scholarly journals Symptom burden amongst patients suffering from end-stage renal disease and receiving dialysis: A literature review

2018 ◽  
Vol 5 (4) ◽  
pp. 427-431 ◽  
Author(s):  
Hong Li ◽  
Lantian Xie ◽  
Jie Yang ◽  
Xiaoli Pang
Keyword(s):  
Literature Review ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Symptom Burden ◽  
Stage Renal Disease ◽  
End Stage

scholarly journals Palliation Versus Dialysis for End-Stage Renal Disease in the Oldest Old: What are the Considerations?

2017 ◽  
Vol 10 ◽  
pp. 117822421773508
Author(s):  
Lyle S Walton ◽  
Gregory D Shumer ◽  
Björg Thorsteinsdottir ◽  
Theodore Suh ◽  
Keith M Swetz
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Oldest Old ◽  
Functional Decline ◽  
Symptom Burden ◽  
Vulnerable Population ◽  
Management Approach ◽  
The Us ◽  
Stage Renal Disease ◽  
End Stage

As the US population continues to age, new cases of end-stage renal disease (ESRD) in individuals, aged 85 years or older (the oldest old), are increasing. Many patients who begin hemodialysis despite questionable benefit may struggle with high symptom burden and rapid functional decline. This article reviews the history regarding the funding and development of the Medicare ESRD program, reviews current approaches to the oldest old with ESRD, and considers strategies to improve the management approach of this vulnerable population.

Effects of Hemodialysis on the Symptom Burden of Terminally Ill and Nonterminally Ill End-Stage Renal Disease Patients

2019 ◽  
Vol 22 (3) ◽  
pp. 282-289 ◽  
Author(s):  
Yi-Lien Wu ◽  
Denise Shuk Ting Cheung ◽  
Naomi Takemura ◽  
Chia-Chin Lin
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Terminally Ill ◽  
Symptom Burden ◽  
Stage Renal Disease ◽  
End Stage

Formal literature review of quality-of-life instruments used in end-stage renal disease

2000 ◽  
Vol 36 (2) ◽  
pp. 327-336 ◽  
Author(s):  
Kathleen A. Cagney ◽  
Albert W. Wu ◽  
Nancy E. Fink ◽  
Mollie W. Jenckes ◽  
Klemens B. Meyer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
Stage Renal Disease ◽  
End Stage ◽  
Quality Of Life Instruments

scholarly journals Literature Review : Efektivitas Terapi Non Farmakologi Terhadap Penurunan Tekanan Darah Pada Pasien End Stage Renal Disease Yang Menjalani Hemodialisis

2021 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Nurul Pradita ◽  
Kiki Hardiansyah Safitri
Keyword(s):  
Blood Pressure ◽  
Literature Review ◽  
Renal Disease ◽  
Study Design ◽  
End Stage Renal Disease ◽  
Pharmacological Therapy ◽  
Online Database ◽  
Stage Renal Disease ◽  
End Stage ◽  
E Mail

