Nursing Care for Patients with End-Stage Renal Disease (ESRD) and Peritonitis : A Comparison of 2 Case Studies

Abstract

     The purpose of this study was to compare nursing care for 2 End-Stage Renal Disease (ESRD) patients with peritonitis at Hua Hin hospital. The research instrument were patient medical records and data record form. The comparison issues were  health pattern, pathology, nursing care, and health risk factors. The study findings revealed as follows:

          The first patient, when admitted, the symptoms were dyspnea, high fever, and abdominal tenderness. First diagnosis was ESRD with Infected CAPD with Sepsis, and stayed in hospital for 50 days. The physician needed to replace treatment from CAPD to be hemodialysis due to the presence of large amounts of abdominal fibrosis. After hospital discharge, the patient was continually treated with hemodialysis.

          The second patient, when admitted, the symptoms were fever and turbid abdominal dialysis fluid. First diagnosis was ESRD with Infected CAPD. The physician treated with CAPD along with antibiotics. After hospital discharge, the patient was continually treated with CAPD.

      Therefore, nurses should emphasize on knowledge about correct abdominal dialysis techniques, along with assessment of peritonitis as a major complication to foster the abilities of patients and their relatives to assess the symptoms and seek treatment promptly.