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Journal of Renal Care

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https://www.readbyqxmd.com/read/29664189/hydration-and-nutritional-status-in-patients-on-home-dialysis-a-single-centre-study
#1
Janet S C Li, John Y H Chan, Mandy M Y Tai, So M Wong, S M Pang, Fanny Y F Lam, Carmen H M Chu, Chris S Y Ching, Joseph H S Wong, W L Chak
BACKGROUND: Over-hydration (OH) and malnutrition are prevalent among patients on dialysis therapy. The prevalence of OH and malnutrition as well as the risk factors associated with OH and malnutrition in our patients on home peritoneal dialysis (PD) and home haemodialysis (HD) are examined. DESIGN AND METHODS: This was a cross-sectional study. The hydration and nutritional status of the study groups were assessed by a Body Composition Monitor. Patients who were stable on home dialysis therapy for over one year were invited to participate...
April 17, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29664179/developing-and-pilot-testing-a-shared-decision-making-intervention-for-dialysis-choice
#2
Jeanette Finderup, Jens K D Jensen, Kirsten Lomborg
BACKGROUND: Evidence is inconclusive on how best to guide the patient in decision-making around haemodialysis and peritoneal dialysis choice. International guidelines recommend involvement of the patient in the decision to choose the dialysis modality most suitable for the individual patient. Nevertheless, studies have shown lack of involvement of the patient in decision-making. OBJECTIVES: To develop and pilot test an intervention for shared decision-making targeting the choice of dialysis modality...
April 17, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29520968/post-operative-arterio-venous-fistula-blood-flow-influences-primary-and-secondary-patency-following-access-surgery
#3
Kapila S Benaragama, Jennifer Barwell, Chris Lord, Biku J John, Adarsh Babber, Shella Sandoval, Ben Lindsey, Bimbi Fernando
PURPOSE: Primary arteriovenous fistula arterio venous fistula (AVF) formation has proven to be the best and optimal vascular access for the majority of haemodialysis patients. At present there are limited data to suggest which haemodynamic parameters most correlate with the likelihood of early failure. The aim of this study is to identify the haemodynamic predictors of early failure, hence identify which fistulae may benefit from timely pre-emptive intervention. MATERIAL AND METHODS: Retrospective analysis of data was performed of 201 patients undergoing native AVF creation over a one year period...
March 9, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29767855/corrigendum
#4
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29722205/evidence-based-renal-care-does-it-matter
#5
EDITORIAL
Magnus Lindberg
No abstract text is available yet for this article.
June 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29493102/tracking-patients-with-advanced-kidney-disease-in-the-last-12-months-of-life
#6
Ann Bonner, Shirley Chambers, Helen Healy, Wendy Hoy, Geoff Mitchell, Adrian Kark, Sharad Ratanjee, Patsy Yates
BACKGROUND: There is increasing recognition of the clinical need for timely and coordinated supportive and palliative care for those with terminal organ failure. OBJECTIVE: To describe symptoms, quality of life and supportive care needs in the anticipated 12-month period prior to death in adults with chronic kidney disease (CKD) stages 4 or 5. METHOD: An observational, prospective, longitudinal design was used to follow 19 patients. The measures used were the Chronic Kidney Disease-Symptom Burden Index (CKD-SBI), the Australian Karnofsky Performance Scale (AKPS), the Functional Assessment of Chronic illness Therapy Palliative-14 (FACIT PAL-14), the Assessment of Quality of Life 6 Dimensions (AQoL-6D) and the Sheffield Profile for Assessment and Referral for Care (SPARC)...
June 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29460501/implementation-of-a-new-patient-education-programme-for-renal-transplant-recipients
#7
Kristin H Urstad, Astrid K Wahl, Eivind Engebretsen, Marie H Larsen, Tone K Vidnes, Anne G K Stenwig, Øystein W Simensen, Arve Nordli, Anna V Reisaeter, Marit H Andersen
BACKGROUND: Nurses' strategies regarding patient education should be informed by the best available research evidence. Clinical nurses play an essential role in implementing new patient education programmes for renal transplant recipients. AIM: This study investigated transplant nurse job satisfaction, competence, training and perceptions of quality of care in relation to the implementation of a new, evidence-based, patient education programme. This paper reports the results from the first part of an implementation study...
