2014年10月15日星期三

Nursing Care Plan (NCP) for Diabetic Nephropathy Undergoing Hemodialysis

Diabetic Kidney Disease is a secondary disease of Diabetes and is mainly found among people with more than 5~10 years' disease history. Controlling the levels of blood pressure, blood glucose as well as changing diet are not enough to treat the disease. Consequently, many patients develop End Stage Diabetic Nephropathy and have to rely on dialysis or kidney transplant to maintain life.

Hemodialysis is a procedure of cleansing the blood of accumulated waste products. It is a fast and efficient method for removing urea and other toxins and correcting fluid and electrolyte imbalances. A nursing care plan (NCP) for patients with Diabetic Nephropathy may include aspects as below:

1. Restrict sodium and potassium as indicated; for example, avoid bacon, ham, other processed meats and foods, orange juice, and tomato soup Rationale these electrolytes can quickly accumulate, causing fluid retention, weakness, and potentially lethal cardiac Dysrhythmias.

2. Monitor food and fluid ingested and calculate daily intake of calories. The nutritional needs are extremely varied with patient's age, stage of kidney disease and other coexisting conditions.

3. Recommend small, frequent meals. Schedule meals according to dialysis needs Rationale Smaller portions may enhance intake. Type of dialysis influences meal patterns.

4. Frequent mouth care before eating is needed, which can decrease oral discomforts that can interfere with intake of foods.

5. Measure the weight every day at fixed time by the same weighing machine. The weight gain should be no more than 2 to 3 kg between dialysis.

6. Do proper physical activities. Avoid being tired, or fatigue.

7. Protect themselves from catching a cold or an infections. Develop a healthy living habits. Have a good control of blood pressure. Consult a doctor before taking medicines.

The new therapies of avoid dialysis

Micro-Chinese Medicine Osmotherapy is a featured therapy in Shijiazhuang Kidney Disease Hospital and is not available in any other hospital worldwide.

Micro-Chinese Medicine Osmotherapy is a new development and application based on the rationale of traditional Chinese herbal medicine in treating disease. It is an external therapy and the micronized herbal medicines can penetrate into kidney lesions through the skin in kidney area directly. By this way, the effective medicine ingredients can be absorbed by kidneys quickly and effectively.

If people with Diabetic Nephropathy undergoing hemodialysis can follow the above suggestions, their life quality can be improved in a certain degree. If you have any questions you can chat with our online docotors.

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