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The referencing and citing of scholarly work is mandatory to support the idea that is being presented in the participation discussion. ALL peer responses require an in text citation, a reference, and 6 or more sentences. References should be between 2018 to 2022.
Post 1:
Aging can cause changes in the way one excretes waste from the body. Those changes can range from decreased muscle tone of the bladder and urethra which results in urine retention and a weakened urinary sphincter (Whitney, 2018). Chronic kidney disease (CKD) is characterized by the irreversible loss of kidney function that develops over years. Some causes to this condition include chronic kidney infections, hypertension, renal calculi, and diabetic neuropathy (McCance & Huether, 2014). There is no cure for CKD, but treatment can help relieve symptoms. Some people may need dialysis which is done 3 times a week. If a patient doesn't have a kidney transplant, dialysis will need to be lifelong.
Elimination complexities can affect the lives of patients and their families. For example, having to take a loved one to dialysis and make sure these treatments are completed, or else there can be many complications that occur.
A nurse can support patients in many ways. First, helping the patient set realistic goals after being discharged. Encouraging support groups will help the patient in emotional ways. Promoting patient independence during the healing process will allow the patient to avoid deterioration. The GCU statement of Faith and Work (n.d.) believes that "Christian life must involve compassion and care". It is essential that nurses promote patient well-being and support the patient's spiritual needs.
References
McCance, K. L., & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children (7th ed.). St. Louis, MO: Elsevier Mosby.
Whitney, S. (2018). Elimination Complexities. Pathophysiology Clinical Applications for Client Health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/3
Grand Canyon University. (n.d.). Statement on the Integration of Faith and Work. Grand Canyon University
(Edu). https://www.gcu.edu/sites/default/files/media/Documents/Statement-IFLW.pdf
Elimination complexities are well-being circumstances that affect the normal excretion pattern of an individual. Uremia is a condition where the kidneys cannot function normally resulting in an elevated level of blood urea nitrogen level. High blood nitrogen levels usually signify renal failure. It is sometimes a symptom of end stage chronic renal failure. Individuals with elimination complexities are usually shy to express themselves because the condition involves their private parts therefore the nurse should always show compassion and help them to recover. Patients and families with elimination complexities are usually affected financially because they seek treatment which sometimes needs a lot of money. Patients with uremia usually present with gastrointestinal symptoms like nausea vomiting and they may also have altered mental state. The role of the nurse is to assess and find health problems and assist the patient get treatment before complications (Whitney, 2018). The nurse should also provide health education on the signs of symptoms and how the patient can manage the treatment regime.
The nursing team must provide strong supportive communication when assisting clients with elimination. The inability to effectively eliminate waste products from the kidney and bladder may lead to serious medical conditions and can be a psychosocial factor contributing to decreased quality of living. Special consideration is necessary for patients at risk for bladder and kidney diseases and the nurse should be compassionate. God created every human being in his own image; therefore, every person is important before God (Grand Canyon University, 2022). As nurses we should value our patient's life and do our best to make them better with the belief that God is the ultimate healer, and he does not want his people to suffer.
References
Whitney, S. (2018).Elimination complexities. Pathophysiology Clinical Applications for Client Health
Grand Canyon University, (2022). Statement on The Integration of Faith and Work
https://www.gcu.edu/sites/default/files/media/Documents/Statement-IFLW.pdf
Post 3:
Elimination complications are medical problems that prohibit people from excreting normally. Uremia, a kidney ailment that usually affects one's capacity to eliminate urine, illustrates an elimination complication. When the kidneys are injured, the toxins that the kidneys generally eliminate through urine enter the circulation, causing uremia. One of the main signs of kidney failure is uremia, which also signals the latter phases of chronic kidney disease (Rezaei et al., 2020). People who have trouble eliminating frequently require assistance, and the nurse must recognize that these patients often feel ashamed to ask for it. Therefore, to assist these communities, the nurse must exhibit compassion and refrain from acting embarrassed to help these groups.
It is undeniable that elimination complications have an impact on patients' and their families' social, economic, and psychological well-being. Chronic disorders like uremia are expensive to manage since they are lifelong illnesses that deplete families' funds, cause stress to see family members struggle, and cause social exclusion and withdrawal in patients that are typically taken into consideration after diagnosis (Rezaei et al., 2020).
