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Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association

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https://www.readbyqxmd.com/read/30585713/evaluation-of-24-hour-ambulatory-blood-pressure-monitoring-in-patients-with-chronic-kidney-disease-with-normal-casual-blood-pressure
#1
Song-Yang Li, Song Chen, Bo Gu, Jun Ma, Li-Qun Wu, Bei-Ye Dong, Yin-Dan Zhao, Han-Qing Wang, Yang Yi, Yi Xuan
This study evaluated 24-hour ambulatory blood pressure (ABP) monitoring in patients with chronic kidney disease (CKD) who had a normal casual blood pressure (CBP) of less than 140/90 mmHg. A total of 350 patients with CKD (Stages 1-5) and a normal CBP were included, and 24-hour ABPs were monitored. Of these patients, 147 patients (42.0%) exhibited increased mean ABP; 69 patients (19.7%) exhibited masked hypertension; 199 patients (56.9%) exhibited an abnormal BP mode (circadian rhythm disappearing); and 204 patients (58...
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585712/applying-the-public-health-exposome-model-to-improve-kidney-disease-outcomes-for-patients-and-populations
#2
Dawn M Linn, Pamela V O'Neal
The genome is insufficient for understanding chronic health conditions, such as kidney disease. Only a small portion of chronic disease incidence can be attributed to genetic causes, and the field of exposomics provides an opportunity to explore the impact of environmental exposures on kidney disease. The environment plays a significant role in lifestyle choices and the stressors or exposures the body encounters throughout life. Exposures influence genetic expression, thereby impacting health and wellbeing of individuals exposed...
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585711/adherence-to-treatment-by-african-americans-undergoing-hemodialysis
#3
Glenda B Daniels, Janie R Robinson, Charles A Walker
End stage renal disease (ESRD) affects African Americans more than any other ethnic group. Adherence is a challenge. Patients with ESRD must adhere to medication, diet, fluid restrictions, and dialysis treatment schedules if they do not receive a kidney transplant. The purpose of this exploratory, descriptive study was to assess adherence in 120 African Americans with ESRD undergoing hemodialysis (HD). Participants completed a demographic questionnaire and the ESRD Adherence Questionnaire (ESRD-AQ). Biomarkers were collected from medical records...
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585710/examining-the-transition-from-child-to-adult-care-in-chronic-kidney-disease-an-open-exploratory-approach
#4
David B Nicholas, Miriam Kaufman, Maury Pinsk, Susan Samuel, Lorraine Hamiwka, Anita E Molzahn
For youth with chronic kidney disease (CKD) and their families, shifting from pediatric to adult systems of renal care can be challenging. This study explored the transitional process experienced by youth with CKD and their families, including perceived facilitators and barriers to effective transition. Qualitative interviews were conducted with youth with CKD (n=28) and their parents (n=28). Ambiguity regarding healthcare provider roles within the adult system was frequently reported. Themes reflected parental challenge relinquishing care responsibility, synergistic and divergent expectations between youth and parents, tensions in youth self-care readiness, desired healthcare provider roles in transition preparedness, and system considerations in transition...
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585709/effecting-palliative-care-for-patients-with-chronic-kidney-disease-by-increasing-provider-knowledge
#5
Christine Marie Corbett
This evidence-based quality initiative project was designed to increase advance care planning and palliative care referrals, thus improving quality of life for patients with chronic kidney disease by increasing nephrology providers' knowledge of the Renal Physicians Association guidelines on "Shared Decision Making in the Appropriate Initiation of and Withdrawal from Dialysis." Thirteen nephrology providers and nurses received the educational intervention. Post-intervention outcomes included four renal palliative care referrals and 21 advance care plans over four months from a baseline of zero/unknown...
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585708/advance-care-planning-and-chronic-kidney-disease-what-do-patients-know-and-what-do-they-want
#6
Catherine R Phillips, Corinne J MacNab, Lisa M Loewen
There is a gap in the research literature regarding advance care planning with this population of patients. This article reports on a study about the end-of-life knowledge, needs, and preferences of patients on hemodialysis - as reported by patients - within a hospital or community-based setting that addresses this gap. Data were collected using a survey method; non-probability, consecutive sampling (n=133) resulted in a high response rate of 64.0%. There were three key findings: 1) patients do not identify themselves as having a progressive health condition, 2) patients are comfortable discussing end-of-life issues, and 3) patients want discussions about end-of-life care when they request to do so or when their health worsens...
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585707/the-opioid-crisis
#7
Lynda K Ball
No abstract text is available yet for this article.
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30585706/planning-the-end-of-life
#8
Beth Ulrich
No abstract text is available yet for this article.
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29281770/here-we-go-again-ama-seeks-to-restrict-nursing-practice
#9
Beth Ulrich
No abstract text is available yet for this article.
November 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304633/the-interdisciplinary-team-and-the-patient-working-together-to-achieve-buy-in-for-a-uf-rate-less-than-13-ml-kg-hr
#10
Amy Heerschap, Charilyn Fox, Dabucon Dharlyn, Ferdinand Tagpis, Jimuel Romero, Tara Pringle, Paul Lahren, Cedrina Myers, Robert Villa, Annette Wiles, Jonnell Myren, Sergio Infante
The Centers for Medicare & Medicaid Services (CMS) metric for reporting ultrafiltration (UF) recommends limiting UF at a range of 10 to 13 mL/Kg/Hr to avoid organ stunning. All organ stunning has an impact on patient quality of life (QoL). As this new standard of UF is implemented, the interdisciplinary team (IDT) and the patient must work together toward achieving a less than 13 mL/Kg/Hr UF buy-in. Understanding the CMS goals and target date of January 1, 2018, for data collection purposes was key to early initiation of staff and patient education...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304632/kidney-transplantation-in-older-adult-recipients
#11
Linda S Wright
No abstract text is available yet for this article.
