HEMODIALYSIS

ENGLISH LESSON

Assignment from the teacher

Mr. Christovel kahuweka S.Pd

Arranged by :
Jovelia Judistyra Kojongian
XII SCIENCE 2
CHRISTIAN SENIOR
HIGH SCHOOL 2 BINSUS TOMOHON

2019
 DEDICATION
thank you to God who is omnipotent because on his favor I was able to complete this
paper. I dedicate this paper to all who have supported me in completing this paper. for
my mother and father, my family and my friends, thank you for helping me. and
especially for Mr. Christovel Kahuweka who has commissioned this so that I know how
to make it, thank you all for encouraging me.
 VALIDATION
This paper is titled “HEMODIALYSIS” compled by :

Name: Jovelia Judistyra Kojongian

Class: XII science 2

in fulfillment the final assigment first semester class 12 in christian high school 2 binsus
tomohon.

Tomohon, july 2019

Accepted and validated Discover

Teacher Headmaster

Mr. Chirtovel F. B kahuweka S.Pd Dra. Stephanny L. Wuwungan

Nip. 19640102199110332003
 PREFACE
Gratitude was offered to God who commanded because it was mixed up and I could
complete the task of this paper.

the writer also wish to express his deep and sincere gratitude for those who have guided
in compleing this paper. This English paper contains some knowledge about the blood
washing process and some diseases that are experienced so that it is required to wash
the blood.

hopefully, this paper can help readers find out all about hemodialysis.
 TABLE OF CONTENT

Title page……………………………………….

Dedication sheet…………………….………….

Validation sheet………………………………...

Preface…….……………………………………

Table of content.………………………………..
 CHAPTER 1
1.1 Background

preliminary

Dialysis or dialysis is an artificial way to get rid of waste products and

excess fluid from the body. This needs to be done if kidney function is only
only 5-10 percent of its normal capacity so that its functions must be
replaced by kidney dialysis or kidney transplantation. Hemodialysis is
the most common dialysis form. At present the most frequent and popular
method

is to use a dialysis machine, where this method aims to

remove excess fluids, chemicals and waste products from the blood (Yosep,
2012) Worldwide, an estimated 2 million people get dialysis every year.
in Indonesia in recent years there has been an increase in numbers
patients who get dialysis, even though the facilities are limited. Maybe there
is 100,000 people who need dialysis (Kumar, 2012). Based on a survey
conducted at the Regional General Hospital Rantauprapat in Labuhanbatu
Regency was noted during 2012 that patients were hospitalized the way of
hemodialysis is 741 people.

The main risk factors for kidney failure, are diabetes mellitus and
hypertension. The best prevention strategy to reduce the number of patients
with kidney failure is do a healthy lifestyle and early screening. At 45 years
old, do it periodic laboratory checks. Also measure blood pressure,
cholesterol, blood sugar and kidney function. If the results are normal, repeat
the year next. Kidney disorders can reduce a person's productivity even life
threatening. Kidney function is very diverse not only removing toxins
from the body but regulates blood pressure (Suharjono, 2011).
 Chronic kidney disease is a public health problem
major throughout the world. Because of the progressive increase both in
incidents and prevalence of patients with end-stage kidney disease or End
Stage Renal Assessment (ESRD), and high mortality rates and increased
maintenance costs.
Some psychosocial factors include stress, depression, treatment anxiety.
Stress can arise due to the process of adjusting the patient to his condition.
Patient with ESRD undergoing a complex treatment regimen that involves
not only dialysis but also a variety of multiple lifestyles and radical changes
which affects the individual's social and psychological functions.
For example, proceslong-term treatment, patients must use strategies to
manage their disease. Thus, individuals with a high level of self-care
and self-efficacy that is better able to manage their ESRD.
Patients with ESRD must try to adapt to the disease chronic physical and
need, in many cases, to overcome dependence on the dialysis machine to
stay alive. Adjustment in cognitive, emotional, and psychological behaviors
and adjustments needed by the patient. Attitude patients with disease seem to
be important enough for their results. In a manner specifically, patients who
do not understand themselves and have no control in a situation, it can cause
stress. (Abolfazl et al., 2008) Stress is a form of the body's reaction to
situations that look dangerous or difficult.
This stressful situation will make the body produce adrenal hormones
which functions to defend itself. If this hormone is excessive it will
causing sufferers to be prone to physical illness, according to their individual
conditions. (Yekti Ari, 2010)
Patients with kidney failure who undergo hemodialysis, need 12-
15 hours for dialysis every week, or at least 3-4 hours per therapy.
This activity will continue throughout his life (Bare & Smeltzer, 2002).
Dependence on dialysis machines for the rest of his life and adjustments to
the conditions of the illness result in changes in the life of the patient.
Change in life, is one trigger for stress. This change can be a variable
identified as a stressor (Rasmun, 2004). Patients usually face
financial problems, difficulties in maintaining work, sexual drive
which disappears and impotence, worries about marriage and fear
against death (Bare & Smeltzer, 2002).
The occurrence of stress due to stressors that are perceived and perceived
by individuals, is a threat that can cause anxiety. other than that
dependency on dialysis machines for the rest of his life and adjustments
self against sick conditions resulting in changes in life patient. Changes in
life, is one of the triggers for this stressed out. This change can be a variable
identified as stressor (Rasmun, 2004). Patients usually face financial
problems, difficulties in maintaining work, sex drive that disappears
and impotence, worry about marriage and fear of death
(Bare & Smeltzer, 2002). The occurrence of stress due to perceived stressors
and perceived individual, is a threat that can cause worry.