The Nursing Care of End-Stage Renal Disease Patients after Hemodialysis with Systemic Lupus Erythematosus (SLE): 2 Cases Studies
Keywords:
Keywords: End-stage chronic kidney disease, Systemic Lupus Erythematosus, Roy's Adaptation Model.Abstract
This case study aimed to investigate the nursing care of systemic lupus erythematosus (SLE) with end-stage chronic kidney disease patients who require hemodialysis (HD) following Roy's Adaptation Model (RAM). The sample group consisted of two specific patients who had received hemodialysis at the Kidney Unit of Sakon Nakhon Hospital. The medical history and medical treatment were collected through information gathering from patients, relatives' information, and medical records. Nursing diagnosis was established using Roy's Adaptation Model, which covers the entire nursing process from assessment, diagnosis, planning, nursing practice, and nursing evaluation.The results revealed that:
Both patients were female, aged 30 and 44 years old, with systemic lupus erythematosus. Two new patients were referred to Sakon Nakhon Hospital after being diagnosed with end-stage chronic kidney disease. These patients required temporary intravenous catheter procedures to receive urgent hemodialysis. Thus, it is crucial to monitor patient care risks and ensure the rapid establishment of hemodialysis access. This approach aims to slow kidney deterioration, restore kidney function as quickly as possible, and serve as a guideline for improving service quality. Additionally, it seeks to prevent and mitigate complications arising from hemodialysis.
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