英文摘要 |
The article presents nursing experience with a patient with end stage renal disease due to diabetes mellitus who choose peritoneal dialysis as suitable renal replacement therapy. The author cared for the patient from August 3 to August 26, 2009, and information on the case were collected through interview, observation, physical assessment, and chart review, etc. Using Gordon's eleven functional health patterns revealed health problems including excessive fluid volume, risk of infection and conflict of choices. Through proactive care and empathy, the author established a positive nurse-patient relationship to obtain the patient's trust. By providing guidance about fluid control and proper dialysis, an improvement in fluid overload obtained. The patient was also provided with complete information on dialysis treatment modalities to facilitate the selection of the most suitable type of treatment. In this case peritoneal dialysis turned out to be the best option. The patient was also trained on complete self-care of peritoneal dialysis catheter and replacement of dialysis fluid to prevent infection, thus minimizing the physical, psychological and social impact at all levels. The patient was eventually able to return home and practice self-treatment, improving quality of life. |