Studies have justified dialysis patients are likely to be depressed. According to Andrade, depression is characterized as one of the most assessed psychological aspects regarding studies on patients with renal failure. This paper will address the prevalence of depression among dialysis patients, the effects it has on quality of life, and finally the role of social worker intervention and management of depression in dialysis patients.
Like previously stated depression is very common amongst dialysis patients. According to Battistella, the prevalence of depression in the general population is 2% to 10%, approximately 20% to 30% of patients with ESRD suffer from depression with a range of 5% to 59%. Depression is also directly linked with increased mortality rate, “chronic kidney disease (CKD), the ninth leading cause of death in the U.S” (Danquah, &, Zimmerman, 2010). With the increasing number of patients being diagnosed with end stage renal disease (ESRD) it is an obvious need for addressing this issue; “as of 2007 more than 638,000 individuals had end stage renal disease” (Danquah, &, Zimmerman, 2010).
Depression can be identified by the patient’s symptoms. For example dialysis patients that are omitted to the hospital more frequency is likely to be depressed as well. Another example of a symptom indication of depression id suicidal ideation, if a dialysis patient has thoughts of killing oneself or attempts to kill oneself they are likely to be depressed. Also depression can be screened for with the Beck Depression Inventory (BDI). “This is a 21-question survey completed by patients. Answers are scored on a 0 to 3 scale. A score of greater than 11 has a 90% specificity and sensitivity to diagnose depression in CKD patients” (Ba...
... middle of paper ...
... patient’s quality of life increased significantly (Jackson 2014). It is evident that social work interventions have a positive effect on the treatment of dialysis patients.
Depression among dialysis patients is very common, but yet it isn’t always black and white when coming to diagnosing and treating it. Fortunately the growing number of nephrology social workers is helping address the needs of this unique population that is misunderstood by the general population. Johnstone says, yet the ESRD population continues to be complicated and fragile, and often poorly served outside of the dialysis clinic. It is this recognized reality that calls upon nephrology professionals to think outside of the box and continue to find creative and brief approaches for serving the underserved needs of this unique population. In essence there is a need for nephrology social workers.
This case study which is taken from Robert M. Veatch’s Medical Ethics book is about a 5 year old girl, who from the last 3 years, has been suffering from “progressive renal failure” which...
Why do we become happy, sad, mad, or upset? Why are some days good while others are bad? We smile, cry, laugh, frown and this is a continuous cycle throughout life. Individuals describe depression as a state of sadness and confusion that humans face, but in reality depression impacts much more than one’s mood or behavior. I strongly believe depression is a mental health disorder, one in which people of society need to take more serious. I have been struggling with depression for quite a few years, as well as, witnessing close family members and friends who also face the daily challenges depression brings alone. It is hard to read the news headlines, of the traumatic stories of suicide. These individuals cannot handle the overwhelming problems and stress life. Often, they have no one to explain how valuable life is, ways to help them through difficult situations, or most importantly, getting individuals professional counseling. In most cases it is not that others do not want to help those in need, but that they are unaware of what actions to take in order to provide that help. I plan to become a counselor, so I can be educated on the different emotional, physical, and social problems individuals deal with. The questions I propose are valuable for me to research, so I can inform society the importance of understanding depression. What are the different types of depression? How can depression affect an individual's appetite, sleep pattern, and health conditions? When is therapy counseling and medication needed for treating depression? What are the main experiences individuals face that trigger depression? How are ages affected by depression? What are coping skills for depression? I believe the information I gain from these sources wi...
In medicine dialysis is primarily used to provide an artificial support for the lost kidney function in people with renal failure.