June 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29405643/women-and-kidney-disease-reflections-on-world-kidney-day-2018
#8
EDITORIAL
Giorgina B Piccoli, Mona Alrukhaimi, Zhi-Hong Liu, Elena Zakharova, Adeera Levin
BACKGROUND: Chronic Kidney Disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically their kidney health, on the community, and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29271080/the-effect-of-the-interdialytic-interval-on-cognitive-function-in-patients-on-haemodialysis
#9
Shayna L Henry, Larry D Jamner, Sarah E Choi, Madeleine V Pahl
BACKGROUND: Cognitive deficits are common among individuals on haemodialysis (HD). The degree of dysfunction may shift over the course of the interdialytic interval. OBJECTIVES: To use ecological momentary assessment (EMA) to examine the relationship between the length of the interdialytic interval and reports of cognitive dysfunction. DESIGN: A quantitative study whereby each patient's cognitive functioning was measured during both short and long interdialytic intervals...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29239524/performance-measures-for-a-dialysis-setting
#10
Xiuzhu Gu, Kenji Itoh
OBJECTIVES: This study from Japan extracted performance measures for dialysis unit management and investigated their characteristics from professional views. METHODS: Two surveys were conducted using self-administered questionnaires, in which dialysis managers/staff were asked to rate the usefulness of 44 performance indicators. A total of 255 managers and 2,097 staff responded. RESULTS: Eight performance measures were elicited from dialysis manager and staff responses: these were safety, operational efficiency, quality of working life, financial effectiveness, employee development, mortality, patient/employee satisfaction and patient-centred health care...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29230963/unravelling-current-sexual-care-in-chronic-kidney-disease-perspective-of-social-workers
#11
Gaby F van Ek, Dirry Keurhorst, Esmée M Krouwel, Melianthe P J Nicolai, Marjolein E M Den Ouden, Henk W Elzevier, Hein Putter, Rob C M Pelger, Brenda L Den Oudsten
BACKGROUND: Fifty to eighty percent of patients suffering from chronic kidney disease (CKD) experience a form of sexual dysfunction (SD), even after renal transplantation. Despite this, inquiring about SD is often not included in the daily practice of renal care providers. OBJECTIVES: This paper explores the perspectives of renal social workers regarding sexual care for patients and evaluates their practice, attitude towards responsibility and knowledge of SD. DESIGN: A cross-sectional study was conducted using a 41-item online survey...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29230952/children-tolerate-intradialytic-oral-nutrition
#12
Andrew M South, Bonnie Fainman, Scott M Sutherland, Cynthia J Wong
BACKGROUND: People undergoing haemodialysis (HD) often have poor nutrition, which in turn can contribute to worse outcomes. Inadequate nutrition has a particularly deleterious effect on growth and neurocognitive development, as well as mortality, in children and adolescents. Nutritional supplementation can improve outcomes but can be difficult to administer. OBJECTIVE: Determine the tolerability of intradialytic oral nutrition in children and adolescents. DESIGN: A cross-sectional quality improvement study in an outpatient paediatric HD unit...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29047211/exploring-the-nature-of-illness-perceptions-in-people-with-end-stage-kidney-disease
#13
Jessica Rees, Joseph Chilcot, Warren Donnellan, Laura Soulsby
BACKGROUND: Diagnosis and treatment for End-Stage Kidney Disease (ESKD) results in vast lifestyle changes. Despite the high prevalence of depression in people with ESKD, the psychosocial impacts of ESKD are still often overlooked. Illness perceptions enable people to make sense of their illness and are closely associated with depression. Due to the high levels of depression within ESKD, this study sought to understand the nature of illness perceptions in people with ESKD. METHODOLOGY: In this qualitative study, eleven participants were identified through hospital and online patient support groups...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/28884500/under-diagnosed-chronic-kidney-disease-in-jordanian-adults-prevalence-and-correlates
#14
Amani A Khalil, Mona A Abed, Muayyad Ahmad, Ayman Hamdan Mansour
BACKGROUND: Jordan has no relevant database or registry by which chronic kidney disease (CKD) would be early identified. The purpose of the present study is to uncover the prevalence of CKD in a national sample of Jordanian patients at high risk and examine the association of CKD with demographic and clinical factors. METHODS: This is a cross-sectional, correlational study that involved 540 outpatients at high risk for CKD. Demographic and clinical data were obtained in the period from September 2013 to March 2014...