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304631/using-creative-activities-to-improve-treatment-perceptions-of-patients-on-hemodialysis
#12
Guillermo Pedreira-Robles, Ana Vasco-Gómez, Yaiza Martínez-Delgado, Cristina Herrera-Morales, Ernestina Junyent-Iglesias
Hemodialysis (HD) has a significant impact on health-related quality of life (HRQoL). We performed an observational study to assess the mental and physical status of 41 patients on chronic HD treatment. We planned and launched a program of recreational and therapeutic intradialysis activities to reduce patients' boredom due to inactivity. Patients' mental and physical status was reassessed at 12 months. Our initial attempt to introduce these recreational activities as intradialysis therapy has been rated positively by all patients...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304630/effects-of-application-of-elastic-compression-stockings-on-blood-pressure-pulse-rate-and-hypotensive-symptoms-in-patients-with-intradialytic-hypotension
#13
Hyun-Jung Kim, Hee-Jung Kim
This study was conducted to identify the effect of elastic compression stockings on hypotension in patients with intradialytic hypotension. Subjects of this study were 59 patients (29 in the experimental group, 30 in the control group). Elastic compression stockings were applied to patients in the experimental group during hemodialysis. To evaluate effects of treatment, systolic blood pressure, diastolic blood pressure, pulse rate, and hypotension symptom scores were measured. Results indicated the decrease in systolic blood pressure in the experimental group was less than that in the control group...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304629/care-coordination-between-the-nephrology-nurse-and-the-payor-working-together-to-bridge-the-gaps-in-care-for-patients-with-kidney-disease
#14
Angie Kurosaka
Integrated care management is a key buzz phrase in health care. Most providers, nurse practitioners, nurses, and payors believe their area of expertise, such as direct patient care or insurance companies, has integrated nursing plans and forgotten about opportunities to collaborate outside of their immediate area. However, collaboration between nurses in dialysis clinics, physicians, nurse practitioners, and case managers from payors, such as insurance companies, is often missing. This collaboration can result in better patient outcomes and in meeting goals for the patient, the provider, and the payor, including maximizing value-based purchasing opportunities...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304628/a-window-into-the-world-of-nephrology-nursing-nephrology-nurses-views-of-the-health-and-safety-of-their-work-environments-the-impact-on-patient-care-and-opportunities-for-improvement
#15
Tamara Kear, Beth Ulrich
In January 2018, the American Nephrology Nurses Association and Nephrology News and Issues conducted a national study, The Health and Safety of Nephrology Nurses and the Environments in Which They Work. This article presents initial qualitative results from that study - in the words of nephrology nurses. Based on responses of participants, themes and subthemes were identified: staffing, nursing practice (time to provide nursing care, nursing work hours, level of practice, nurses responsibility for the practice of others), work environment conditions (physical environments, psychological environments, civility/ incivility, environmental health, and work spaces), respect, recognition, interprofessional collaboration and support, and career and job satisfaction...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304627/use-of-ultrasound-guidance-during-cannulation-of-arteriovenous-fistulas
#16
Alice Luehr
Individuals who require renal replacement therapy overwhelmingly choose outpatient hemodialysis. Appropriate cannulation techniques are an essential element in access preservation and in the prevention of access-related complications. Missed cannulations can result in damage of arteriovenous fistulas (AVFs) and arteriovenous grafts (AVGs). Ultrasound-guided cannulation is an effective technique for the placement of peripheral intravenous (IV) catheters and central venous catheters (CVCs) for hemodialysis. The purposes of this project were to determine if ultrasound-guided cannulation of AVFs decreased the number of missed cannulations, to determine staff and patient perceptions regarding cannulation, and to implement a quality incentive program (QIP) to implement an evidence-based ultrasound-guided policy and procedure, training program, and competency evaluation at a hospital-based dialysis facility...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304626/make-your-wishes-about-you-my-way-using-motivational-interviewing-to-foster-advance-care-planning-for-patients-with-chronic-kidney-disease
#17
Elizabeth Anderson, Annette Aldous, Dale Lupu
Advance care planning for persons with chronic kidney disease is under-utilized despite evidence it can improve care at the end of life. Motivational interviewing and Stages of Change Theory can help healthcare professionals elicit behavior change. This article outlines an approach to advance care planning using motivational interviewing with a healthcare coach to assist patients in expressing their unique values and wishes regarding care at the end of life. This Make Your Wishes About You (MY WAY) approach to advance care planning for patients with chronic kidney disease includes patient education material and a coach training curriculum freely available from the Coalition for Supportive Care of Kidney Patients...
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304625/workplace-violence-are-you-prepared
#18
Lynda K Ball
No abstract text is available yet for this article.
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304624/speaking-up-for-nurses-and-patients
#19
Beth Ulrich
No abstract text is available yet for this article.
September 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30303649/hand-washing-adherence-is-that-really-our-goal
#20
Norma J Gomez
No abstract text is available yet for this article.
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
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