الفهرس | Only 14 pages are availabe for public view |
Abstract Kidney transplantation is the ideal treatment option for many patients with ESRD because of; a better quality of life, a greater freedom from dependence upon a machine, freedom from fluid and dietary restriction, return of sexual function and fertility with possibility of parenthood. It has been estimated that the cost of continuing care for the transplanted patient is one-fifth of the cost of dialysis per year. Kidney transplant operations should be attempted only after a period of study and preparation. Therefore, careful pre-transplant evaluation and teaching are necessary to prepare the patient for surgery and postoperative course, and also to provide a greater chance of long-term success. The patient undergoing kidney transplantation requires aggressive medical care and expert nurses for educating the patient and family, meeting care needs, and for close monitoring and management. Nursing practice requires complex combinations of knowledge, performance, skills and attitudes, a holistic definition of competence needs to be agreed upon and operationalised. This could facilitate greater acceptance of the concept and development of competency standards. The Standards of Care gives an overview of how the nurse will collect and analyze the data, identify the problems, and plan of care. Implementation of the plan, coordination of the care using all resources available, and reinforcing with teaching and health promotion covers the general nephrology nurse standards. |