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    465 results match your criteria CANNT Journal[Journal]

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    Fatigue in chronic kidney disease: Definition, assessment and treatment.
    CANNT J 2016 Jan-Mar;26(1):39-44
    Chronic fatigue--an overwhelming subjective feeling of mental or physical exhaustion--impacts patients' everyday functioning and quality of life, delays recovery after hemodialysis, and increases mortality. There are a number of factors that may perpetuate clinically significant fatigue among individuals with chronic kidney disease, including sleep disorders, depression, sedentary lifestyle, anemia, and chronic inflammation. Some of these factors (i. Read More

    An overview of advance care planning for patients with advanced chronic kidney disease: The basics.
    CANNT J 2016 Jan-Mar;26(1):24-9
    As the number of Canadians living with end-stage kidney disease (ESKD) continues to grow, even higher numbers are living with advanced chronic kidney disease (CKD). Many of these people will eventually require renal replacement therapy (RRT), either dialysis or transplantation. More than 50% of patients starting RRT today are aged 65 or older, with the fastest growing group being patients 75 years and older. Read More

    Engaging health care providers to improve the referral and evaluation processes for potential transplant candidates--The Toronto General Hospital Experience.
    CANNT J 2016 Jan-Mar;26(1):12-6
    The Kidney Transplant Program (KTP) at the Toronto General Hospital has taken great strides in preparing to meet the needs of patients and health care providers, as the number of end-stage renal disease patients in Ontario increases. The KTP has begun the process of increasing engagement and collaboration with various stakeholders from the pre- to the post-transplant phase through (1) the development of innovative programs to increase the number of live kidney donations, (2) the development and maintenance of information technology solutions that work simultaneously to provide data to manage and treat patients, and conduct research, and (3) the development, implementation, and delivery of educational presentations and tools to various stakeholders both at the referring centres and the transplant program. Future steps for the KTP include evaluating the impact of these programmatic tools and activities on the number of referrals received and the subsequent effect on the number of transplants performed. Read More

    Development of competencies for the use of bedside ultrasound for assessment and cannulation of hemodialysis vascular access.
    CANNT J 2015 Oct-Dec;25(4):28-32
    Use of ultrasound for hemodialysis vascular access assessment and real-time cannulation requires specialized training. In order to obtain basic hand-eye coordination, theoretical sessions on ultrasound use, as well as practical sessions using phantom models are recommended prior to its use in the clinical setting with patients. New users of this technology need to consider that all competencies can be achieved with daily use of ultrasound at the bedside. Read More

    The Canadian Organ Replacement Register: Nursing's important contribution.
    CANNT J 2015 Oct-Dec;25(4):26
    You are a charge nurse in a large hemodialysis unit in Ontario.One of the clerical staff has approached you today to assist withan update to her statistics on new and existing patients in yourunit. You are asked to clarify the cause of death for one patientand to clarify the date of transfer to the home dialysis programfor peritoneal dialysis on another patient. Read More

    When medical devices fail: Lessons learned in a hemodialysis unit.
    CANNT J 2015 Apr-Jun;25(2):36-9
    Technology and medical equipment devices have become integrated in the delivery of health care. These technologies and devices can introduce new risks, either through user error or malfunction. When these incidents occur, it is important they are reported so that learning and improvements are possible. Read More

    Depression in patients with chronic kidney disease.
    CANNT J 2015 Jul-Sep;25(3):34-8
    Chronic kidney disease affects 10 per cent of the general population. A number of studies over the last decade have established that there is a higher prevalence of depression amongst those with chronic kidney disease (CKD). Biological, psychological and socio-economic factors influence the higher prevalence of depression in this population. Read More

    Palliative care in patients with advanced chronic kidney disease.
    CANNT J 2015 Jul-Sep;25(3):28-32
    The past five decades have shown a tremendous growth, world wide, in the number of patients with advanced chronic kidney disease (CKD). Patients with advanced CKD today are notably older, have significant comorbidity, substantial symptom burden and, ultimately, have high mortality. Subsequently, there is an increased global awareness of the need to integrate palliative care into routine kidney care to enhance the quality of life and death for patients with advanced CKD. Read More

    Psychosocial needs assessment post kidney transplant: Feasibility of a post-transplant specific support group.
    CANNT J 2015 Jul-Sep;25(3):14-21
    This project assessed unmet psychosocial needs of kidney transplant recipients and the feasibility of a support group located at an urban Canadian hospital to meet those needs. A survey assessed transplant recipient concerns about psychosocial issues related to transplantation, interest in a support group, desired group composition, facilitation, leadership, barriers and alternative forms of support. Most respondents were more than two years since transplant and were more concerned about medical complications, returning to normalcy, and had a greater desire to talk to other transplant recipients. Read More

    Should statins be used to prevent cardiovascular disease in patients on hemodialysis?
    CANNT J 2014 Apr-Jun;24(2):45-7; quiz 48-9
    There now exists current evidence that the initiation of statin therapy in patients on hemodialysis does not provide the same cardiovascular benefit as in non-hemodialysis patients. The KDIGO guidelines suggest not to initiate statin therapy in hemodialysis-dependent CKD patients, but to continue therapy in patients who are already on a statin at the time of hemodialysis initiation. A closer monitoring of myopathy is warranted for hemodialysis patients on a statin therapy. Read More

    Responsiveness of the patient's perception of hemodialysis scale.
    CANNT J 2014 Apr-Jun;24(2):33-44
    Objectives: To assess hemodialysis (HD) patients' physical health, social supports, psychosocial well-being and the interrelationship among patients' experiences, demographics, illness characteristics, and biochemical indicators of health. To determine responsiveness of the Patient's Perception of Hemodialysis Scale (PPHS) to change in health status and critical events.