Literature Review : Efektivitas Terapi Non Farmakologi Terhadap Penurunan Tekanan Darah Pada Pasien End Stage Renal Disease Yang Menjalani Hemodialisis Nurul Pradita1, Kiki Hardiansyah Safitri2 1 Mahasiswa Program Studi NERS, ITKES Wiyata Husada, Jl.Kadrie Oening No 77 Samarinda, Kalimantan Timur e-mail : [email protected] 2Dosen, ITKES Wiyata Husada, Jl.Kadrie Oening No 77 Samarinda, Kalimantan Timur e-mail : [email protected]   ABSTRAK   Latar Belakang: End Stage renal disease (ESRD) bisa disebabkan oleh tekanan darah yang tidak terkontrol  (hipertensi) atau  penyakit ginjal dapat menyebabkan hipertensi. Terapi non farmakologi dapat membantu pasien mengatasi tekanan darah dengan efek samping yang minimal. Tujuan: Mengidentifikasi studi literatur efektifitas terapi non farmakologi terhadap penurunan tekanan darah pada pasien end stage renal disease. Metode: Desain penelitian Literature  Review, online database adalah jurnal Science Direct, PubMed(NCBI), google scholar. Jurnal yang digunakan dalam kurun kurun waktu 2012-2020, pencarian menggunakan Populasi : pasien ESRD dengan hipertensi, intervensi :terapi non farmakologi, comparison: terapi komplomentar, outcome:penurunan tekanan darah, study design : literature review dan quasi experiment. Hasil: Didapatkan 6893 jurnal, diseleksi menggunakan kriteria inklusi dan ekslusi,melalui diagram prisma didapatkan menjadi 12 jurnal. Terapi non farmakologi yang digunakan adalah progressive muscel relaxation (4 jurnal); terapi massase (1 jurnal ); terapi music (4 jurnal); intradialitic exercise (4 jurnal) Kesimpulan: Terapi non farmakologi bermakna di dalam studi literature untuk menurunkan tekanan darah yang bekerja dengan prinsip relaksasi, berpengaruh dalam peningkatan hormon endorphin yang menyebabkan pembuluh darah berdilatasi sehingga tekanan darah mengalami penurunan. Kata Kunci : Terapi Non farmakologi, Hipertensi , End Stage Renal Disease   ABSTRACT   Background: End Stage Renal Disease (ESRD) can be caused by uncontrolled blood pressure (hypertension) or kidney disease can cause hypertension. Non-pharmacological therapy can help patients with blood pressure with minimal side effects. Objective: To conduct a literature study on the effectiveness of non-pharmacological therapies in reducing blood pressure of End Stage Renal Disease patients. Method: Literature Review research design, the data were obtained from online database such as Science Direct, PubMed (NCBI), and google scholar in the period of 2012-2020. The Population in this study was ESRD patients with hypertension and the intervention given were non-pharmacological therapies, comparison: commentary therapy, outcome: lowering blood pressure, study design: literature review and quasi experiment. Results: There were 6893 journals, selected using inclusion and exclusion criteria, through the PRISMA diagram they were narrowed down into 12 journals. The non-pharmacological therapies used were progressive muscle relaxation (4 journals); massage therapy (1 journal); music therapy (4 journals); and intradialytic exercise (4 journals). Conclusion: Non-pharmacological therapy is significant in literature studies to reduce blood pressure which works with the principle of relaxation. Further, it has an effect in increasing the endorphin hormone which causes blood vessels to dilate and lead to decreasing blood pressure.   Keywords: Non pharmacological, Hypertension, End Stage Renal Disease

scholarly journals GOALS OF CARE IN END-STAGE RENAL DISEASE: THE INFLUENCE OF AGE AND MULTIMORBIDITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S123-S123
Author(s):  
Deborah P Waldrop ◽  
Patricia Denny ◽  
Sandra Lauer ◽  
Kathleen Grimm ◽  
Phyllis Murawski ◽  
...  
Keyword(s):  
Older Adults ◽  
Renal Disease ◽  
Advance Care Planning ◽  
End Stage Renal Disease ◽  
Symptom Burden ◽  
Care Planning ◽  
Goals Of Care ◽  
Advance Care ◽  
Stage Renal Disease ◽  
End Stage

Abstract The number of people with End Stage Renal Disease (ESRD) who need dialysis treatment has increased sharply among adults age 75+. Older adults on dialysis have lower rates of advance care planning and higher treatment intensity, hospitalization and intensive care than people other chronic illnesses. Comprehensive care of older adults with ESRD includes advance care planning that addresses goals of care and not just specific medical treatments. The purpose of this study was to explore the nature of symptom burden and advance care planning in dialysis patients. The study design was exploratory, descriptive and cross-sectional. Quantitative and qualitative data were collected during in-person chairside interviews with people having dialysis treatments. Categorical questions focused on demographics and advance directives. The Dialysis Symptom Inventory was used to measure symptom burden. Open-ended questions addressed the trajectory of illness and goals of care. Thirty-five interviews were conducted. Participants’ Mage=55.8 years (range 27-84); 51 % were >60. A distinctive pattern of difference by age emerged. Participants >60 demonstrated greater multimorbidity and lower symptom burden (MDSI=30.13; Range 11-63) compared with those <60 (MDSI=36.31; Range 3-78). Goals of care also varied with age. Older adults’ goals were: (1) Functional (e.g. to walk better, drive); and (2) Existential (e.g. maintaining, surviving, enjoying). Goals of participants <60 were: (1) Transplantation; and (2) Engagement (e.g. work, school, travel). The results suggest that the illness experience and goals are influenced by age and multimorbidity. Implications: ESRD-specific advance care planning conversations with a focus on goals of care are important.

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