According to the DSM5 major depressive describes a person who is in a depressed mood for most of the day, nearly everyday. The person also has a diminished interest or pleasure in all, or almost all, activities most of the time. There may be significant weight loss or gain as a result of decrease or increase of appetite, respectively. The person may also experience insomnia or hyper insomnia nearly everyday. There may also be a consistent feeling of fatigue or loss of energy. Usually in major depression, there are feelings of worthlessness or inappropriate guilt. It is also common to have a diminished ability to think, concentrate, or experience indecisiveness. All of these symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. (DSM 5, 160-161)
Depression is an equal opportunity disorder, it can affect any group of people with any background, race, gender, or age. Depression is a sneak thief that slips quietly and gradually into people’s lives - robbing them of their time, and their focus. At first, depression may be undetectable, but in the long run a person could become so weighed down that their life may feel empty and meaningless. Contrary to popular belief, not everyone who commits suicide is depressed, but majority of people who commits suicide do so during a severe depressive episode. There are over 300 million people in the world today who suffer from depression. Depression has affected people for a long as records have been kept. It was first called out by the famous Greek philosopher Hippocrates over 2,400 years ago. Hippocrates called it “melancholia”. Many times we think of depression as one disorder alone, when in fact there are many different types of depression. The different types of depression are major depressive disorder, dysthymic disorder, atypical disorder, adjustment disorder, and depressive personality disorder. All types of depression share at least one common symptom. It is commons from the person who suffers from any form of depression to feel an unshakable sadness, anxious, or empty mood. Major depressive disorder also known as unipolar depression or recurrent depressive disorder is the most severe depressive disorder out of all of the depressive in my estimation. Major depressive disorder is a condition in which affects a person’s family, work or school life, sleeping, eating and general health. It is important to emphasize that we can understand the mechanics of this disorder and how it affects people with major depressive disorder.
“Major depressive disorder is one of the most common mental disorders in the United States. Each year about 6.7% of U.S adults experience major depressive disorder. Women are 70 % more likely than men to experience depression during their lifetime” (“Depression”). “Depression is an important public-health problem and one of the leading causes of disease burden worldwide. Depression is often co-morbid with other chr...
Major Depressive Disorder or MDD is a very common clinical condition that affects millions of people every year. According to the Agency for Health Care Policy & Research, “ depression is under diagnosed & untreated by most medical doctors, despite the fact that it can almost always be treated successfully.
Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed. According to the numbers of reported cases of depression, 25% of women and 10% of men will have one or more episodes of clinical depression during their lifetimes.
As Burns and Grove (2001) & Polit and Hungler (1997) as cited in Ingham-Broomfield (2008 p.104) mentioned that the primary purpose of the literature review is to discuss what is known, gain broad background and understanding of the available information related to the study. As Coughlan, Cronin, and Ryan (2007) stated that literature review should also help to identify any gaps in the literature relating to the problem and suggest how those gaps might be filled. The authors of this article has not provided any review of literature and this could misinform the reader what the main focus of the study; however, several appropriate references were used in the background. The terms used in the key concepts are adequately defined and consistent with the topic. The background of the study introduces the previous knowledge or what is already known which is to investigate the effectiveness of an ATP designed to help ESRD patients to cope with stressors while receiving haemodialysis treatment.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
Depression is a disabling condition that should be taken seriously. Ever one in ten people worldwide are affected by depression for an estimated 676 million people. People living with a depression have greater than forty-percent chance of dying from premature death that the rest of the population. In many cases suicide is a result of depression due to the lack of attention to the physical problems. In 2012 depression became one of the leading causes of death, 804,000 young adults age fifth teen to twenty-nine committed suicide worldwide. Mental illness like depression rank as the second worldwide as the cause of years loss off one’s life. Depression is the main reason for years lost in cases of disabilities (Al Qahtani & Al
The purpose of this paper is to take an in depth look at a renal diet which is designed for people suffering from certain kidney conditions. A renal diet can be described as a nutritional regime which is: “low in sodium, phosphorous and protein... [It] also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium” (Nephcure). Throughout the course of this paper various aspects are addressed. these include: the role of the kidneys, the importance of professional guidance, the reasons why people follow a renal diet, monitoring sodium intake, monitoring potassium intake, monitoring phosphorus intake, protein consumption, and fluid control.
Ainsworth, Patricia. Understanding Depression-Understanding Health and Sickness Series. Jackson, Miss.: University Press of Mississippi, 2000.
Depression isn’t just a state of being, or someone’s mood. There are different types of depression, and each of those types have their own lists of symptoms and treatments, all similar but they have some differences.
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.