Tuesday, April 21, 2020
Philosophy of Nursing Science Associated with Hemodialysis and Cardiac Issues
Introduction The unexpected demise of a patient in the course of hemodialysis is an unusual happening. The occurrence of cardiac arrest in the course of dialysis is approximated to be seven people out of one-hundred thousand sessions of hemodialysis.Advertising We will write a custom essay sample on Philosophy of Nursing Science Associated with Hemodialysis and Cardiac Issues specifically for you for only $16.05 $11/page Learn More Out of the cases of cardiac arrests that emerge, about 13 per cent of them end up in deaths in the dialysis facility and 47 per cent pass away on their way to the hospital. The reason for death in most of these instances lies in cardiac arrhythmias, which is taken to be the main frequent cause (Booth, Pinney, Davenport, 2010). Cardiac arrest has as well occurred in the course of dialysis secondary to the unusual incidences of emboli, serious hemodialysis, and difficulties associated with improper dialysate handling. Pericardi al effusions are common in patients undergoing hemodialysis. However, they are normally associated with uremia or the utilization of minoxidil. The medical presentation handles the range from the establishment of resultant symptomless outburst on echocardiograph to cardiac tamponage with demise. The first instance of deadly hemopericardium emanating from holes in the vena cava was accounted in 1981. Perforations in either the vena cava or atrium dextrum in the course of hemodialysis as witnessed in 1981 is an unusual source of cardiac tamponage. This paper discusses the philosophy of nursing discipline associated with hemodialysis and cardiac issues. Area of interest Apparently, person-to-person or patient-centered care is related to the excellence of care. Significant research can make it possible for the nurses to learn and adapt patient-centered care. Research by Jablonski (2007) provides three important themes.Advertising Looking for essay on philosophy? Let's see if we can help you! Get your first paper with 15% OFF Learn More These themes are affiliation between the relations of patient with providers of medical care, organizations and their personal experience of disease and heath, the degree to which the organizations attempt to satisfy the requirements of patients, and integration of the views of the patients on the excellence of healthcare as offered by health care givers and devisers. In his article, Jablonski evaluated the theoretical as well as experiential studies, examined the dimensions of patients having hemodialysis and efforts of doctors and nurses with respect to cardiac issues and quality of health care (Jablonski, 2007). Research affirms that the relations between nurses and patients having hemodialysis are vital for successful use of patient-centered care. In accordance with these attempts, the area of interest for this paper investigates the practice of patient-centered care perception. After the investigation, an explanat ion of its relevance follows the various constructs for realizing patient-centered care. From around 1970, different health care groups, strategy makers, and research groups have approved and held the concept of patient-centered care. A number of studies define patient-centered care as the concern that reveres and acts in response to the needs of each patient while making sure that decisions by health care providers satisfy the ideals of patients. Patient-centered care could have significant advantages for patients via enhanced relations, suitable involvement, increased satisfaction, and quality of the health care (Booth, Pinney, Davenport, 2010). Research has revealed that the greatest hindrance to successful execution of patient-centered care is the uncertainty of its designation and major constituents. Patient-centered care entails individualized care of patients anchored in particular information of each patient instead of concentrating solely on the illness.Advertising We will write a custom essay sample on Philosophy of Nursing Science Associated with Hemodialysis and Cardiac Issues specifically for you for only $16.05 $11/page Learn More Individualized care generates an inclusive healthcare advance where the doctor attempts to view the sickness through the point of view of the patient, and is quick to respond to the requirements and inclinations of the patient. The perception of individualized care encompasses several subclasses like relations, admittance, and quality of health care (Booth, Pinney, Davenport, 2010). For minorities on hemodialysis and cardiac concerns, the execution of individualized care has as well brought about a reduction of period of stay, enhanced satisfaction of patients, and successful and excellent treatment that translates to reduced costs of health care. From the point of view of nurses, through first-rate individualized care, health institutions are capable of creating a mark that retains its c lients and gains reputation. Therefore, individualized care representation is progressively identified as significant for the assurance of excellent care (Booth, Pinney, Davenport, 2010). Even if many people consider that hospitals are set to satisfy the requirements of patients, there are significant chances to boost their individualized (person-to-person) care by offering medical care to each patient. In a bid to operationalize the individualized care efficiently, hospitals should aspire to assist the characteristics of individualized care via teaching, collective information, incorporated and group management, and easy availability of important information. This aspect stresses the requirement for critical adjustments in the health care structures by tackling or incorporating major issues like inequality in medical care, increased costs of health care, cardiac issues on patients having hemodialysis, and access to medical care.Advertising Looking for essay on philosophy? Let's see if we can help you! Get your first paper with 15% OFF Learn More Epistemological and ontological correspondence (worldviews) Studies affirm that fibrosis with no necroinflammatory substance at the point of perforation indicates chronic trauma instead of infection-associated erosion because of recent cause of illness. The symptoms of cardiac tamponage encompass the following Dyspnea Epigastric ache Muddiness Nausea Retrosternal ache Uneasiness (Jablonski, 2007, p.25). The majority of difficulties encountered by people undergoing hemodialysis are linked to their lack of abidance by the treatment prescriptions. Moreover, unsuitable consumption of foods and too much fluid by the patients could bring about undesirable effects that rarify their situations. For instance, they could encounter tremors due to failure to limit the intake of potassium. They could as well experience itching and bone aches due to unsuitable phosphate levels. In addition, too much intake of sodium and fluid could bring about undue weight increase. Intake of too much sodium co uld lead to oedema particularly near the ankles, hypertension, and problems with breathing (Jablonski, 2007). Additionally, excessive consumption of protein intensifies destruction of the kidney. Therefore, it is clear that abidance by the dietary and fluid limits will not just decrease the dangers of symptoms and health difficulties, but will as well better the quality of life of the patients. Different studies have examined the extent to which patents going through dialysis comply with the prescriptions. The results of the studies reveal substantial proof disclosing that excellent treatment with resulting kidney disease is directly associated with conformity, taking into account dietary restrictions, prescription given, and fluid limitation (Jablonski, 2007). Nevertheless, there are researches showing that these patients fail to adhere to the prescribed diet and fluid intake and given medicines. In essence, patients going through hemodialysis encounter disparate hardships in beari ng with their status and normally ignore the requirement for a remedial diet. This scenario persists until the bad effects of lack of compliance arise and turn out to be intolerable. When patients are accustomed to the effects of infringing dietary as well as fluid checks and when they deem the effects fatal, then there is a possibility that they will be extra mindful of their medical condition. Since self-regard is a learnt conduct, knowledge and teaching are precious practices that can help patients to deal with their intricate medical prescriptions. Nevertheless, when they are taught to comprehend the justification for their health prescriptions, as well as the causes and effects of their selections with regard to what they consume and drink, they are capable of coming up with wise judgments concerning whether or not to comply with the commendations. Therefore, it appears that lack of knowledge is the greatest aspect leading to non-adherence with the medical prescriptions (Booth, Pinney, Davenport, 2010). The prescriptions are particularly fluid and food limitations that consequently may cause worsening of the sickness. Incongruence The necessity of sufficient teaching and learning programs concerning medical prescriptions, specifically with a focus on fluid and food prescriptions for patients taking hemodialysis, has been under discourse in different nursing studies. Nevertheless, the incongruence involving different kinds of educational techniques and their efficiency on food and fluid adherence requires further evaluation. Oral education encompassing a person-to-person patient education in the company of a nephrology nurse is among the techniques employed for educating patients that undergo hemodialysis. Oral teaching via group education program is just as efficient as person-to-person education (Booth, Pinney, Davenport, 2010). Moreover, patients have declared that group teaching is very helpful in directing them for suitable self-care. Nonetheless, a number of researchers consider that patient teaching via oral teaching programs is normally concise and do not offer a sufficient information basis, while video teaching could have a number of merits and carry out a significant task in the education process. It is clear that the application of video creates a more consequential teaching substance. Through the pictorial illustration to patients on the way they should eat and drink and other knowledge applicable to self-care, it could be anticipated that patients can keep hold of this information in a better way. More to the incongruence, there is no research that has been conducted to examine the contribution