ANNA Journal articles from December 1996

ANNA Journal archives from December 1996

Care of the hemodialysis patient with a new permanent vascular access: review of assessment and teaching. (continuing education article; includes test and answer sheet)
December 1, 1996... Patients with chronic renal failure need a new permanent vascular access for a number of reasons: they may have been diagnosed with renal failure and will need to start hemodialysis in the near future; they have failed on peritoneal dialysis...

Designing a computerized data collection tool for access management. (dialysis access)
December 1, 1996... In today's evolving health care industry, it is no longer possible for dialysis facilities to simply provide good dialysis care to patients. Consumers of dialysis care, be it patients and families, or Health Care Financing Administration...

Continuous quality improvement: improving hemodialysis catheter patency using urokinase.
December 1, 1996... A successful continuous quality improvement (CQI) program begins with a vision and continually evolves when nurtured in a creative environment. Creative strategies can be developed in an atmosphere without boundaries or barriers that restrict...

Central venous catheter management: how to prevent complications. (continuing education article; includes test & answer sheet)
December 1, 1996... Central venous catheters (CVCs) are essential devices for providing dependable accesses in monitoring and management of both acutely and chronically ill patients. Within the nephrology community, both chronic access problems and the...

Geriatric hemodialysis patients: a comparative study of vascular access.
December 1, 1996... Clinical investigations focusing on the elderly are crucial to the successful care and treatment of end stage renal disease (ESRD). Elders are the fastest growing age group within the ESRD population. According to the United States Renal Data...

Comparison of measures for prospective identification of venous stenoses.
December 1, 1996... OBJECTIVE: To compare two methods, venous dialysis pressure (VDP) and intra-access static flow pressure (VPO), for the prospective identification of venous stenoses in high-risk PTFE grafts. DESIGN: Comparative. SAMPLE/SETTING:...

Identifying a new reality: zero vascular access recirculation using ultrasound dilution.
December 1, 1996... Access recirculation occurs when a portion of the blood returning from the dialyzer recirculates through the arterial line instead of full delivery to the venous circuit. Its existence is attributed primarily to improper needle placement and...

Nursing practice related to peritoneal catheter exit site care and infections.
December 1, 1996... Successful peritoneal dialysis depends on a permanent access to the peritoneal cavity. Peritoneal access using a permanent catheter has made long-term peritoneal dialysis possible for many patients. However, the exit site of peritoneal...

Performing CAPD independently with one hand using an assist device. (continuous ambulatory peritoneal dialysis)
December 1, 1996... The continuous ambulatory peritoneal dialysis (CAPD) nursing staff at Nephrology, Inc. in Mishawaka, IN, began instruction on the use of the Baxter Ultrabag[R] disconnect system, which proved difficult for one patient with only one functioning...

MRSA, hypercoagulability and hemodialysis vascular access failures: a case study. (methicillin-resistant Staphylococcus aureus)
December 1, 1996... Patient Profile R.S., a pleasant, outgoing African-American, wa 39 years old, married, and actively employed as a preschool teacher when hemodialysis was initiated in 1991. Her primary diagnosis was noninsulin-dependent diabetic...

Thrombolytic therapy with urokinase.
December 1, 1996... Maintenance of long-term access for both hemodialysis and peritoneal dialysis remains problematic despite the evolution of access material and refinements in access management techniques. Surgically placed foreign objects in contact with blood...

Epoetin alfa - focus on the rehabilitation of dialysis patients: case study of the anemic patient.
December 1, 1996... Rehabilitation of dialysis patients was a goal of the Medicare/End-Stage Renal Disease (ESRD) Program in 1972. At that time, vocational rehabilitation was expected to return most patients with ESRD to the workforce. Although the ESRD...