End Stage Renal Disease Essay

End stage renal disease can manifest as a variety of symptoms that include general malaise, weakness, dry skin, pruritus, and headaches, loss of appetite, and sometimes nausea and vomiting. Also, drowsiness, confusion, muscle twitching or cramps, easy bruising, nosebleeds, edema, low urine output, etc. If kidney failure is untreated, it can develop to seizures, coma, and death. With that being said, we have to remember that when people deal with life challenges, they experience emotional anxiety especially if encounter a difficulty for the first time (Clarice and her family). They experience fear ("loose a wonderful mother and grandmother much too soon"), anger ("She felt even God had let her down "), grief and depression (Hadn’t she always
The patients with ESRD face body image issues. For example, most ESRD with a fistula either they cover it with a bandage or wear long sleeves to avoid comments from other people. These patients feel dependent to complete their future plans or disappoint to undergo a previously peaceful relationship with the family (“Many patients transfer the responsibility of their dialysis to their partners, especially those who had to be persuaded to agree to dialysis in the first place”). Renal disease can cause sexual dysfunction as side effect of prescribed drugs. Clarice and family may lose their employment before retirement due to lack of social recognition of the person's work capacity. Disturbance in self-concept may also lead to depression, sometimes associated with suicidal thoughts. Poor self-esteem may be manifested by poor self-hygiene, by excessive dependency and lack of adherence to treatment regiments. As nurses, we to have Assess the patient’s emotions, social/family roles, capacity for coping with chronic illness and feelings of