of video teaching for patients that have chronic health situations particularly with regard to renal illnesses and resulting cardiac issues for those having hemodialysis. The majority of past assessments were for surgical pre-adjustment or teaching after surgery, rape, self-assessment or prevention of sexually transmitted disea ses. In this regard, it is crucial that future research study the effects of video teaching on food and fluid adherence in patients that have taken hemodialysis (Booth, Pinney, Davenport, 2010). Instances from studies Adjustable risk factors connected with cardiac arrest for patients having hemodialysis Sudden cardiac arrest denotes the most usual reason for death of patients taking hemodialysis. Although the patient is capable of being saved after the sudden cardiac arrest, there is very little possibility of lasting survival. Therefore, the major challenge in dealing with patients having end-stage kidney disease (ESKD) and that need hemodialysis is the way to offer a life-sustaining health care while decreasing the risk experience for sudden cardiac arrest (SCA). The best advance to this difficulty is to identify the status of patients with severe chronic kidney illness and that are specifically susceptible to sudden cardiac arrest. Research affirms that merely a decrease of glom erular filtration rate adds onto the risk of sudden cardiac arrest. Nevertheless, it is clear that experience of hemodialysis as well increases the risk (Booth, Pinney, Davenport, 2010). Definitely, a greater chance of cardiac risk aspects like age, diabetes, and heart diseases amid patients having chronic kidney disease (CKD) is seen amid patients having chronic kidney disease; however, if these aspects predict sudden cardiac arrest during hemodialysis is not yet comprehensible. A section of the unfavorable effects of hemodialysis possibly emanates from non-physiological character of fast drink and electrolyte swings that arise in the course of a hemodialysis session (Green et al., 2011). In reality, epidemiological studies stress that the risk of sudden cardiac arrest is increased during hemodialysis and a noteworthy fraction of all instances of sudden cardiac arrest arise in the hemodialysis clinics. In spite of this proof, it is not clear as to whether the rise in the risk of s udden cardiac arrest is due to adjustable dialysis- explicit aspects or to the worsening of a cardiac issue. Acute cardiac issues in hemodialysis in cases of no previous cardiac sign Cardiac issues brought about by coronary artery disease signify a key reason behind death in patients having CKD taking hemodialysis. Jefferies et al. (2011) illustrated this model in their research by suggesting that coronary artery disease was higher in people having lasting sustenance hemodialysis, since coronary artery disease was evident in the majority of patients without previous signs of cardiac issues prior to start of hemodialysis. In fact, cardiac issues and deaths arise with a higher incidence in lasting sustenance hemodialysis (Jefferies et al., 2011). In different researches, long-term incidences of hemodialysis were not related to an augment in the risk of mortality rate cardiac issues. Additionally, acute myocardial infarction was highly probable to arise in a short instance after the st art of hemodialysis as compared to an extended instance of hemodialysis. The aforementioned outcomes propose that cardiac issues are highly developed and the possibility of death from cardiac issues is already high prior to having hemodialysis that could seem improbable in it to worsen cardiac issues (Jefferies et al., 2011). The aforementioned concern can be dealt with through the determination of the incidence rate of an early Major Adverse Cardiac Event (MACE). MACE is powerfully linked to coronary artery disease and the incidences of deaths because of cardiac issues in new patients having hemodialysis and lacking both cardiac signs and any proof of insufficient cardiac function in the course of chronic kidney disease. Since the screening for coronary artery disease is not normally conducted at the start of hemodialysis, the baseline for coronary artery disease and other aspects was evaluated between patients with and without subsequent cardiac issues happening after the start of hemodialysis. Philosophical insinuations Educational involvements through either oral or video teaching could have an influence on the food and fluid compliance of the patient. The significance of compliance is highlighted in studies, which affirm that the excellent medical treatments are of no value if a patient decides not to abide by the directions of the health care providers. Conventionally, there is no particular structure or principle for assessing adherence to the hemodialysis therapy as directed. Currently, adherence is described by different considerations like failure to attend a hemodialysis session, individualized care, and serum electrolytes. It has been found out that many adherence measures are likened to results of the acre to the patient. There are emphases that adherence measures must be quantifiable, confirmable, and perfect (Wanek et al., 2012). In essence, adherence measures must be significant for patients having hemodialysis and the cause of the disease must be isolated from other aspects and be