This website uses cookies to ensure you have the best experience. Learn more

Discuss The Management Of Kidney Failure By Dialysis And Transplant

1511 words - 7 pages

Discuss the Management of Kidney Failure by Dialysis and Transplant

Most humans are born with two bean-shaped kidneys (approximately 11cm long and 6cm wide) located in front of the twelfth ribs at the back of the abdominal cavity. Oxygenated blood and nutrients are supplied to the kidneys by the renal artery and the renal vein carries away filtered blood to the heart.
Kidneys play a crucial role in homeostasis, working as vital filtration and purification organs. They filter poisonous urea and other waste products from the bloodstream so that they can be eliminated by excretion from the body in urine. The production of urine containing variable amounts of water and solute ...view middle of the document...

A net movement of urea, water, glucose and salts such as sodium and potassium out of the blood is ensured by the composition of the dialysate. The cleaned blood returns. Haemodialysis is usually carried out in hospital or a special clinic, the process taking four hours, three times a week. Patients will be lying on a couch or sat in a chair and can pass the time reading or watching television. Home treatment is possible but only after extensive technical training has been received by the patient. For home treatment, this form of dialysis, unlike peritoneal dialysis, realistically requires a separate room and therefore has a greater degree of interference with the home.
Peritoneal dialysis utilizes the peritoneum as a dialysing membrane. A stoma is made in the abdomen wall and the dialysing fluid is introduced through a tube. It must be performed four times every day but as a dialysing treatment is still considered to be the least time consuming as haeomodialysis can involve lengthy journeys to and from hospital. Perhaps its greatest advantage is that during peritoneal dialysis treatment, the patient is free to walk around. It can be done at any hour and can provide a greater sense of independence. The dialysate must be exchanged every six hours but this is a simple procedure which the patient can carry out themselves after some basic training. It can be executed at home, in the workplace or on holiday, with comparative ease. Bags of solution are easy to take on holiday. In the case of Haemodialysis, holidays are only possible where dialysis can be organised in another unit. If the unit is non-NHS, the patient is responsible for costs that exceed the NHS equivalent.
Diet is essential in kidney failure because waste products from our food can not be eliminated and so should be reduced. Salty foods should be avoided. Potassium and phosphate should be controlled. The diet for a haemodialysis patient is stricter than that of a peritoneal dialysis patient.
Dialysis is an invasive technique and it presents risks and side effects. Damage to the access point or bleeding can occur. Catheters present risk. Risks of infection, particularly peritonitis (in peritoneal dialysis) with its flu-like symptoms or septicaemia (particularly haemodialysis) are possible. Cleanliness and good hygiene facilitate prevention. Anaemia due to reduced levels of erythropoietin (especially haemodialysis), hypertension, MRSA, risk of hepatitis B and C due to exposure to blood during treatment and the theoretical risk of HIV are all concerns.
Overall, it is considered that of the dialysis options, peritoneal dialysis entails less financial burden. Dialysis filters are expensive pieces of precision engineering that can be used for only a few sessions and must then be discarded. Due to the costs of this equipment, maintenance and personnel, dialysis treatment is substantially more expensive than kidney transplant.
Kidney transplantation involves a kidney from a donor being...

Other Papers Like Discuss the Management of Kidney Failure by Dialysis and Transplant

Every Organisation Has To Prepare For The Abandonment Of Everything It Does"( Peter Drucker). Discuss This Statement In The Context Of Change Management And Strategy

2993 words - 12 pages decisions and some strategies do not lead to an organisation to change , there are many that depend on change management skills. Peter Druker's statement is viewed at the same angle by many other management consultants. The reality is that nothing last forever, it is just a matter of time before changes affect an organisation.As demonstrated on the graph , in every organisation , a transformation stage is reached with time , whereby to sustain growth

Intentions Of Alexander II And The Failure Of The Emancipation Of The Serfs

1539 words - 7 pages Intentions of Alexander II and the Failure of the Emancipation of the Serfs In the 19th century it was estimated that about 50 per cent of the 40,000,000 peasants in Russia were serfs, who worked on the land and were owned by the Russian nobility, the Tsar and religious foundations. This had been true for centuries; in 1861, however, this was all changed when Tsar Alexander II emancipated the serfs and gave them

Analysis and Synthesis of Chronic Heart Failure

2866 words - 12 pages Analysis and Synthesis of Chronic Heart Failure Research Studie Analysis and Synthesis of Chronic Heart Failure Research Studies Background Chronic heart failure (CHF) is a disease characterized by high mortality, readmission rates and a marked decrease in health-related quality of life. Psychological distress is common in patients with CHF and different psychological variables may have an impact on the prognosis in chronic heart failure

Discuss the Ways in Which Brokeback Mountain by Annie Proulx and the Comfort of Strangers by Ian Mcewaneither Reinforce, or Seek to Disrupt, the Identification of Femininity and Passivity and/or...

