Essays on Nephrology

Is Hand washing more effective in Infection Reduction versus Gel Hand Sanitizers?

Is Hand washing more effective in Infection Reduction versus Gel Hand Sanitizers?

Introduction

Today, the burden of health care-associated infections (HCAIs) are drawing attention not only from governments and health care regulatory bodies but also from patients and more so from health care practitioners (HCPs) themselves. This phenomenon is not merely because of the magnitude of the problem regarding the associated incidences of mortality, cost, and complexity of treatment, and morbidity, but also due to the growing recognition and understanding that, most of these complications are preventable. The medical fraternity is thus witnessing in tandem unprecedented improvements in the spread ...

In the case study, three principles of the delegation were violated: the right person, the right task, and the right directions and communication. Both the principle of the right task and right person were violated in the sense that the nurse did not consider the knowledge, expertise, and confidence of the delegate while delegating various tasks to the unlicensed staff. The American Nephrology Nurses’ Association provides that nursing care activity that requires knowledge and expertise that is obtained after completion of a nursing education program or specialized skill should not be delegated (O'keefe, 2014). In the case study, the ...

Application– Chronic Kidney Disease

(Author, Department, University,

Chronic Kidney Disease Chronic kidney disease is related to a decrease in kidney function or damage to the kidney function for a minimum of 3 months. Actually, it is an ongoing process in which nephrons’ functioning decrease, glomeruli are destroyed, and glomerular stress is increased as a result of more work by surviving glomeruli to increase glomerular filtration rate (GFR); thereby, resulting in predictable steady decline of the function of kidneys (Buttaro, 2013). Chronic kidney disease is usually difficult to detect or grasp, and symptoms may not appear with a GFR more than 35%. However, when ...

A lot of recent medical articles have been written on problematic issues in the context of relations between physicians and patients, nurses and health care consumers. As for the hemodialysis procedure, frequency of treatments depends on the kidney failure stage, but in many cases three times a week are prescribed. Thus, dialysis sessions become a part of patients’ daily life and unfortunately different reports show that the level of non-adherence is very high. Factors which contribute to non-adherence in hemodialysis patients vary significantly and depend on individuality of a patient. It is difficult to analyze all off of them ...

Tele-Medicine in a Satellite Facility

Telemedicine is an old concept but new technology that enables a healthcare provider at one location to provide basic healthcare services such as diagnosis, intra-operative assistance, and medical consultation to patients, physicians or paramedical staff in a satellite or remote facility. Most researchers and scientist believe that there is no substitute for patient-doctor face to face interaction; however, telemedicine could be used to manage a few medical cases efficiently and remotely. In first prototype of telemedicine was introduced in the 1980’s in the form of slow-scan images, facsimile machine or telephone (Hsieh, & Hsu, 2012).The mode of communications ...

Dear Sirs;

I am writing to express my interest in a nephrology fellowship for the academic year 2017/2018. The selection of nephrology as a future career path had particular interest for me in the years of my training before clinical practice. The pathology of disease is fascinating to me. During clinical training, the intellectual challenge of internal medicine drew me with the problem-solving and teamwork aspects of the specialty. It appears to me that internists and nephrologists work together to assist in the best possible patient care by combining superior skills in diagnostics and cutting-edge procedures. During my time in medical ...

My desire to become a physician began during my teenage years while watching my father be treated for rheumatic heart disease. The dedication and caring that the physicians exhibited created a lasting impression on me. As my father recovered, my passion for medicine steadily increased. I soon realized that medicine was not just a career, but rather a way of life. Medicine requires dedication, perseverance, patience, and empathy, and I had set myself to master these traits and become a caring physician in the vein of my father’s doctors. Medicine in my native Libya was a very hard track to enter. I dedicated ...

In this scholarly journal, Deal and Grassley (2012) examined the importance of spiritual care delivery by nurses, based on the experience of nurses involved in the care of patients suffering from kidney disease.

It was argued that the spiritual well-being of a patient has a great influence on the other areas of the patient's health and general disposition towards almost all issues concerning the patient’s life. Patients often undergo "spiritual distress" when afflicted with very serious life-threatening ailments such as renal failure as observed in this article. This spiritual distress thus does not augur well for the wellness ...