Nurses are essential in helping patients and their loved ones handle their diseases, through patient care to the crucial treatment guidance required. Patients with these illnesses depend on the nurses to identify their worsening symptoms and devise strategies within the parameters of their expertise scope to provide treatments and alternative methods for symptom relief (Chen et al., 2022). On a patient's condition, the nurses also work with other relevant professionals to improve the quality of life for patients, their health, and the welfare of their families, as well as to comprehend and adapt to their interests.
References
Chen, Y., Ding, J., Li, C., Wu, T., Li, Q., Chen, R., & Zhou, J. (2022). Study on Nursing Effect of Psychological Intervention on Uremic Hemodialysis Patients. Computational and Mathematical Methods in Medicine, 2022. https://doi.org/10.1155/2022/8040656
Rezaei, H., Niksima, S. H., & Ghanei Gheshlagh, R. (2020). The burden of Care in Caregivers of Iranian patients with chronic disorders: a systematic review and meta-analysis. Health and Quality of Life Outcomes, 18(1), 1-11. https://doi.org/10.1186/s12955-020-01503-z
Post 4:
Patients and their loved ones may be impacted in a few ways by eliminating complications. In the first place, they may affect the level of medication-related communication between patients and their loved ones. Patients may have trouble remembering to take their medication or may have trouble comprehending why it is necessary. Mistakes in dosing result in unwanted side effects and drug interactions.
Secondly, when unnecessary complications are removed, it can have a positive effect on the standard of care delivered by medical staff. Inadequate medication management is a direct result of poor provider-patient communication.
Third, the time spent on medicine and doctor visits can prevent people with elimination complications from completely participating in their daily lives. If it happens often enough during the day, week, or month, it can have a negative impact on personal and professional spheres alike. For instance, if a patient's primary care physician works on evenings or weekends, there may not be anybody else available to take over treatment during those times.
Fourth, some patients cannot take medications effectively owing to mental diseases like Alzheimer's or dementia, therefore elimination complexity might pose a threat to patient safety. Changes in dosage strength or frequency may be necessary if these patients are taking prescription drugs for illnesses like Alzheimer's disease or dementia.
The nurse's ability to empathize with the patient is crucial in meeting the patient's emotional, psychological, and spiritual requirements. The nurse's ability to determine when a further inquiry into the patient's comments is warranted is essential. If the patient lacks the means to obtain the necessary resources, the nurse should be able to help them locate appropriate alternatives.
A nurse's ability to encourage and comfort a patient is among her most valuable skills. It's possible to achieve this through talking, touching, or just being there. The nurse's ability to read cues from the patient and respond positively is crucial. If a patient is upset and crying, for instance, the nurse shouldn't try to figure out why but should instead offer comfort by giving the person a tissue and being there for them. The patient can benefit much from this kind of encouragement, and it can also make them feel less isolated.
If the patient is having difficulty with any of these requirements, the nurse can refer them to appropriate resources. If a patient is having difficulty accepting their diagnosis, for instance, the nurse can provide referrals to support groups or psychotherapy. A nurse can be a great resource for patients who are having trouble making ends meet. It is imperative that the nurse has access to the appropriate tools.
Patients need the nurse's assistance in setting reasonable goals for treatment and recovery. Communicating with them about their health and how it changes their lives is an important step in this direction. The nurse can offer comfort by providing strategies for dealing with the patient's health issue.
As a final step, the nurse should be able to encourage the patient during times of anxiety or depression by helping them find ways to relieve stress through physical activity or meditation practices like visualization techniques (which help patients visualize positive outcomes) or breathing exercises (which help patients regulate their breathing).
Reference
Fiscella, K., & McDaniel, S. H. (2018). The complexity, diversity, and science of primary care teams. American Psychologist, 73(4), 451.
O'Brien, M. R., Kinloch, K., Groves, K. E., & Jack, B. A. (2019). Meeting patients' spiritual needs during end‐of‐life care: A qualitative study of nurses and healthcare professionals' perceptions of spiritual care training. Journal of Clinical Nursing, 28(1-2), 182-189.