Nursing Care for Patient with Acute Kidney Injury undergoing Hemodialysis : Case Study

Abstract

            Acute Kidney Injury (AKI) caused by the acute loss of ability of kidneys to get rid of body waste and the control of water and mineral in blood stream. This condition could be severe which may lead to fatality. It is found that hemodialysis usually gives a good outcome. It improves the symptom of patient with AKI. This case report purposed to demonstrate the use of 11 the Gordon’s Functional Health Patterns in hemodialysis nursing care for patients with AKI. Two cases of patient admitted at Sakon Nakhon hospital from January to December, 2020 were presented as follows:

           Case Study 1: Eighty–seven years old female patient reported that she was exhausted, palpable and had anorexia. The underlying diseases were hypertension and diabetes. She had hyperkalemia, acidosis together with AKI. After received three times of hemodialysis, her kidneys were recovered with appropriate urine output, 1,000 – 2,000 ml. per day. She stayed in the hospital for 14 days.

           Case Study 2: Eighty years old female patient reported that she was tired, vomited and had anorexia. The underlying diseases were hypertension and diabetes. She had electrolytes imbalance, acidosis and volume overload. After received four times of Hemodialysis, her kidneys were recovered and appropriate urine output, 2,000 – 3,000 ml. per day. She stayed in the hospital for 11 days.

            These 2 cases study showed that the use of 11 Gordon’s Functional Health Patterns as a major pattern in evaluating the patient’s health problem together with the treatment of nephrologist and medical doctor in every phase of nursing care could recover patient’s kidney, as a result, they were out of intensive care.

            Keywords: Nursing Care, Acute Kidney Injury, Hemodialysis, Gordon’s Functional Health Patterns