Positive coaching strategies advance problem accomplishment. Dialysis coaching for End Stage Renal Disease (ESRD) patients is my daily work. I describe chronic disease coaching as helping ESRD communities gain quality of life, skills, tools, knowledge, and become confident in their care every day to reaches self-identified goal. I coach new dialysis patient(DW) who has fluid overload above 4 kilograms every treatment, diabetes, hyperphosphatemia, and hyperkalemia. He is confused about his ESRD diagnosis and chronic dialysis treatment prescriptions. He decides to stop taking phosphorus (P) binders with each meal and take medications because it could cause renal failure. Monthly laboratory shown that phosphorus, potassium, and sugar in the blood continue to be elevated and nephrologist through the patient rounding just increase medication doses. He was …show more content…
So, I offered to participate in the coaching on his chronic condition. I ask on his most essential life goals and start addressing any discrepancies between the patient health care behaviors and his goal. I teach him about the P binders intake in relation to food as well as high potassium food and label reading every time he shops. I show him the skill of interpreting glucometer reading in relation to exercises, food, and medications and fluid intake control related to no urine elimination and weight gain between treatments. After one month, his phosphorus came back less than 5.5, potassium keeps between 4.8-5, A1C drops to 6.8, and weight gain between treatment no longer rises more than 2 kilograms. In this example, coaching DW means helping him understand and act in
Kidney Care is comprised of U.S. dialysis and related lab services, ancillary services and strategic initiatives, including international operations and corporate administrative support. The U.S. dialysis and related lab services business is the largest line of business, which is a leading provider of kidney dialysis services in the U.S. for patients suffering from chronic kidney failure, also known as end stage renal disease (ESRD). The HCP division is a patient- and physician-focused integrated healthcare delivery and management company with over two decades of providing coordinated, outcomes-based medical care in a cost-effective manner ("DaVita Healthcare Partners 10-K Annual Report" 2015). STp(c) Segmentation, targeting, and positioning together comprise a three stage process.
It also refers to the overseeing of the actions of another person with a view to ensure accomplishment of desired goals where mentoring and coaching are expected to occur. It’s a relationship that exist between an experienced, knowledgeable person
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle.
After several days of working with me the patient’s states “I know I haven’t taken very good care of my body, but I would like to start doing that now. I have not even tried to manage my diabetes
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
This makes the individual attain their desires and aspirations. I suppose that Christian coaching refers to the art of working with individuals by moving them from where they are currently to the position that God intends them to be at. I guess many individuals are in need of a Christian coach because of desire to expand their vision of their future, encourage their spiritual journey, and to gain confidence while facing life. I support the author’s position that coaching has a great difference from counseling. By counseling, one must be going through certain difficult moment or challenges, which has a negative impact on the individual's psychology.
Dialysis is a process by which excess waste and water is removed from the blood to maintain a balanced proportion of contents/nutrients. Dialysis is done by using different dialysis machines which are usually very costly and sensitive. The duty to maintain a constant proportion of contents in the blood is usually done by kidneys but when they are not functioning properly the procedure of dialysis used. Therefore it is a very important and beneficial process for people whose kidneys are not functioning properly or who cannot undergo a kidney transplant due to various reasons for example blood type or reactive immune system. The process of dialysis might look very simple but there is a lot more ethical complexity related to it that will be elaborated. (White & Fitzpatrick)
Quinan, P. (2007). Control and coping for individuals with end stage renal disease on hemodialysis: A position paper. CANNT Journal, 17(3), 77-84.
To the majority of Americans, dialysis is a confusing process that they will hopefully never have endure, but for hundreds of thousands people, it is a daily fact of life. According to US News and World Report, “In the United States, almost 400,000 people undergo dialysis every year.” (Gordon, 2012, para. 4) Their lives revolve around receiving dialysis three days a week for three to four hours per treatment, usually at an outpatient clinic. While dialysis can prolong the end stage renal disease (ESRD) patients’ life, the three day a week trudge to this clinic can feel like and endless cycle of discomfort and inconvenience. Fortunately the ESRD patient has more than one option, namely, peritoneal dialysis.
“A coach is someone who is equipped to aid individuals or groups and organisations to maximise their performance in pursuit of their desired goals.” (Dexter et al, (2011) p.4)
The following case will describe the importance of the process of adaptation. John is a 70 year old male newly diagnosed with CHF. He lives with his wife and has been retired for five years. The doctor has given the discharge orders. I will teach him about the disease before he leaves the hospital. The education started three days ago on admission. As the nurse I educate him on the six bullet points of CHF and describe the importance of this information. This begins to give John the awareness about the need for change. Next is motivation. John is very willing to take in all the information and asks questions about the low salt diet. Case management is involved to make sure John is able to buy the new medications prescribed and sets up a visiting nurse to make sure John succeeds at home. I ask John to tell me what he remembers about CHF. He does very well, with his wife’s help recalling many of the important facts. He is reminded he will have the written material to refer back to. John was called a couple days after discharge and is doing well. He takes the medications as prescribed and is weighing himself every day. John has remained out of the hospital and it has been over six months. This is a case of positive adaptation. John was able to incorporate a low salt diet; he is losing weight, and has stopped smoking. John
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.
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
The settings will be diverse that indicates a representative sample for the study and the patients will be categorized into hemodialysis patients (HD) and peritoneal dialysis (PD) something that takes into account the autonomy of each group of patients in their lives. The physicians will be common to all patients in order the staff-patient relationship to be examined not to be biased from other doctors and staff. The investigators also indicate the ideal number of patients to be approached, the demographic characteristics to be measured and the assistant that would help in any case that a patient would find hard time to read and answer the questions. Though, it is not indicated the exclusion criteria for the patients for instance the years of hemodialysis may affect patients perceptions and mental health, this is a factor that should be examined in the scientific research in order to design the study. In general the design and the sample has been depicted sufficiently in order for any future researcher to follow the exact