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Your search term(s) "Dialysis" returned 150 results.

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Work-Related Stress, Burnout, and Job Satisfaction of Dialysis Nurses in Association with Perceived Relations with Professional Contacts. Dialysis and Transplantation. 36 (4): 182-191. April 2007.

This article reports on a study undertaken to determine levels of job-related stress, burnout, and job satisfaction in dialysis nurses and their association with nurses’ perceptions regarding relations with coworkers and coworker opinions on the nursing profession. The participants in the study were employed in dialysis units (n = 31), intensive care units (ICUs, n = 100), and in the most preferred wards, such as cardiology, general surgery, and orthopedics (n = 49), of three different hospitals in Turkey. Data was gathered by means of a questionnaire about sociodemographics, work places, and opinions, as well as the Work-Related Strain Inventory (WRSI), the Maslach Burnout Inventory (MBI), and the Minnesota Work Satisfaction Questionnaire (MWSQ). The results showed that, when compared with ICU and ward unit nurses, dialysis nurses had evidence of decreased job stress and burnout as well as increased job satisfaction, accompanied by decreased intention to leave the profession and higher levels of positive views concerning their relationships with physician coworkers and the opinions of their professional contacts toward the nursing profession. This study confirmed some established predictors of job satisfaction, work-related stress, and burnout and provided data on an unexplored area. The authors conclude that dialysis nurses appear to be at a decreased risk for job stress, burnout and premature retirement from nursing, with higher levels of job satisfaction. In addition, the quality of relationships with physician coworkers and the opinions of professional contacts regarding the nursing profession as perceived by nurses may be related to job stress, burnout, and work satisfaction. 2 tables. 30 references.

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You Can Live: Your Guide for Living with Kidney Failure. Revised ed. Baltimore, MD: Centers for Medicare and Medicaid Services. 2007. 46 p.

This booklet helps people with kidney disease make informed choices about the treatment of kidney failure. Designed for people who are about to begin dialysis or prepare for transplantation, the booklet covers the emotional impact of end-stage renal disease (ESRD), paying for treatment or transplant, the different types of dialysis, and the importance of working closely with the health care team. The booklet includes a section of tips for making treatment better, covering changes in mental health, physical changes, changes in sexual desire, communicating with health care providers, taking medications accurately, alternative treatments, vaccinations, diet and fluid intake, exercise, going back to work, and travel. Two final sections provide information on how to contact and file a complaint with the ESRD Network and the state survey agency in each location. Patient rights and responsibilities are spelled out. For telephone number information and other resources, readers are advised to visit the Helpful Contacts section of the Medicare website at www.medicare.gov. The booklet is illustrated with black-and-white photographs and line drawings of some of the concepts being discussed. The booklet is also available in Spanish. 20 figures. 1 table.

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You Have Options!. At Home with AAKP. 1(1): 5-8. October 2007.

This article is from a new magazine about the use of home dialysis for patients with kidney disease. In the article, the author introduces the concept of home dialysis as one option for treating end-stage renal disease (ESRD). The author explores the advantages of home dialysis––which can include either hemodialysis or peritoneal dialysis––which allows patients to learn more about their disease and have more control over when they get their treatments. Home dialysis allows patients to take a leadership role in their own health care team. This leadership role empowers patients to maintain their independence and influence their own quality of life. The article reviews the four options for home dialysis: conventional home hemodialysis, daily home hemodialysis, nocturnal hemodialysis, and peritoneal dialysis. For each type of home dialysis, the article covers who would be most appropriate for that type, the equipment and supplies necessary, complications that might be encountered, and the advantages and disadvantages. A sidebar summarizes the advantages of home dialysis, which include improved survival rate, better quality of life, greater opportunity to return to work or school, better blood pressure control, fewer hospital stays, increased dietary flexibility, fewer problems with fistulas, and reduced need for medications. The article is illustrated with full-color photographs of patients and dialysis procedures. 4 figures.

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2006 Updates Clinical Practice Guidelines and Recommendations. New York, NY: National Kidney Foundation. 2006. 411 p.

This clinical handbook provides the 2006 updates to the Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines and recommendations regarding hemodialysis adequacy, peritoneal dialysis adequacy, and vascular access. The first section starts with clinical practice guidelines and recommendations for hemodialysis adequacy, covering initiation of dialysis, methods for measuring and expressing the hemodialysis dose, methods for postdialysis blood sampling, minimally adequate hemodialysis, control of volume and blood pressure, preservation of residual kidney function, quality improvement programs, and pediatric hemodialysis prescription and adequacy. The guidelines and recommendations outlined in the second section, on peritoneal dialysis adequacy, cover initiation of dialysis, peritoneal dialysis solute clearance targets and measurements, preservation of residual kidney function, maintenance of euvolemia, quality improvement programs, and pediatric peritoneal dialysis. The last section, on vascular access, offers clinical practice guidelines and recommendations covering patient preparation for permanent hemodialysis access, selection and placement of hemodialysis access, cannulation of fistulae and grafts, accession of hemodialysis catheters and port catheter systems, detection of access dysfunction through monitoring, surveillance, and diagnostic testing, treatment of fistula complications, treatment of arteriovenous graft complications, prevention and treatment of catheter and port complications, vascular access in pediatric patients, and clinical outcome goals. Each section includes research recommendations, a list of work group members and their biographies, a list of acronyms and abbreviations, and tables and figures. A list of references concludes each section. Readers are referred to the KDOQI website at www.kdogi.org for more information. 17 figures. 63 tables. 1275 references.

