ANNA Journal articles from December 1998

ANNA Journal archives from December 1998

A Practical Guide to Funeral Planning.
December 1, 1998... "A funeral represents a purposeful opportunity to reflect on the meaning of a life that has been lived and to determine the impact of that meaning for family and friends. There is no single proper funeral service. It is a time for human sharing...

End-of-Life Issues Affect Nephronology Nursing Practice Daily.
December 1, 1998... Barbara B. Germino, PhD, RN, FAAN, is associate professor, School of Nursing, University of North Carolina, Chapel Hill, NC. She is a noted author and editor of publications that deal with death, dying, and bereavement as well as the care of...

The Many Facets of Loss: Strategies for Nurses.
December 1, 1998... Nephrology nurses today must deal with many different types of loss. Nurses learn how to assist patients and families with the dying process early in their careers and build upon that knowledge throughout their professional careers. It is so...

Nephrology Community Initiatives to Develop Guidelines for End-of-Life Care.
December 1, 1998... Nephrology nurses have been involved in working with patients and families when initiation of dialysis becomes an anticipated medical necessity. However, more often nephrology nurses are the first to hear the patient's wishes to withdraw from...

When A Chronic Illness Becomes Terminal.
December 1, 1998... Since the advent of dialysis and transplantation, end stage renal disease (ESRD), in spite of its name, has been viewed as a chronic illness. Chronic illness is unremitting, persists over time, pervades all aspects of life, and has a trajectory...

The Final Story: Events at the Bedside of Dying Patients as Told by Survivors.
December 1, 1998... Events and interactions at the bedsides of dying patients form lasting memories for families and friends. Survivors are emotionally affected by what is said, who is there, and how care is delivered; they can vividly describe these happenings...

Death with Dignity.
December 1, 1998... In an outpatient dialysis unit we developed a plan of care for those patients who select no resuscitation ("No Code" or DNR) in the event they did expire during a dialysis treatment. In a freestanding facility, expired patients can not transfer...

Legal Considerations at the End of Life.
December 1, 1998... Facing death produces highly emotional reactions in both the person who is dying and in loved ones who anticipate a loss. At this time, patients and their families confront legal decisions, particularly regarding advance directives and...

Ethical Decision Making in Nephrology Nursing for End-of-Life Care: A Responsibility and Opportunity.
December 1, 1998... This offering for 1.1 contact hour is provided by the American Nephrology Nurses' Association (ANNA), which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation...

Management of the Patient with ESRD After Withdrawal from Dialysis.
December 1, 1998... Termination of dialysis therapy as a treatment option was first reported in 1986 by Neu and Kjellstrand. It now occurs in the United States with increasing frequency according to Conneen and associates (1998). From 1993-1995, 19% of end stage...

Collaborative End-of-Life Decision Making in End Stage Renal Disease.
December 1, 1998... The last decade has seen a significant shift in the rights of patients to make decisions and choose treatment options. The catalyst for this change was the Patient Self-Determination Act (PSDA) of 1990. It mandated that every patient entering a...

Why Hospice? The Case for ESRD Patients and Their Families.
December 1, 1998... Hospice is usually not a place, but rather a coordinated interdisciplinary program that addresses the physical, emotional, social, and spiritual needs of the terminally ill individual and their families. It is a return to a more humane,...

Parenteral Iron Supplementation in Patients With End Stage Renal Disease.
December 1, 1998... As the word suggests, erythropoietin is essential to erythropoiesis, the formation of red blood cells. Erythropoietin is a hormone released by the kidneys when they are stimulated by tissue hypoxia (Ratnoff, 1993). End stage renal disease...

Collaborative Care with Hospice to Help Richard and Irene: A Case Study.
December 1, 1998... Irene seemed very touched when I called her about a year after Richard's death, which had been July 10, 1997. She wanted to tell me how wonderful the Hospice staff had been over the past year. They had contacted her monthly as part of their...

Process Owners: Empowering Nurses to Manage Anemia: Case Study of the Anemic Patient.
December 1, 1998... Development and widespread dissemination of the National Kidney Foundation's Dialysis Outcome Quality Initiative (NKF-DOQI) recommendations for anemia management has centered attention on attaining consistent outcomes and prompted dialysis...

The Dilemma of "The Last Access Site".
December 1, 1998... Q: We have a patient who has had surgically placed accesses in both arms and legs and who has been dialyzing through catheters for the past 2 years. His most recent catheter is called a translumbar catheter and we are told that this is Ins last...

Agonist Narcotics.
December 1, 1998... For dialysis patients coming to the end of their life, there are frequently issues of pain that arise due to end stage renal disease (ESRD) related conditions such as bone disease, neuropathy, or other co-existing medical conditions. Unless...

American Journal of Orthopsychiatry 63(3).(Review)
December 1, 1998... Christ G.H., Siegel K., Freund B., Langosch D., Henderson S., Sperber D., & Weinstein, I. (1993). Impact of parental terminal cancer on latency-age children. American Journal of Orthopsychiatry, 63(3), 417-425. Commentary: A time of great...

American Journal of Orthopsychiatry 64(4).(Review)
December 1, 1998... Christ G.H., Siegel, K., & Sperber, D. (1994). Impact of parental terminal cancer on adolescents. American Journal of Orthopsychiatry, 64(4), 604-613. Commentary: Adolescence is a difficult enough phase of life without having to deal with...

British Journal of Hospital Medicine 56(6).
December 1, 1998... Monroe, B., & Kraus, F. (1996). Children and loss. British Journal of Hospital Medicine, 56(6), 2.60-269. Commentary: St. Christopher's Hospice is considered the Mecca in the care of the terminally ill. Drawing on their clinical experience,...

Caring Magazine.
December 1, 1998... Slivka, H.H., & Magill L. (February 1993). Working with children of cancer patients. Caring Magazine, 90-92, 94-95. Commentary: The combined approach of this social worker and music therapist team is aimed at mitigating later adjustment...

Dying Well: The Prospect for Growth at the End of Life.(Review)
December 1, 1998... Dying Well: The Prospect for Growth at the End of Life By Ira Byock First Edition, 1997 Riverhead Books, a Division of G.P. Putnam's Sons 200 Madison Avenue New York, NY 10016 299 pages, hard cover, $24.95 Dying Well is a compilation of...

A Good Death: Challenges Choices and Care Options.(Review)
December 1, 1998... A Good Death: Challenges Choices and Care Options By Charles Meyer First Edition, 1998 Twenty-Third Publications 185 Willow Street PO Box 180 Mystic, CT 06355 57 pages, paperback, $6.95 This book is a well-written, sensitive, and realistic...

When the Bough Breaks: Forever After the Death of a Son or Daughter.(Review)
December 1, 1998... When the Bough Breaks: Forever After the Death of a Son or Daughter By Judith Bernstein First Edition, 1997 Andrews and McMeel, A Universal Press Syndicate Company 4520 Main Street Kansas City, MO 64111 256 pages, hard cover, $19.95 This...

Whose Life Is It Anyway?(right to die)
December 1, 1998... She is 84 years old, combative, confused, and yells throughout dialysis. A successful dialysis treatment requires physical and/or chemical restraints. This thrice-weekly scene dreadfully impacts the other patients. The physician and staff are...

The Good Death: The New American Search to Reshape the End of Life.(Review)
December 1, 1998... The Good Death: The New American Search to Reshape the End of Life Marilyn Webb First Edition, 1997 Bantam Books 1540 Broadway New York, NY 10036 472 pages, hardcover, $24.95 The Good Death is the culmination of 6 years of investigative...