Nursing care for patients with end-stage renal disease : A case study of two patients in Rajanurakon

Abstract

Purposes: The purpose of this case study is to study nursing needs and compare symptoms, complications, treatment plans, nursing care and assistance according to the standards of patient care in Phra Rajanukrom, in 2 patients with end-stage renal disease.

Materials and Methods : The sample was purposively selected among 2 patients with end-stage renal disease who were admitted to Roi Et Hospital. During the fiscal year 2022 - 2023, data was collected using a data recording form. Interview and observation. Analyze data by comparison, patient's pathology and signs treatment plan evaluate nursing problems with Gordon's 11 health plans, and plan nursing action according to nursing diagnosis and assist in accordance with patient-care-standards in the royal care. Summarize and evaluate nursing results.

Main findings : The case study found 5 similar issues: 1) being female 2) having co-morbidities, diabetes, disease and high blood pressure 3) receiving continuous kidney replacement therapy and following up on treatment every month 4) having over hydration, 5) having symptoms of swelling, gasping for breath, unable to lie down before coming to the hospital, and 6) had poor status and received assistance according to the standards of patients in the royal anus, which is support for transportation expenses. Food expenses for patients and relatives in the case of receiving hemodialysis using a hemodialysis machine. No more than 2 times per month, medical expenses in excess of the entitlement in the case of going to the doctor to monitor symptoms. The different issue is that the first patient received continuous peritoneal dialysis (run CAPD 2.5% PDFX4 cycle) and was the caretaker taking the second patient to receive hemodialysis (HD) 3 times a week.The two patients had different nursing needs according to the nursing diagnosis. In the first case, there was pneumonia along with respiratory failure, intubation was required, and hyperglycemia was also present. Have a peritoneal infection and risk losing your image His self-worth decreased due to continuous peritoneal dialysis. The second case was an enlarged heart problem from high blood pressure in the elderly along with fluid overload.      

Conclusion and recommendations : The results of this research result in nurses having the ability to help keep patients under the royal patronage safe. and have an increased quality of life.