Outcomes of Empowerment in Patient with Complex Chronic Kidney Disease Stage 3: A Case Report

Abstract

Abstract: This case study presented empowerment by an advanced practice nurse in patients with complex chronic kidney disease stage 3 and its’ outcomes. Concept of empowerment was used to promote awareness and confidence in controlling factors affecting health and decision to choose corrected health behaviour practices which comprised of 4 steps: 1) Identifying real situation through assessment of behaviours, reviewing patient’s situation of inappropriate behaviours, and giving feedback on outcomes and clinical data; 2) Critical reflections by analysing the cause factors, enhancing health and media literacies, learning to read label of herbal medicine and documenting scientific evidences of steroid contamination; 3) Decision making on ways of practices by arranging knowledge exchanges and sharing using peritoneal dialysis case study, reflection, demonstration and return demonstration of insulin injection, and promoting of health behaviour changes; 4) Maintaining effective practices through telephone follow up, home visits, problem reviews, empowerments, and encouragements. Outcomes of empowerment process showed increasing of patient’s confidence in own capacity and ability of changing health behaviours continuously for 3 months. These influenced on clinical outcome improvement including: decreasing in systolic blood pressures, diastolic blood pressures, and glycocylated-haemoglobin levels, as well as increasing glumerulo filtration rates.