Haemodialysis In Patients Kidney Failure
Question:
Answer:
Introduction
The research question is researchable since the chronic renal failure is a common problem. The problem of chronic renal failure and its associated treatment cost is a growing problem faced by millions across the globe, which needs to be recognised. The background provided in the paper is relevant as the author sought to figure out ways to help chronic renal patients and their families deal with haemodialysis by education (Casey et al., 2014).
Literature Review
The literature review is focussed broadly to introduce the topic of chronic renal failure, its treatments and then moves into the portion of psychosocial problems after haemodialysis. new as well as old literature has been reviewed to formulate the background of the research. Seminal research papers are very important to be identified in the newer research as they contain valuable information of the subject when it was first introduced. All the literature cited were on the basis of the research question, this is a very important aspect of a research paper. Clearly referencing works of other scientists’ helps both the researchers and other reader develop a basic idea of the subject, develop research design and understand the limitations and potential of their research. Theoretical frameworks were not mentioned which helped understand the concept of the paper and it was potentially replicable. This is positive aspect where the research can be replicated in other scenarios. Research gap was not pointed out in the paper. It is important the researchers understand the need for their research and clearly mention it on their paper. This helps readers and other potential researchers build another research based on the gaps and advance the area of science. It is clearly understandable that the authors are trying to create awareness among the public about the impact of chronic renal failure treatments and how such treatments can improve life (Jha et al., 2013)
Research design
The authors used semi structured interview settings. Interpersonal set ups help the researches make the participants feel comfortable with the environment. This facilitates the research process and obtains relevant data for the research and also helps in understanding the problems and discrepancies of the area of research. These forms of interview set ups also help maintain the privacy of the participants intact. The authors used Martin Heidegger’s phenomenology. The objective of the authors was to make the family members of end of life diseased patients accept the condition. This is developed from the “Phenomenology of death” which states that an individual’s existence will eventually come to an end after the fulfillment of their purpose. This in case of end of life patients comes sometimes early which might seem unacceptable to the patient itself and their respective family members. The authors tried to reach out to the families and help them overcome their grief. The authors to obtain positive results followed dyad transcripts. The patients history, family status and diseases progression was known which helped understand the problem better and reach the depth of the condition. In addition, the initial diagnosis could help prevent severity of the diseases manifestation. Patient and their families gave written consent that would help the researchers avoid ethical conundrum and preserve the privacy and right to information of the participants. The authors described the research techniques properly and presented in a way such that the method can be replicated. Unrelated terms were avoided in the paper, which is a drawback in some papers if the authors deviate from the topic of discussion and distract the researchers on a wrong track. The authors used framework of De Witt and Ploeg, which helped the authors develop the research goal and expected outcome. The author discussed the paper’s small sample size and single clinical setting limitations.
Data analysis (Results and Findings)
The authors followed semiotic nature of hermeneutic analysis and the data was properly assessed and rigorously analysed in the paper. Nevertheless, not all data were taken into consideration by the authors. The recipients were omitted according to semiotic nature of hermeneutic analysis. The authors presented results relevant to the research question. The authors represent the tables and graphs which makes the data analysis clearer.
Discussion
The authors clearly represented their findings and data and the results been discussed with reference to the research question, hypothesis and theoretical or conceptual frameworks by the author. The recommendations have been appropriately drawn for the data analysis. the researcher highlighted the most important results. However, the results have not been used to support or refute the results of the other studies mentioned in the introduction. The research is relevant to educate patients about haemodialysis effectively.
Conclusion
The authors sorted their findings and research conclusions, which would readers, compile the research understanding. The authors provided fresh insight into readers who are facing the same conditions and wanting to deal with the end of life diseases as well as wanting to live a better life and adopt healthier lifestyle to avoid early death (Burgess et al., 2010). The research would help readers research more about the concepts provided by the authors (Moynihan, Glassock & Doust, 2013). The authors did not provide suggestions for new research, which is a negative aspect in the research, as readers and potential researchers are looking for clinical suggestions.
References
All sources cited clearly, which is very important for development of a good research article. The paper wide range of works been cited which helps readers develop better understanding of the concept and scenario of the research area. The list contains both seminal (classic) and contemporary sources that help readers and potential researchers find the source of the information and the primary research information of the pioneer scientists.
