The Nursing Care of Chronic Renal Failure Patients after Hemodialysis: Case study 2 Case

Abstract

Background: The costs of medical treatment for patient with chronic renal failure by hemodialysis and kidney transplantation are high and may have complication.

Objective :  To comparisons nursing diagnosis, nursing action plan, evaluation outcome of nursing and development the nursing protocol for chronic renal failure patients after hemodialysis.

Methods: This study was 2 cases study by purposive sampling from chronic renal failure patients who were received hemodialysis treatment at Maha Sarakham Hospital. The data were collected from medical records, nursing protocol, patients and their relative. The nursing protocols were followed guideline self evaluation 11 role of Gordon. The nursing action plan followed nursing diagnosis, conclusion and evaluated the outcome of nursing care.

Results:   The case 1 was female, age 30 years, has been diagnosis for chronic renal failure 12 years and received hemodialysis treatment 3 time/weeks at Maha Sarakham hospital. Patient received hemodialysis at hemodialysis Unit 2 times, while hemodialysis she has nursing evaluated and don’t have any complication during admit 2 days. The case 2 was male, age 44 years, diagnosis for diabetes mellitus 6 years, hypertension 5 years  and chronic renal failure 2 years and it was first time for hemodialysis.  The patient has hemodialysis 2 times, while hemodialysis he has pypotension and treatment by stop hemodialysis process and return water to body and he became normal blood pressure. The totally he admit 4 days.                 

Conclusion: the urgent evaluation of patient with chronic renal failure during hemodialysis and performance nursing care provide can reduce complication, severe and risk of mortality of patients during hemodialysis. The importantly nurse should have knowledge, specialization and have standard guideline for take care patients.                

Keywords: nursing care, chronic renal failure, hemodialysis