Hemodialysis Patients' Satisfaction and Perspectives on Complications associated with Vascular Access Related Interventions: Are We Listening?

Kosa, Sarah Daisy; Bhola, Cynthia

doi:10.5301/jva.5000560

Cited by 40 publications

(44 citation statements)

References 21 publications

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“…Noninfectious complications of hemodialysis catheters (primarily thrombosis) are common, with rates of 21.9 events per 1000 catheter days within the first month of catheter use, and remaining .2.1 events per 1000 days even after the first year (6). These episodes lead to shortened dialysis treatments and less adequate dialysis with increased morbidity (21), as well as the overall negative effect on patient satisfaction and quality of life (22). However, evidence to guide the use of locking solutions for primary prevention of malfunction is limited (12).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness and Cost of Weekly Recombinant Tissue Plasminogen Activator Hemodialysis Catheter Locking Solution

Hemmelgarn

Manns

Soroka³

et al. 2018

CJASN

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Once weekly rt-PA as a catheter locking solution was associated with a reduction in rt-PA use for treatment of catheter malfunction. Our results showing a reduction in rescue rt-PA use are consistent with a prior randomized trial, although we did not observe a reduction in bacteremia or catheter stripping/removal and did observe an increased incremental cost of this strategy primarily accounted for by the cost of the rt-PA.

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Section: Discussionmentioning

confidence: 99%

Effectiveness and Cost of Weekly Recombinant Tissue Plasminogen Activator Hemodialysis Catheter Locking Solution

Hemmelgarn

Manns

Soroka³

et al. 2018

CJASN

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“…Depending on whether the patients are predialysis or on dialysis, they would have had differing exposures and experiences with AV accesseither their own or shared by other patients in waiting rooms or on dialysis. As clinicians, we are concerned about the AV access type and their associated complications; however, patients may have far differing concerns (50,51). Patients are much more worried about daily quality of life issues with their vascular access, such as pain with cannulation, and influenced by their prior experiences with a failed AV access that required painful interventions.…”

Section: Comorbiditiesmentioning

confidence: 99%

New Insights into Dialysis Vascular Access: What Is the Optimal Vascular Access Type and Timing of Access Creation in CKD and Dialysis Patients?

Woo

2016

CJASN

Self Cite

101

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Optimal vascular access planning begins when the patient is in the predialysis stages of CKD. The choice of optimal vascular access for an individual patient and determining timing of access creation are dependent on a multitude of factors that can vary widely with each patient, including demographics, comorbidities, anatomy, and personal preferences. It is important to consider every patient's ESRD life plan (hence, their overall dialysis access life plan for every vascular access creation or placement). Optimal access type and timing of access creation are also influenced by factors external to the patient, such as surgeon experience and processes of care. In this review, we will discuss the key determinants in optimal access type and timing of access creation for upper extremity arteriovenous fistulas and grafts.

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“…This finding, presented from the nurses' perspective, is in agreement with those of Kosa et al . (), who reported that people with CKD are most concerned about physical complications (e.g. pain, bruising, swelling and bleeding) over and above the interference of dialysis in daily life and infectious complications.…”

Section: Discussionmentioning

confidence: 99%

From physical to emotional pain in chronic kidney disease: Nurses' perceptions

Robles

Aguayo‐González

2019

Journal of Renal Care

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SUMMARY Background Changes in body image are a recurring theme in the literature on chronic kidney disease (CKD). There is insufficient evidence identifying nurses' perceptions of this topic. Objective To explore nurses' perceptions of changes in the bodies of persons with CKD. Design Phenomenological study. Methods Data were collected by semi‐structured interviews with nephrology nurses selected through pragmatic sampling until data saturation. The interviews were transcribed and analyzed using the seven phases of Colazzi. Findings Information saturation was achieved with six nurses. Coexisting elements were found between the physical and emotional impact of CKD, and therefore the data were organised into a central theme: “From physical to emotional pain in the individual's body”. This central theme was defined by seven subthemes that describe the coexistence of these two physical and emotional spheres, giving rise to the appearance of important meanings in the changes occurring in the bodies of individuals diagnosed with CKD. These meanings included stigma, dysfunctionality, emotional pain, the feeling of slavery, lack of information, taboo and hope. Conclusions In the nurses' perspective, the changes occurring in the bodies of people with CKD can transcend the physical sphere and acquire more complex meanings. Nurses have a unique insight into these complex meanings, which include all the domains of the person, and which have important implications for daily practice. Implications for practic Nurses should have specialised training in providing effective responses to patients' emotional needs. It is also important to incorporate professional profiles that support nursing interventions

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Hemodialysis Patients' Satisfaction and Perspectives on Complications associated with Vascular Access Related Interventions: Are We Listening?

Cited by 40 publications

References 21 publications

Effectiveness and Cost of Weekly Recombinant Tissue Plasminogen Activator Hemodialysis Catheter Locking Solution

Effectiveness and Cost of Weekly Recombinant Tissue Plasminogen Activator Hemodialysis Catheter Locking Solution

New Insights into Dialysis Vascular Access: What Is the Optimal Vascular Access Type and Timing of Access Creation in CKD and Dialysis Patients?

From physical to emotional pain in chronic kidney disease: Nurses' perceptions

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