March 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29368417/continuing-education-online-monitoring-of-haemodialysis-dose
#15
REVIEW
Aarne Vartia
BACKGROUND: Kt/Vurea reflects the efficacy of haemodialysis scaled to patient size (urea distribution volume). The guidelines recommend monthly Kt/V measurements based on blood samples. Modern haemodialysis machines are equipped with accessories monitoring the dose online at every session without extra costs, blood samples and computers. OBJECTIVE: To describe the principles, devices, benefits and shortcomings of online monitoring of haemodialysis dose. DESIGN: A critical literature overview and discussion...
January 25, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29357407/informal-caregivers-experiences-of-caring-for-people-receiving-dialysis-a-mixed-methods-systematic-review
#16
REVIEW
Van Lan Hoang, Theresa Green, Ann Bonner
BACKGROUND: Living with end stage kidney disease and having dialysis is burdensome, and there is a need for support from informal caregivers (i.e. family members and friends). Renal health professionals readily acknowledge and value the support provided by caregivers although the activities and experiences of caring for a loved-one who is receiving dialysis is less well understood. OBJECTIVES: To review studies about the perspectives and experiences of family members and friends who provide support for adults receiving either haemodialysis or peritoneal dialysis...
January 22, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29320806/experiences-of-living-kidney-donors-during-the-donation-process
#17
Hanne Agerskov, Claus Bistrup, Mette S Ludvigsen, Birthe D Pedersen
BACKGROUND: The shortage of organs from deceased donors has led to more living donation. Furthermore, immunological developments have made it possible to perform kidney transplantation despite preformed antibodies against the donor organ. This has led to a broader recruitment base of living donors. OBJECTIVE: The objective was to investigate experiences and considerations on becoming, and during the process of being, a living kidney donor. MATERIALS AND METHODS: Interviews and participant observation were conducted before, during and after the donation...
January 10, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29316279/bowel-health-in-chronic-kidney-disease-patient-perceptions-differ-from-clinical-definitions
#18
Claire Trimingham, Stephen McDonald, Kathryn Dansie, Shilpa Jesudason, Randall Faull, Phil Clayton, Grace Liew, Richard Le Leu, Anthony Meade
BACKGROUND: The bowel health of those with chronic kidney disease (CKD) can be affected by medications, fluid/dietary allowances, reduced activity and pre-existing medical conditions. Patient perceptions of their bowel health can differ from those of health care professionals and the burden of gastrointestinal symptoms could be inaccurately reported. METHODS: Adults with CKD, including those undergoing haemodialysis, peritoneal dialysis and kidney transplant from four South Australian hospitals enrolled in the study...
January 8, 2018: Journal of Renal Care
https://www.readbyqxmd.com/read/29098807/the-challenge-of-nutritional-management-in-people-with-kidney-disease
#19
EDITORIAL
Simon Langley-Evans, Nicola Thomas
No abstract text is available yet for this article.
December 2017: Journal of Renal Care
https://www.readbyqxmd.com/read/28944596/diet-quality-in-patients-with-end-stage-kidney-disease-undergoing-dialysis
#20
Lauren A Roach, Kelly Lambert, Jane L Holt, Barbara J Meyer
BACKGROUND: People on haemodialysis (HD) are at risk of consuming a poor quality diet. This includes inadequate intake of omega-3 long chain polyunsaturated fatty acids (n-3 LCPUFA). OBJECTIVE: This study aims to investigate diet quality, with a particular focus on n-3 LCPUFA intake, in a population of incentre HD patients. DESIGN: Dietary intake was measured using three 24 hour recalls; the Polyunsaturated food frequency questionnaire (PUFA FFQ) and the Total Diet Score (TDS)...
December 2017: Journal of Renal Care
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