As the holidays approach, remember the dialysis patients! - page 2

One of the benefits of working in Dialysis is that you get Thanksgiving, Christmas Day and New Years day off! Which is a wonderful thing for staff and patients alike. It means they can have normality for the holidays, spend it... Read More

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    Oh, this makes me think so much of a beloved family member who has been faithfully attending dialysis appointments three times a week for the past several months. I think he tries to forget his life depends on it, but I know it's never too far from his mind as he gets up before dawn to drive to the clinic. It really is a daily struggle for him, and if he even lets a little bit of hopelessness in he often talks about stopping treatment altogether. Thank you so much to the nurses who are there with him to give instruction and help, because I know you are giving hope as well.
    madwife2002 likes this.

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    Quote from ArtClassRN
    I work with many renal patients and I have never had any patient undergo "emergency" treatment who was compliant with his/her dialysis schedule and med regimen. Noncompliant ones? Yeah - all the time. I highly doubt increasing to 4x a week would increase quality of life or compliance or decrease emergent treatment.

    Given the disturbing amount of noncompliance with a 3x week regimen, can you imagine how bad it would be with 4x a week? Changing to enable "skipping" doesn't make any sense at all. Further, who wants to go to dialysis four times a week??
    I have to agree with you on this. If someone can't be bothered to be at HD three times a week, what would make them be willing to show up four times a week?

    I agree that it would be a drag to have to be at dialysis at a set time, three times a week, every week, for the rest of my life. However, and this is what I tell noncompliant patients that I, as an acutes dialysis nurse, see far too frequently in the hospital...AGAIN, because they continue to skip their treatments. Since most of them are not employed in the traditional sense and are on disability (and I never say this in a condescending way or remotely imply that they should be working at a regular job), they must consider their dialysis treatments to be their "job" and take it just as seriously as if they were calling in sick to their employer every time they skip a treatment. Their reward, or "pay", is remaining as healthy as possible and getting to stay out of the hospital. Some of them groan and don't like this analogy, until I remind them that 3-4 hours, three times a week, really doesn't amount to all that much time out of their week, and the rest of the time is theirs to enjoy.

    Is this approach effective? Maybe, I'm not sure, but until I can come up with something better, that is what I tell them.
    ArtClassRN, i♥words, and madwife2002 like this.
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    Thanks for the article Madwife. Good points....but I want to know what world you live in that gives staff holidays off? Lol, the only one we get is Christmas day and we have to open on Sunday to cover that. I have worked the last 6 Thanksgivings in a row!
    madwife2002 likes this.
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    Quote from westieluv
    as an acutes dialysis nurse...

    they must consider their dialysis treatments to be their "job" and take it just as seriously as if they were calling in sick to their employer every time they skip a treatment. Their reward, or "pay", is remaining as healthy as possible and getting to stay out of the hospital.
    Great post, sister!


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