TRIGGER 4: How do we assess Peggy’s ability to self

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care and carry out the requirements of peritoneal
dialysis? What are these/ and how do these impact on
an individual’s life

What kinds of problems are due to b. Peritonitis a. Exchange room IV. Is there anyone else who comes into peritonitis? the room during the exchanges? d. What do you need to focus on in your a. Nutrition II. Do you have constipation? daily nutrition? b. What should you do in order not to get constipated? III. What is most difficult for you during the exchange? . What are the signs of peritonitis? exchanges? c. What do you do when you get meals? constipated? d. Can you make a list of your daily diet? constipation? c. Constipation a.I. Is it necessary to keep the dialysis peritonitis? room clean and tidy? d. How much salt do you use in your c. What is peritonitis? area where you perform your b. What should you do in order not to get c. What should you do if you get b. How and how often do you clean the a.

How many times and at what time do is a hernia or leakage from dialysate? you make exchanges? VII. Infections VI.V. Personal hygiene VIII.v. Medications a. How do you warm the solution bags if b. who b. Who measures your blood pressure? replaced? b. What are the favourable and unfavourable aspects of the peritoneal dialysis? . How often do you wash your hands? you do not have a heater? b. How often do you take a bath? a. How do you understand if too much e. What should be done if the transfer gives them to you? set or the tips of the bags come in c. How do you calculate the amount of contact with the floor? fluid you will drink in a day? c. When did your transfer set get a. What are the signs of catheter exit site fluid is accumulated in your body? infection? What should be done in this situation? f. How often should the transfer set be d. injections? If so. What may be the reason if your fluid is replaced? not completely discharged? What d. Dialysis materials a. What should you use for catheter should be done in this situation? dressing? e. Do you use i. How do you understand whether there f.

And these feelings will limit the social and family relationships. . Dietary restrictions are perceived as the deprivation of the last “pleasure" that patients keep. favouring self-analysis that exaggerates physiological phenomena. • Body Image Issues like skin colour. passivity. and dependency. somatisation. And that anxiety leads to distress. obsessive attitudes. On the other hand. loss of urinary function. often enhanced by the good- intentioned help from patient’s family and social environment. • Mental Attitude Anxiety is always in the background due to daily contact with the disease and the risk of death.• The well-being The repetition and frequency of dialysis procedure constantly reminds one of the disease. • Autonomy The frequency of dialysis (either HD or exchange sessions in PD) interferes and limits the lifestyle of patients. inferiority feelings facilitate physical deterioration. internal arteriovenous fistula or peritoneal catheter presence. neglect. depression. encouraging introversion. aggression. or abdominal distension help patients to perceive their bodies negatively and with inferiority feeling. body odour. and so forth. scars.

to be able to gain trust. (Treas & Wilkinson. the community nurse should educate Peggy on strategies to monitor and manage her DMT2 and her dialysis. The nurse must be aware of any and all disadvantages the community and Peggy face that may increase the risk of illness or decrease their ability to access services and healthcare. In this situation. (Rosdahl & Kowalski.TRIGGER 5: What is the role of the community nurse in this situation? The community nurse’s role in this situation is to firstly build rapport and a therapeutic relationship within the community and with individuals. Peggy is of Aboriginal descent and has significant increases in the risk of multiple illnesses. 2014) The community nurse’s role is to educate the community in regards to health promotion and preventative strategies and to provide nursing and first aid care given the need arises. Also. especially Peggy in this situation. how to properly care for and use the catheter and foods to eat and avoid in her diet to make sure her glucose levels remain stable. in this case the nurse should be aware and take into consideration that the nature of their remote community and that they are isolated from multiple healthcare services and education that would otherwise be available to those not living in a remote area. 2012) . This could include common symptoms for her Tenckhoff catheter. including chronic kidney disease and diabetes.

(2013).. Guvenc. & Kazancioglu.ncbi..nlm. Iran Journal Public Health. G.. R. (2011). S. S.nih.2009.R. 141-146..REFERENCES Moreiras-Plaz. 8. A.. 1077- 1084. C. Yucel. Blanco-García. S.1755- 6686.00089.gov/pmc/articles/PMC4436534/ Ozturk.x . doi: 10. The role of the community nurse in promoting health and human dignity. Assessing and training patient’s on peritoneal dialysis in their own homes can influence better practice.... 35(3).1111/j. R. 2011(2011). L. Assessment of health related quality of life: The cinderella of peritoneal dialysis? International Journal of Nephrology. 42(10). Retrieved from https://www. Tomita. Ekiz. doi: 10.. & Ungureanu. & Rodriguez-Goyanes. (2009).4061/2011/528685 Muntean. R. M. Journal of Renal Care. Cossio-Aranibar. M.