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Chronic Renal Failure and Dialysis Options. IN: Hogg, R., ed. Kidney Disorders in Children and Adolescents: A Global Perspective of Clinical Practice. New York, NY: Informa Healthcare USA. 2006. pp 193-202.

This chapter about chronic renal failure and dialysis options is from a textbook that presents a global perspective of clinical practice regarding kidney disorders in children and adolescents. The authors cover incidence, etiology, pathophysiology, and the role of nutrition in chronic renal failure (CRF); pathophysiology and treatment of renal osteodystrophy; renal anemia; hypertension; the impact of CRF in childhood on growth and development; the prognosis for children with CRF; and dialysis and renal transplantation as treatment options. The authors conclude by recommending a comprehensive, multidisciplinary approach to patient treatment plans for children with CRF. 1 table. 7 references.

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Developing Effective Kidney Patient Education Materials. Nephrology News & Issues. 20(9): 53, 55. August 2006.

The key to empowering people with any chronic disease is patient education. So contends the author of this article about developing effective kidney patient education materials. The author then presents the six principles of adult learning, as developed by Malcolm Knowles: autonomy and self-directedness, foundation of life experiences, goal-orientation, relevance, practicality, and respect. These principles must be kept in mind when developing educational materials that support the patient’s ability to self-manage their condition. Other topics covered include the use of learning assessments, appropriate reading levels, the visual elements of effective materials, and the role of humor. The author concludes that patient education is cost effective and an essential tool to improve patient outcomes. Patient education can and should be provided through all stages of kidney disease. 9 references.

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Dialysis. IN: Nilsson, K.R.; Piccini, J.P., eds. Osler Medical Handbook. Philadelphia, PA: Saunders. 2006. pp. 756-761.

This chapter on dialysis is from a handbook that provides the essentials of diagnosis and treatment, as well as the latest in evidence-based medicine, for residents working bedside, in-patient care. The chapter begins with a presentation of essential Fast Facts and concludes with Pearls and Pitfalls useful to the practicing internist. The body of the chapter is divided into sections: Epidemiology, Clinical Presentation, Diagnosis, and Management. Specific topics covered in this chapter include the indications for renal replacement therapy in patients with chronic kidney disease; the different types of dialysis, including hemodialysis, peritoneal dialysis, and continuous filtration; common conditions in which hemodialysis is used, including drug overdose, uremia, hyperkalemia, volume overload, and metabolic acidosis (that is refractory to conservative treatment); and the benefits of native arteriovenous fistulas for vascular access in patients undergoing long-term hemodialysis. The chapter concludes with a list of references, each labeled with a 'strength of evidence' grade to help readers determine the type of research available in that reference source. 10 references.

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Finding Your Way: Any Trip is Possible for Dialysis Patients with the Right Planning. Nephrology News & Issues. 20(3): 53-54. March 2006.

This article encourages readers on dialysis to include travel in their recreation plans. The author, himself a patient on dialysis, shares some of his experiences in travel, describing how embracing travel helps him to embrace life more fully. The authors offer some advice about finding travel information on the Internet, particularly sites that are geared to facilitate dialysis travel. Readers are also encouraged to use Internet discussion boards and message forums to find more specific information about particular travel adventures. Numerous website addresses are provided; readers are counseled to start at www.globaldialysis.com.

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Forum of ESRD Networks 2006 Directory. Midlothian, VA: Forum of End Stage Renal Disease Networks. 2006. 60 p.

This directory offers complete information about the Forum of End Stage Renal Disease (ESRD) Networks, a forum in which assistance, advice, information, ideas and policy proposals are exchanged among the Networks and the Centers for Medicare and Medicaid Services and its agencies, and other renal care organizations. The first section of the Directory includes the Forum Board of Directors, the administrative office personnel, ESRD Network Directors, Forum Representatives, ESRD Network Chairs, ESRD Medical Review Board Chairs. Contact information is provided for all of the personnel listed. The Directory then offers a one-page overview of each of the 18 Network offices. The overview sheet lists the Network office name, executive director, address, phone, toll-free telephone number for patients, FAX number, email contact, website address, listing of staff, the Forum representative, the Network chair, the MRB chair, and the Patient Advisory Committee chair. The remainder of the Directory covers the FistulaFirst Breakthrough Initiative, the central and regional office staff of the Centers for Medicare and Medicaid, the Crown project, the ESRD CPM QI committee members, a list of dialysis organizations, a list of renal-related organizations, and the bylaws of the Forum of ESRD Networks. The Directory is spiral-bound for ease of use.

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I Have CKD and My Doctor Said I May Need Dialysis and When Should a Patient Initiate It?. Kidney Beginnings. 5(3): 19-20, 24, 29. October-November 2006.

Dialysis is the procedure for artificially replacing many functions performed by normal kidneys. This article, from a series called Ask The Doctor, reviews the basics of dialysis and when it may be initiated to treat kidney disease. The first section describes the two common types of dialysis (peritoneal and hemodialysis) and the equipment and supplies used for each type. The author encourages readers to educate themselves about the advantages and disadvantages of each type of dialysis so they can select the one that best fits their individual lifestyle. The next section discusses how to know when dialysis is appropriate and planning for dialysis (including predialysis care). The author recommends using an objective, numerical measure of kidney dysfunction severity to determine when to begin dialysis, rather than waiting for symptoms and complications of kidney disease to occur. Readers are encouraged to bring a family member or friend as an advocate and a “second pair of ears” when visiting the health care provider to learn about kidney replacement therapy.

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