    Methods: Using a longitudinal design HD patients (n = 85) were assessed at two time periods. Read More

    Satellite hemodialysis services for patients with end stage renal disease.
    CANNT J 2014 Jan-Mar;24(1):28-33
    More than 40,000 Canadians are living with end stage renal disease and approximately 22,400 of those are currently being treated with hemodialysis (The Kidney Foundation of Canada, 2013). Long distance travel to access hemodialysis services can be a serious burden for patients, and travelling more than 60 minutes can mean a 20% greater risk for death, as compared with those who travel 15 minutes or less (Moist et al., 2008). Read More

    Quality of life in end stage renal disease: a concept analysis.
    CANNT J 2014 Jan-Mar;24(1):12-20
    Aim: This concept analysis examines quality of life (QOL) in the context of end stage renal disease (ESRD).

    Background: Quality of life is a multidimensional concept historically used by governmental bodies to measure society's satisfaction of economic and social outcomes. However, health care researchers have demonstrated that the concept of QOL relates to a deeper meaning of an individual's experience of life and health. Read More

    Perspectives of significant others in dialysis modality decision-making: a qualitative study.
    CANNT J 2013 Oct-Dec;23(4):17-24
    Objective: To explore the experience of the dialysis modality decision-making process from the perspective of the significant other.

    Methods: A qualitative interpretive description study was conducted using the Interprofessional Shared Decision Making Model (Légaré et al., 2011). Read More

    The connection between neurosciences and dialysis: a quick neurological assessment for hemodialysis nurses.
    CANNT J 2013 Jul-Sep;23(3):20-6; quiz 27-8
    London Health Sciences Centre, Victoria Hospital, London, ON.
    Stroke is a significant medical emergency and occurs frequently in patients receiving renal replacement therapy. In 2005, the Registered Nurses Association of Ontario (RNAO) published Nursing Best Practice Guidelines for Stroke, highlighting the necessity and expectation that all nurses, regardless of specialty, are able to perform an abbreviated neurological assessment, identify the symptoms of stroke, and respond to these as a medical emergency. This article highlights the significance of neurovascular disease in persons who receive renal replacement therapy, and serves as an educational review for dialysis nurses to increase their neurological functional assessment skills. Read More

    A renal nursing professional practice model: the next generation.
    CANNT J 2013 Jul-Sep;23(3):14-9
    University Hospital, London Health Sciences Centre, London, ON.
    Professional practice models provide a structure for excellence in nursing practice. Our centre has had a long tradition of working with a professional practice model with proven nursing outcomes such as job satisfaction, empowerment and perceptions of improved patient care. Our model, in place since 1999, has provided an opportunity to discuss and articulate a vision for nursing practice based on the values of accountability, evidence-informed care and empowerment. Read More

    Applying the PARiHS framework in a knowledge dissemination initiative.
    CANNT J 2013 Apr-Jun;23(2):48-50
    St. Michael's Hospital, 30 Bond Street, Toronto, ON M5B 1W8.
    This paper describes the process of facilitating knowledge dissemination using the Promoting Action on Research Implementation in Health Services (PARiHS) framework, including articulation of findings, barriers, implications, and recommendations. Advanced practice nurses (APNs) are in a unique position to facilitate the dissemination of evidence-based knowledge to front-line staff in health care organizations. At a community acute care hospital in Toronto, Ontario, the collaborative competency of an APN was used to develop partnerships with three units in order to implement interprofessional knowledge dissemination via education sessions. Read More

    Moving beyond the "perpetual novice": understanding the experiences of novice hemodialysis nurses and cannulation of the arteriovenous fistula.
    CANNT J 2013 Jan-Mar;23(1):11-8
    Victoria Hospital, London Health Sciences Centre, London, ON.
    Cannulation of the arteriovenous fistula (AVF) is an essential skill for hemodialysis (HD) nurses. With declining rates of AVFs, opportunities to develop expert cannulation skills have become limited. This study explored the concept of perpetual novice and AVF cannulation from the perspective of the novice cannulator. Read More

    New agent to treat elevated phosphate levels: magnesium carbonate/calcium carbonate tablets.
    CANNT J 2012 Oct-Dec;22(4):33-5; quiz 36-7
    University of Waterloo, Waterloo, ON.
    In summary, Binaphos CM, a magnesium carbonate/calcium carbonate combination phosphate binder, is marketed for treating elevated phosphate levels in dialysis patients. Although studies using magnesium/calcium carbonate as a phosphate binder are short term with small numbers of patients, this phosphate binder has shown some promising results and may provide clinicians with an alternative for phosphate binding. Using a combination phosphate binder may reduce pill burden and encourage patient compliance. Read More

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