Dialysis is a way of replacing kidney function for people who have kidney failure. There are two common types of dialysis; haemodialysis and peritoneal dialysis (Quantrill, 2001). Haemodialysis involves passing a patient’s blood through an artificial kidney where it is cleansed and waste products removed (Lai, 2009). Peritoneal Dialysis involves the use of a thin membrane called Peritoneum in the internal lining of the abdomen to act as an artificial abdomen. CAPD involves the continual draining of fluids into the peritoneal cavity; the fluids are allowed to absorb waste products for a few hours and then drained out. CAPD can serve ...

Hawkins, T. Charlotte., Flynn, L., & Clarke, P. S. (2008). Relationships between registered nurse staffing, process of nursing care, and nurse-reported patient outcomes in chronic hemodialysis units. Nephrology Nursing Journal, 35(2), 123- 145. Cho, S. H., June, J. K., Kim, M. Y., Yoo, C. S., Yun, C. S., & Sung. H. Y. (2009). Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units. Journal of clinical nursing, 18, 1729-1737. Blackwell Publishing Ltd. The main aim of this study was to scrutinize the relationship between nurse staffing and nurse-rated quality of nursing care and the ...

As my medical experience has expanded, and I seek to move from a more generalized approach into more concrete specializations in certain fields, I have found myself drawn especially to cardiology. My love for cardiology started way back when I was in medical school; I am very much fascinated by the central and vital role the heart plays in the vast majority of our body’s functioning. During my aforementioned tour in Iraq, I was able to train at a major cardiovascular medical center, gaining experience observing procedures including diagnostic cardiac catheterization and PCI. While there, looking through the glass barrier ...

As a nursing professional, I am a dedicated practitioner who is seeking to advance my career by pursuing an advanced degree as a nurse anesthetist. During the past six years while practicing as a critical care nurse I have been considering this as my next step and have decided that this is the time when I should advance my education. I wish to continue serving my patients but desire a position where there is more of a family and patient relationship while the professional aspect enables me a more autonomous experience. My desire to continue to excel in the nursing professions is coupled with my team ...

- Sodium imbalance The normal range for serum sodium levels in adults and older children is 137 to 145 millimoles per litre. A person with more than 145 millimoles of sodium per litre is said to have hypernatremia. A person with less than 137 millimoles per liter is said to have hyponatremia. George’s sodium imbalance could be as a result of lung carcinoma which he suffers from. Lung carcinoma is known to cause syndrome of inappropriate anti diuretic hormone. This syndrome results in the abnormal secretion of anti-diuretic hormone. The increase in the levels of anti-diuretic hormone ...

Background

Hemodialysis is one of the most effective treatments or therapies administered for patients with either an acute or chronic renal problem. This renal therapy is most commonly administered to patients who have primary renal failure and secondary renal failure due to another condition such as cancer or a blood infection. The objective of a hemodialysis treatment is to extract and dispose waste products such as urea and mineral ions from the patient’s bloodstream to avoid the complications and morbidities that will surely come as a result of a bilateral kidney failure. Technically, the hemodialysis machine does the job of the kidney. ...

Article review

A review of “Depressive Symptoms and health promotion behaviors of African American woman who are family caregivers of Hemodialysis Recipients” By Dina J, Byers, Mona N. Wicks, and Tamara Harris Beard (2011)

The role of African American women to give care to Hemodialysis recipients in America is significant. They give care to recipients of Hemodialysis therapy after suffering from end term renal disease (ESRD).The national alliance for care giving (NAC) estimated that sixty five million adults provide care to an aged relative and the national budget was estimated to be $375 billion as of 2009. Due to the ...

Policy formation

There is need to have change of patient record access. With the advent of technology, it is now possible for anybody to gain access to patient data and records using their mobile devices. with the advent of wireless networks, anybody with the credentials of the wireless networks and has patient data access credentials can have access to this sensitive data. There is a problem which has been discovered in that any device is being used. An authorized person may use a device which is not his/hers and access the networks and sets the device to remember password. There is need ...