associated with the significant outcomes. Consequently, fluid and food adherence is normally settled on by evaluating serum electrolytes among other factors. The results got from some research demonstrate that the majority of patients were acquiescent with regard to calcium, potassium, weight increase just to mention a few. The outcomes of compliance were significant since many patients are believed to have trouble in managing their sodium intake and salt being a key constituent of the majority of foods, thus suggesting little salt intake does not augur well with patients. The relationship between weight increase and activity shows that patients that spend their entire days while working as well as the ones carrying out part-time activities experienced hardships in managing their weight between hemodialysis sessions. This observation shows that employed patients find it hard to adhere to their nutritional prescriptions. The foods they often tak e contain high levels sodium thus causing them to feel thirsty and as a result take large volumes of fluids (Barnett et al., 2008). There are as well indications that education levels are related to the adherence of patients with the prescriptions. Nevertheless, some studies suggest that there is no correlation between education and adherence. As earlier stated, high levels of potassium intake could bring about instant and fatal consequences like cardiac arrest and high death rate. Therefore, patients should be more conscious and keen to control their intake of potassium. Contrary to potassium, high levels of phosphate can lead to severe consequences like bone illnesses with patients will realize these effects just after living with it for a long time (Barnett et al., 2008). Hence, patients have a tendency of believing that the effects are less noteworthy and less frightening. Even though it is reported that video teaching provides more benefits as compared to oral teaching, video t eaching does not offer adequate depiction to permit a superb conclusion with respect to calcium. Future studies In this paper, benefits of individualized care, the results of two education programs on food and fluid adherence in patients taking hemodialysis, and arising of cardiac issues have been discussed. In this study, the lasting consequences of oral teaching against video teaching on the results were not adequately discussed. In addition, the effect of patient counseling on their understanding was not examined, and this element should be discussed in future studies. Moreover, it should be discussed in details to highlight the association between understanding of information and other health results, in addition to various features of oral and video teaching and the excellence of hemodialysis care. Finally, quality of existence in patients that have undertaken hemodialysis and its relationship with teaching involvements is another key concern that future studies will need to ad dress (Albert, Buchsbaum, Li, 2007). Conclusion Effective treatment of patients with end-stage kidney disease necessitates the adherence of patients with intricate and fundamentally significant medical prescriptions. Research states that the relationship between nurses and patients taking hemodialysis are imperative for successful exploit of patient-centered care. The area of attention for this paper considers the practice of individualized care. After the examination, an elucidation of its application follows the diverse constructs for realizing individualized care. Enhancing the understanding of information of patients taking hemodialysis should be an essential section of treatment. It is fundamental that nurses highlight adherence with sodium intake to prevent the severe consequences like hypertension, weight increase, and oedema. Reference List Albert, N., Buchsbaum, R., Li, J. (2007). Randomized study of the effect of video education on heart failure healthcare utilization, s ymptoms, and self-care behaviors. Patient Education and Counseling, 69(1), 129ââ¬â139. Barnett, T., Li Yoong, T., Pinikahana J., Si-Yen, T. (2008). Fluid compliance among patients having haemodialysis: can an educational program make a difference? Journal of Advanced Nursing, 61, 300ââ¬â306. Booth, J., Pinney, J., Davenport, A. (2010). N-terminal proBNPââ¬âmarker of cardiac dysfunction, fluid overload, or malnutrition in hemodialysis patients. Clinical Journal of the American Society of Nephrology, 5(6), 1026-1040. Green, D., Roberts, R., New, I., Kalra, A. (2011). Sudden cardiac death in hemodialysis patients: an in-depth review. American Journal of Kidney Diseases, 57(6), 921-929. Jablonski, A. (2007). The multidimensional characteristics of symptoms reported by patients on hemodialysis. Nephrology Nursing Journal, 34(1), 22-29. Jefferies, H., Virk, B., Schiller, B., Moran, J., McIntyre, C. W. (2011). Frequent hemodialysis schedules are associated with reduced leve ls of dialysis-induced cardiac injury (myocardial stunning). Clinical Journal of the American Society of Nephrology, 6(6), 1326-1332. Wanek, R., Horn, E., Elapavaluru, S., Baroody, C., Sokos, G. (2012). Safe use of hemodialysis for dabigatran removal before cardiac surgery. The Annals of Pharmacotherapy, 46(9), 21-25. This essay on Philosophy of Nursing Science Associated with Hemodialysis and Cardiac Issues was written and submitted by user Mat Moth to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Friday, April 17, 2020
