Start hemodialysis nursing care in ESRD with uremic encephalopathy: 2 Case study

Abstract

     The end-stage renal disease that has not received renal replacement therapy most likely has symptoms of fluid retention until the development of a brain condition known as uremic encephalopathy including symptoms of altered consciousness, irregular sleep patterns, tremor, asterixis, and even coma and death. The patient must receive renal replacement therapy when they reach end-stage renal disease which is renal replacement therapy using dialysis with a hemodialysis machine is the most commonly chosen by patients in the care of patients with end-stage renal disease to keep the patient alive and maintain a good quality of life for as long as possible.

     Hemodialysis services are provided with hemodialysis machines to ensure patient safety. Establishing guidelines for patient care that are controlled by many factors is necessary to prevent and correct complications from starting hemodialysis with hemodialysis. Nursing care is provided for patients during and after hemodialysis. The plan includes distribution planning to ensure patients receive continuous dialysis care according to standards and is capable of living a life that is either normal or as close to normal as possible. Therefore, the researcher has presented two case studies in the care and nursing of patients with end-stage renal disease who were starting hemodialysis using hemodialysis machines due to high levels of urea in the blood. Who come to receive services at the hemodialysis unit of Maha Sarakham Hospital since giving information on patient preparation in the pre-dialysis period, monitoring and monitoring of risks preventing and correcting complications during and after hemodialysis. Patient information, relatives, medical records, and hospital statistics are collected. Use nursing recording tools to define nursing diagnosis using Nanda's nursing theory in bringing the health needs or problems of the client (Client's needs or problems) into writing clinical nursing diagnoses about individuals, families, or communities responding to health problems. Use the concept of Gordon's 11 health assessments used to assess health status and use the theory of Nursing according to Orem's concept applied to patient caretakers to provide patients who come to receive hemodialysis services using hemodialysis machines to receive care according to nursing standards safe from complications have good health and quality of life.