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…