Reflection
The research paper puts into the perspective the therapeutic relationship of the patient and the nurse. It also helped me understand the role of nurses in the patient education and support in lost life situations. Chronic renal failure is a complicated disease that requires effective treatment and guidance as well as financial stability. As a nurse, it is my duty to educate the patient as well as their family about the pros and cons of a therapeutic care. I wish to be able to clearly communicate with both the parties and fill them with information that will help them assess the situation and cooperate accordingly. The haemodialysis is a financial effective treatment. I should keep in mind to timely inform the patient’s family about the care plan so that they are not surprised or depressed about the patient’s condition. I wish to support them in every way I can and help assess the situation as well as teach them that early detection does not mean that the patient will not survive, but that the patient has a better chance to live due to early commencement of treatment. I wish to remove stigmas from the minds of patients and their family alike regarding the efficacy of haemodialysis and provide better understanding to promote the treatment. I want educate myself in the current clinical research so that I can apply newer techniques in my professional career and suggest alternatives to the patient and their family. I wish to assess each patient individually and provide them a more focussed care and prevent any signs of depression based on current evidence. The paper also made me focus on the importance of prevention of shock among patients and their family members about the knowledge of chronic diseases detection. Previously I had not considered the impact of the shock factor among chronically morbid patients, but in future, I will keep in mind and provide comfort to prevent the negative impact of health-scares. I will in future try to calm down the patient as well as their families in these situations.
References
Burgess, D. J., Warren, J., Phelan, S., Dovidio, J., & Van Ryn, M. (2010). Stereotype threat and health disparities: what medical educators and future physicians need to know. Journal of general internal medicine, 25(2), 169-177. DOI: 10.1007/s11606-009-1221-4
Casey, J. R., Hanson, C. S., Winkelmayer, W. C., Craig, J. C., Palmer, S., Strippoli, G. F., & Tong, A. (2014). Patients’ perspectives on hemodialysis vascular access: a systematic review of qualitative studies. American journal of kidney diseases, 64(6), 937-953. https://dx.doi.org/10.1053/j.ajkd.2014.06.024
Colquhoun, H. L., Levac, D., O’Brien, K. K., Straus, S., Tricco, A. C., Perrier, L., … & Moher, D. (2014). Scoping reviews: time for clarity in definition, methods, and reporting. Journal of clinical epidemiology, 67(12), 1291-1294. DOI: https://doi.org/10.1016/j.jclinepi.2014.03.013
Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., … & Yang, C. W. (2013). Chronic kidney disease: global dimension and perspectives. The Lancet, 382(9888), 260-272. https://dx.doi.org/10.1016/ S0140-6736(13)60687-X
Katon, W. J., Lin, E. H., Von Korff, M., Ciechanowski, P., Ludman, E. J., Young, B., … & McCulloch, D. (2010). Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine, 363(27), 2611-2620. DOI: 10.1056/NEJMoa1003955
Kourkouta, L., & Papathanasiou, I. V. (2014). Communication in nursing practice. Materia socio-medica, 26(1), 65. . DOI: 10.5455/msm.2014.26.65-67
Monaro, S., Stewart, G. and Gullick, J. (2014), A ‘lost life’: coming to terms with haemodialysis. Journal of Clinical Nursing, 23 (21-22), 3262–3273. DOI:10.1111/jocn.12577
Moynihan, R., Glassock, R., & Doust, J. (2013). Chronic kidney disease controversy: how expanding definitions are unnecessarily labelling many people as diseased. BMJ: British Medical Journal (Online), 347. DOI: 10.1136/bmj.f4298
Palmer, N. (2017). Knowing your treatment options: understanding home haemodialysis. Journal of Kidney Care, 2(3), 174-175. https://doi.org/10.12968/jokc.2017.2.3.174
Palmer, S., Vecchio, M., Craig, J. C., Tonelli, M., Johnson, D. W., Nicolucci, A., … & Strippoli, G. F. (2013). Prevalence of depression in chronic kidney disease: systematic review and meta-analysis of observational studies. Kidney international, 84(1), 179-191. DOI: https://doi.org/10.1038/ki.2013.77
Stanton, A. L., Rowland, J. H., & Ganz, P. A. (2015). Life after diagnosis and treatment of cancer in adulthood: Contributions from psychosocial oncology research. American Psychologist, 70(2), 159. https://dx.doi.org/10.1037/a0037875
Use the following coupon code :
SAVE10