Different Types of Personal Experiencing Essay Topics
Different Types of Personal Experiencing Essay TopicsPersonal Experience Essay Topics are great for creating personal and creative paper. Writing personal experiences can help you express yourself better and allows you to relate better to the paper. It allows you to focus on the things that made you the person you are today and helps you connect with others.The problem with other types of essays is that they are fairly static and they tend to read the same way over again. Whether it is due to the subject matter or just a general rule of thumb, it is important to remember that your audience will pick up on the tone of your essay. By writing in a conversational tone and addressing the readers in a more casual manner you will have them picking up on how you are feeling about your topic at the time you are writing your essay.What are some examples of Personal Experience Essay Topics? A lot of students don't like to think about their past in such a light and will put their 'past' in their present tense when writing. While you might want to write about it, it's usually better for you to have it be something else, like a personal experience rather than the facts of your 'past'.Also, the fact that you are writing a formal essay will likely make you want to address the fact that you had a traumatic experience in your past that you wish had never happened. Therefore, instead of writing about it, focus on expressing how the present situation has helped you grow as a person. How can your present situation make you a better person?Another reason that this type of essay is a better choice for many students is that it allows you to ask good questions without having to worry about spelling, grammar or punctuation. The reason most students tend to shy away from writing an essay is because of the time and effort required to prepare and revise the paper.Some students prefer this type of essay due to the fact that it allows them to focus on the facts and develop a better understan ding of what has gone on in their life. Instead of focusing on the negative that goes along with a past that was not a pleasant one, it is best to consider your present situation as the problem and your past as the solution.Many people consider Personal Experience Essay Topics to be the best for formal research papers as well. While writing a research paper, it is important to always look at how other people viewed the topic. The more you understand about a topic the easier it will be to explain why you feel the way you do about it.So if you're not sure about Personal Experience Essay Topics then think about how you feel about writing it. Write it down and see how the more casual you are talking the more comfortable you'll be. Also, get a little creative and experiment with your writing style to find what suits you best.
Tuesday, April 14, 2020
A Personal Essay Can Be Tough Without an Outline
A Personal Essay Can Be Tough Without an OutlineIf you are writing an outline for writing a personal essay, you need to make sure that you get all of the details right. The outline is like a road map to show you where to go and what to do when you get there. Without a good outline, you could end up writing a document that does not belong to you.When you get your outline, do not just throw it in the trash. It should be read carefully, to make sure that all of the information that you need is included. If you take the time to read it, you will be able to see if there are any gaps or holes that could use some filling in.Most people try to write an outline for writing a personal essay, without ever actually going back and looking at it. This means that they may never even get all of the information that they need, since they never have to go back and look at it again. They are constantly missing important parts of the document that they may need later on, or even when they need to revise it.Therefore, the best way to go about writing an outline for writing a personal essay is to actually do it. By having it read over, you will see where your facts and points are really weak, and where they are strong. You will be able to see what information you are missing, and you will be able to fix those problems before you even start the writing process.Once you have gone through your outline, you should ask yourself some questions about it. Are there any parts that are missing? Does your outline give enough information to help you make sense of the whole document?Is your outline giving you all of the information that you need to write the rest of the document? Does it provide enough material for you to be able to write the whole thing on your own?One important part of an outline for writing a personal essay is that it is a guide for how to structure your document. If you are going to work with a blank piece of paper, you need to know what order to put your points in. Without this knowledge, you may have trouble putting all of the pieces together later on.An outline for writing a personal essay is a valuable tool. When you use it, you will see what information you need to include, and how much of it is left out. It can help you give a finished product that is as good as it can be.
