. Kidney is the essential organ that is responsible in waste elimination, including others like detoxification process of drugs and toxic materials, also in controlling water balance, salt balance, blood pressures and
Introduction, Analysis of Existing Evidence, and Quality Improvement Process Hemodialysis patients are at high risks of infection due to their impaired immune defenses and repetitive access of the bloodstream via vascular access types. The treatment process of hemodialysis involves using different processes and equipment that sometimes worsen the patients’ conditions. For example, frequent antibiotics administration to these patients generates antimicrobial resistance and multidrug-resistant organisms. Central venous catheters (CVCs) are among the
The client has had major feelings of not being able to cope with what is happening to him. He has "forgotten" about dialysis appointments and has even avoided doctors' phone calls. I have told him that they way he behaves will have a direct impact on his physical condition. When a kidney patient becomes ambivalent about his diet, forgets to take his medication, or abandons fluid restrictions, all of these
Education of Hemodialysis-Dependent Patients Concerning the Use of Phosphorus Binder in Lieu of Dialysis during Emergencies Clinical Leadership Theme: The clinical leadership competency/role and/or magnetism thread that is the framework for this project requires effective transformational leadership practices that can motivate all stakeholders to become educated concerning the use of phosphorus binders in lieu of dialysis (Cook, 2004). Patient: Hemodialysis-dependent patients Intervention: EDUCATE and train to use phosphorus binder Comparison: in lieu of no
Thirdly they used member checks in which participants were asked to comment on the data themes and the researcher's interpretations in a follow-up telephone call. Lastly an extensive literature review was conducted prior to the start of the research (Landreneau and Ward-Smith, 2007). Philosophical and Theoretical Connectedness The researchers stated that in reviewing the literature, there was only one study found that addressed patients' perceptions concerning their choices, and this choice
Physicians, however, prefer hemodialysis because of reimbursement trends (Wellbery). Dietary Changes - Many patients also prefer peritoneal dialysis to hemodialysis because the latter restricts the diet (NKUDICC 2000). Peritoneal dialysis removes body wastes slowly but it always does. In hemodialysis, on the other hand, wastes can build up for two or three days between treatments. In addition, a patient on hemodialysis must observe a restrictive diet. Some clinics help plan