Nursing care of End Stage Renal Disease Patient with Continuous Ambulatory Peritoneal Dialysis with Peritonitis: 2 cases

Abstract

Background and Signification : Currently end-stage renal disease is a major problem of public health due to not only increasing of  number of  CKD  patient continuously and also high expense from complication. Continuous ambulatory   peritoneal dialysis (CAPD) is basic replacement therapy of universal health coverage for end stage renal patient toaccess  medical  treatment  reducing  illness.

Objectives : To study of disease prognosis, to compare between nursing diagnosis, nursing care plan, nursing intervention and nursing evaluation.

Methods : Studies 2 case by selected specific of  end-stage renal  disease failure patients who receiving CAPD renal replacement therapy with infected peritoneum. Collecting data from medical record audit and interview patients and relatives including observation, nursing diagnosis, nursing plan, implementation and nursing outcomes by using Gordon's health concept model. Data were analyzed using data content.

Results : Two cases of end stage renal patients with peritoneum infection who receiving CAPD treatment ,antibiotic and intra fluid. In the first case had mild infection after receiving CAPD and antibiotic. The second case had infection and bleeding that causing blood cloth from abdominal ultrasound without CAPD treatment which found of abdominal fascia cause of not able to revise CAPD there for off TK catheter and using HD treatment.Two cases study found of similar diagnosis such as fever, abdominal pain, stress from pathology, abdominal distention, anemia, sleeping behavior change, daily activities change, loss of image and lack of  self care. Different of diagnosis in the first case found of decreased of potassium, hypoglycemia and Hyperglycemia. The second case found of edema, high risk from hypertension, urinary tract infection, vascular dysfunction and stress from planning change . Suggestion: For evaluation and health promotion by nurse in second case cover nursing planing and nursing implementation to develop nursing guideline continuing for end stage renal parents who receiving CAPD with abdominal infection.

Keywords : nursing care, end  stage  renal  disease  , continuous  ambulatory  peritoneal  dialysis (CAPD)