Care of a Patient's Vascular Access for Haemodialysis: A Narrative Literature Review

Cowan, Debi; Smith, Lindsay; Chow, Josephine

doi:10.1111/jorc.12139

Cited by 2 publications

(3 citation statements)

References 35 publications

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“…Greater attention to psychosocial needs and holistic care in a supportive and safe cultural environment can help achieve common goals and positive health outcomes. 24,25 The invitation to participate in own care decisions promoted autonomy, independence, and preserved quality of life. 24 The opportunity to have a choice of which product to use ensured patient-directed goal setting which allowed the outcome of care (dry and intact dressing) to become a goal that the patient was motivated and equipped to achieve.…”

Section: Discussionmentioning

confidence: 99%

“…24,25 The invitation to participate in own care decisions promoted autonomy, independence, and preserved quality of life. 24 The opportunity to have a choice of which product to use ensured patient-directed goal setting which allowed the outcome of care (dry and intact dressing) to become a goal that the patient was motivated and equipped to achieve. 26 The results of this study resonated with the components of the COM-B system for understanding behaviour and behaviour change.…”

Section: Discussionmentioning

confidence: 99%

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Facilitating personal hygiene choices for renal patients with central venous lines: a multi-phase study

Smyth¹,

McArdle²,

Wicking³

et al. 2022

AJAN

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This study explored personal hygiene options of renal patients that maintain the integrity of central venous catheter exit site dressings between dialysis sessions.Background: Infection is a major life-limiting risk for patients undergoing haemodialysis via a central venous catheter. Meticulous attention to keeping the exit site dressings clean and dry is an essential defence in preventing local and systemic infections. It is difficult to maintain the integrity of waterresistant dressings in tropical environments. study Design: A three-phase exploratory study was conducted in a northern Australian Renal Service.Methods: Phase 1 employed a cross-sectional, anonymous, online survey of renal nurses about the acceptability and feasibility of two hygiene options for patients: bathing wipes and a waterproof dressing cover. The survey also canvassed their concerns about the options. Descriptive statistics were used to summarise Likert-scale responses and content analysis was used for responses to open-ended survey questions. Phase 2 used conversational-style interviews with patients about their hygiene preferences, how they endeavoured to keep their dressings dry, and their impressions regarding the proposed options. Phase 3 was a series of case studies of patients trialling the provided options over a six-week period. Participants were progressively recruited to this phase and were provided with the product/s of their choice at each dialysis session; renal nurses also assessed the integrity of the dressings at each dialysis session. Research nurses discussed with the participants their experiences with the options. results: Phase 1: Nurses (N=37, response rate 58.7%) considered both options acceptable and feasible for patients, noting some practical concerns related to their use. Phase 2: Patients (N=27, 100% participation rate) described hygiene preferences and difficulties they encountered with keeping dressings dry. Only one participant had a bath, as per written advice. All were enthusiastic about trying the proposed options. Phase 3: Patients (N=22) appreciated being able to shower without wetting their exit site dressings. Individuals were inventive in modifying aUthOrs

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Facilitating personal hygiene choices for renal patients with central venous lines: a multi-phase study

Smyth¹,

McArdle²,

Wicking³

et al. 2022

AJAN

View full text Add to dashboard Cite

show abstract

“…Older persons living with ESRD also employ a range of internal resources to maintain a meaningful role in their life, where coping with fear, anger, frustration and increased mortality risk have to be managed (Clarkson and Robinson, 2010) alongside providing knowledge about the disease, vascular access management and participation in treatment, which are all significant to both patients and partners. They have concerns about illness progression, and relationships with their social networks and healthcare professionals form a significant and important part of daily life for both parties (Gullick et al, 2016;Cowan et al, 2015). When an individual has a disease, it is not only the individual who is affected; there are also many impacts on the person's family.…”

Section: Literature Reviewmentioning

confidence: 99%

Symptom Experiences and Needs of Older Persons Living with Hemodialysis in Relation to Integrating Home Telehealth into Holistic End of Life Care: Phase I

Pungchompoo¹,

Udomkhwamsuk²

2021

CMUJNS

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The integration of home telehealth into holistic end of life care with nurse oversight for older persons living with hemodialysis is still limited in Thailand. This study explains the symptom experiences and health care needs related to integrating a home telehealth model into end of life care for older persons living with hemodialysis (OPLH). The paper represents the first phase of a mixed methods exploratory sequential study with dominant quantitative components, carried out over a six-month period. Purposive sampling was used to collect data from 100 OPLH. The instruments included the VOICES (View of Informal Carers Evaluation of Service-ESRD/Thai – patients’ version) questionnaire, the 9-item Thai Health Status Assessment questionnaire, and a demographic data form. The quantitative data were analysed using the statistical package SPSS version 17. Most of the participants had comorbid conditions (98%). The most common of these were hypertension (41.02%) followed by diabetes mellitus (23.25%). 25% had shortness of breath, and some had pain (31%), swelling (31%), anorexia some of the time (30%), and nausea and vomiting (15%). Moreover, participants also had symptoms of anxiety (23%), and moderate stress (10%). 8% had to be readmitted to hospital at least twice per month. Most participants had never received home care. The needs of the participants in relation to their holistic end of life care at home were reported in terms of: 1) knowledge of symptoms management at home; 2) activity and role management; 3) emotional management; and 4) spiritual support. The telehealth provision was mentioned by participants as an important part of their care, requiring VDO visiting, telephone counselling, and web-based education/ monitoring. Keywords: ESRD, Older persons living with hemodialysis (OPLH), Home telehealth.

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Care of a Patient's Vascular Access for Haemodialysis: A Narrative Literature Review

Cited by 2 publications

References 35 publications

Facilitating personal hygiene choices for renal patients with central venous lines: a multi-phase study

Facilitating personal hygiene choices for renal patients with central venous lines: a multi-phase study

Symptom Experiences and Needs of Older Persons Living with Hemodialysis in Relation to Integrating Home Telehealth into Holistic End of Life Care: Phase I

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