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Essay / Research Paper Abstract
This 3 page paper provides an overview of a needs assessment and introductory materials for a nursing teaching project. This paper considers the nature of the project and relates the first steps in developing a plan for change. Bibliography lists 6 sources.
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3 pages (~225 words per page)
File: MH11_MHpatass40.doc
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with poor pain management. Observations and assessment outcomes determined that Johns chronic kidney disease (CKD) had resulted in kidney failure, and John was placed on the kidney transplant list,
though no match was immediately identified. In the hospital setting, the clinical team determined the need to discuss the potential for kidney donation from one of Johns three adult
children. Discussion with the patient and observations noted a number of key issues for John and his family in regards to his chronic kidney diseases, the management
of his diet and nutrition, and the potential for positive outcomes if a donor kidney can be located. Essential to this process is ensuring that John achieve the optimum
level of health he can achieve through the use of dialysis while awaiting a transplant. The need for educational support for improving Johns nutrition, increasing adherence to his
medication regimen and ensuring participation in scheduled dialysis now that Johns condition has become markedly worse. McCarthy (2004) maintained that one of the key aspects of management of
kidney disease is effective control of nutritional intake and assessments and management of comorbid conditions, including diabetes, hypertension and bone disease. Rehm (2003) argued that poorly controlled pain
can have a significant impact on patient quality of life and on the impacts of chronic illness. For John, ineffective pain management has resulted in a lack of adherence
to nutrition, sleep and medication directives, which have subsequently resulted in his kidney failure. John and his family appeared relatively unaware of the connection between some of his symptoms,
including reported disordered sleep patterns, which can be an indicator of inadequate dialysis (Perl, Unruh & Chan, 2006). In addition, Johns wife and oldest son both stated a
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