Sunday, April 12, 2020
Essay Writing Tips - Writing Your Admission Essay For College Topics
Essay Writing Tips - Writing Your Admission Essay For College TopicsWhen it comes to writing an admission essay for college topics, you need to be careful. The type of admissions essay topic is something that you have to take care when it comes to making sure that you write the essay properly. However, this does not mean that the entire job will be overwhelming to you. It can be made easier if you learn a few tips that will help you write the best essay possible.First of all, there are some general tips that you need to follow when it comes to writing an admission essay for college topics. These tips will help you make sure that your essay will be submitted correctly and in the right way. They will also help you improve the essays that you do submit as well.The first tip that you need to consider when writing an admission essay for college topics is that you should find a topic that you are interested in. You should choose a topic that you are interested in because this is going to b e the reason why you are writing the essay. You will want to make sure that the topic that you choose will be very interesting to you. You will want to take the time to carefully look at what the college that you are applying to has to offer.The next tip that you need to follow when it comes to writing admission essays for college topics is that you should know your essay topic well enough to write it well. You need to make sure that the topic that you choose is something that you are familiar with. You also need to make sure that you have a firm grasp on the topic so that you can create something that is compelling.The last tip that you need to follow when it comes to writing an essay for college topics is that you should have a great idea about the essay that you are writing. You should be able to come up with a great idea for an essay that will captivate your readers. If you do not have a great idea for the topic, then you should go back and work on your topic until you come up w ith something that is compelling and interesting.There are many different things that you can use when it comes to writing an admission essay for college topics. These tips will help you decide which ideas will work the best for you and which ones will not work well for you. These tips will also help you make sure that you are writing the essay properly.When it comes to writing an essay, it is important to know what types of essays that you will be writing. The types of essays are going to be very important when it comes to making sure that you get everything right when it comes to the topics that you choose. You should try to make sure that you are working on a high school level essay.The topics that you choose for the essays should be ones that you are comfortable with. You should use your high school experience as the basis for writing the essay. You should also make sure that you are able to make a compelling argument for why you should be accepted into the college that you are applying to.
Friday, April 10, 2020
Key Points About Controversial Topics For Research Paper About Health
Key Points About Controversial Topics For Research Paper About HealthOne of the most important areas of research is that for controversial topics for research paper about health. The problem with many of these topics is that the main focus is to try and determine if there is a link between the topic and a particular health related issue. However, with the importance of this topic it is important to understand that it is not simply about finding links between a topic and the health related issues.There are also topics such as health systems, where they are looking to better understand how various systems in the world function. Even though there may be an obvious connection, sometimes no other basis can be found to support the link. In this area, it is best to have an overall body of information to support any claims.Another area of research to look at is research that focuses on the interactions between health and political processes. While these kinds of studies are quite interesting in their own right, the question is whether they will eventually prove to be beneficial to the process. Often, the politically motivated agenda can have very detrimental effects on health outcomes.The same is true of topics such as mental health. In the case of mental health, there are many different types of research that are attempting to answer questions about the dynamics between health and disease and mental health issues.The social science community has been dealing with issues such as race, class, gender, and culture for a long time. As the result of all of this information, there are many areas of inquiry which make up a problem in the area of health. However, these fields are not simply about exploring the effects of certain aspects on the health of individuals.The end result of all of this work is that health is often evaluated as an outcome that is most directly connected to other categories. Notonly does this have an impact on the area of study, but can also affect the language used in the discussion.As much as many of the areas of health are primarily concerned with the medical field, there are some other areas of study which also have a large impact on the health of people in the community. It is important to consider these factors when looking at controversial topics for research paper about health. While the results will be positive, it is important to remember that every study has limitations.
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