Question

While undergoing hemodialysis, a client tells the nurse that being dependent on a machine is" no way to live". The nurse can best support the client by: A. Providing him with literature on advances in renal transplantation B. Explaining that most clients on hemodialysis get depressed C. Referring him to the nearest chapter of the American Kidney Foundation D. Allowing him to discuss his feelings about being on hemodialysis

Short answer

Answer: The best way for a nurse to support a client undergoing hemodialysis who expresses feelings of dependency on a machine is to allow the client to discuss their feelings, which provides an opportunity for the client to express their thoughts and emotions while also being supported in a non-judgmental way.

Step-by-step solution

Analyze each option

We need to look at each option individually, considering the benefits and drawbacks of each response, and how they contribute to supporting the client in their current situation.

Step 1a: Option A - Providing literature on renal transplantation

Providing the client with literature on advances in renal transplantation may give them hope for a potential alternative to hemodialysis in the future. However, it does not address their current feelings about being dependent on a machine.

Step 1b: Option B - Explaining that most clients on hemodialysis get depressed

While explaining that depression is common among clients on hemodialysis may provide some validation and normalization of the client's feelings, it does not offer any strategies to cope with or support the client's concerns about being dependent on a machine.

Step 1c: Option C - Referring to the American Kidney Foundation

Referring the client to the nearest chapter of the American Kidney Foundation may provide some educational resources and support from others who are experiencing similar situations. However, it does not directly address the client's feelings being expressed at the moment.

Step 1d: Option D - Allowing him to discuss his feelings

Allowing the client to discuss their feelings about being on hemodialysis provides an opportunity for the client to express their thoughts and emotions, while also supporting them in a non-judgmental way. This can be helpful in validating their feelings and creating a space for them to share their concerns.

Select the best option

After analyzing each option, it is apparent that option D, allowing the client to discuss their feelings, is the most suitable choice. This option ensures that the nurse is actively listening to the client and supporting them in their current situation while allowing them to express their feelings.

Key concepts

Renal Transplantation

Renal transplantation is a transformative procedure for individuals living with end-stage renal disease. It involves surgically placing a donated kidney into a recipient whose kidneys have failed, allowing the patient to live without the need for hemodialysis.

While transplantation can offer a renewed sense of freedom and improved quality of life, it is also a complex process with its own set of challenges. Transplant candidates must undergo thorough evaluation to determine suitability, and there may be a lengthy wait for a compatible donor organ. Post-transplant, patients must adhere to a strict regimen of immunosuppressive medications to prevent organ rejection.

In the context of the hemodialysis patient mentioned, providing literature on renal transplantation could serve as source of hope, informing them about an alternative treatment path. However, it is critical to ensure that this information is coupled with empathetic communication to address the patient's immediate emotional needs.

Depression in Hemodialysis Patients

Depression is a prevalent and severe complication among hemodialysis patients, with studies indicating a higher incidence in this population compared to the general public. The constraints of the treatment, lifestyle changes, and the chronic nature of kidney failure can all contribute to feelings of depression and helplessness.

Recognizing the signs of depression and offering appropriate support is crucial. This can include referral to mental health professionals, providing resources for coping strategies, and creating an environment that encourages patients to share their experiences and feelings.

It's essential for caregivers and nurses to listen and validate the patient's emotions rather than merely stating that the experience of depression is common. This validation can be the first step towards a more comprehensive, patient-centered support system.

American Kidney Foundation

The American Kidney Foundation is a national non-profit organization dedicated to helping people fight kidney disease through education, advocacy, research funding, and patient services. They offer resources and support for individuals affected by the illness, including those undergoing hemodialysis.

Patients can access information on treatment options, find local support groups, and connect with others sharing similar experiences. Referring a patient to this organization can empower them with knowledge and a sense of community. However, referrals should be personalized, and the patients' immediate emotional needs should be addressed concurrently with the provision of such resources.

Effective Nurse Communication

Effective communication is a cornerstone of nursing practice, especially in caring for patients undergoing treatments like hemodialysis. Strong nurse-patient communication involves active listening, empathy, and the provision of clear, concise information.

It is essential for nurses to create a supportive environment where patients feel comfortable expressing their feelings and concerns. Providing information without first addressing the emotional state of the patient may lead to a disconnect. Nurses should employ strategies such as reflective listening and the use of open-ended questions to facilitate deeper conversation.

For the hemodialysis patient referenced, the nurse's best course of action is to allow the patient to discuss their feelings openly. This approach not only validates the patient's experience but also fosters a trusting relationship and contributes to holistic patient care.