3571 words - 15 pages ‘Women readers gain access to the seductive taste of power only at the cost of identifying against their own interests as women. The active, judging consciousness within most texts, as we have seen, is male; the female is almost always the passive object of the narrative gaze, to be judged or praised or punished.’ Pam Morris. Discuss the ways in which any two texts either reinforce, or seek to disrupt, this identification of femininity and

Failure Of The Détente Between The Superpowers

1622 words - 7 pages détente between the superpowers of the USA and the USSR in the 1970’s, concentrating first on its positive developments between 1971 and 1973 and then on the events that lead to its ultimate failure, symbolised by the soviet invasion of Afghanistan in 1979. The first real steps of relaxation of tensions were taken with the Moscow summit and the signing of the SALT 1 (Strategic Arms Limitations Talks) agreement in

A Failure of Trust and the Victory of Jealousy in Othello

1091 words - 5 pages The tragedy of Othello is that the Moor was once noble and virtuous and was driven to a state where he plotted and committed murder then suicide. The reason for this change in persona, is because Othello’s misplaced trust, allowed him to be manipulated and made jealous by his most trusted companion Iago. Although Othello’s failure to trust his wife over Iago caused his and her undoing, it is fair to say that his trust for his Ancient was

Critically Discuss One of the Arguments Used by Descartes to Demonstrate the Existence of God

2215 words - 9 pages History of Philosophy I Title: Critically discuss one of the arguments used by Descartes to demonstrate the existence of God. "Man is the measure of all things: of things which are, that they are, and of things which are not, that they are not"[1] This statement by the sophist Protagoras summarizes to an extent (and not regarding the interpretation of Relativism that it was given) the basis of Descartes reasoning and especially the

Discuss the Costs and Benefits of Economic Growth

1783 words - 8 pages Discuss the Costs and Benefits of Economic Growth Economic growth is when there is an increase in national output and national input, due to a rise in aggregate supply and aggregate demand. There are two types of economic growth, long-run and short run. Short run economic growth is when there is an increase in actual gross domestic product (GDP) and long run economic growth is when the productive capacity of an economy expands. Long run

The 'Failure' of R2P in Darfur

5748 words - 23 pages The concept of human security portrays human rights abuses by states as being due to unsuccessful governance within states, often contentiously referred to as failed states. States fail when they are unable or unwilling to protect and promote the human rights of their own people. The situation whereby states fail to protect and promote the rights of their own citizens, is the gateway for the international community to initiate the use of armed

Failure Is the Key of Success

629 words - 3 pages | |Aim of the test |To test the grammatical foundation along with writing abilities | Find out the error in the following sentences. Mark the error and correct it, please note that you cannot change the structure or context of the statement. A single error has to be pointed out and corrected 1. How quick he runs. 2. Neither DeAndre

Discuss The Importance Of Confidentiality

1728 words - 7 pages of sixty five, who were experiencing mental health problems. The essay begins by discussing why confidentiality is important. It then goes on to discuss the reasons why a registered nurse is personally accountable and also to whom they are accountable to. Additionally the author will discuss the student nurses own experience that the author gained in placement throughout this essay and also include reference to relative, supportive literature

Related Essays

Discuss The Action, The Characters And The Dramatic Setting Of "The Laws" By Plato

554 words - 3 pages old men, an ordinary Spartan citizen (Megillus) and a Cretan politician and lawgiver (Kleinias) from Knossos. The Athenian Stranger, who is much like Socrates but whose name is never given, joins the other two on their religious pilgrimage to the cave of Zeus. The entire dialogue takes place during this journey, which mimics the action of Minos, who is said by the Cretans to have made their ancient laws, who walked this path every nine years in

Project Management Failure Of Hurricane Katrina

2907 words - 12 pages designation that hurricane Katrina was a "incident of national significance--requiring an extensive and well-coordinated response by federal, state, local tribal and nongovernmental authorities to save lives, minimize damage and provide the basis for long-term community and economic recovery." What followed this statement was a project management failure of catastrophic measures. I believe there are 4 major project management failures that could

Assess The Reasons For The Failure Of The Romanov Dynasty To Achieve Stability By 1917

1353 words - 6 pages “Assess the reasons for the failure of the Romanov dynasty to achieve stability by 1917” The start of the 20th century brought radical changes to the political and social structure of the autocratic Russian Empire. It was a time of regression, reform, revolution and eradication. A short period between the end of February through to the start of March 1917, Tsarist Russia and the Romanov dynasty had come to an end. The Romanov family, who

The Causes Of Market Failure Essay

1736 words - 7 pages congestion and noise.4)External benefits of consumption ( MSB>MB)Marginal social benefit is greater than marginal private benefits.For example, Some people prefer to travel by MRT trains than by car. They benefit by being less congestion and exhaust and also fewer accidents on the roads.Public GoodsThis is another source of market failure which is similar in nature to the problem posed by the commons. These category of goods of free market