GOING THROUGH

DIALYSIS: A CASE STUDY

ABOUT A MIDDLE-AGED
WOMAN WITH CHRONIC
RENAL DISEASE
L a s t i m o s a , A t h e n a Irish, G a rc i a , K h r i s t I a n h Louisse, A m a r o , E r m a ,
M a g a l l a n e s , S h a n e l l e Mae, Pa g l i n a wa n , R i o z a n d ra , Sebello, M a r i e Adelle
INTRODUCTION
Mid d le - a ge d m e n a n d w o m e n ma k e u p t h e
m a j o r i t y o f t h e C KD i n t h e P h i l i p p i n e s .

Ch r o n ic k id n ey d isease in clu d es con d it ion s

t h a t d a m age t h e k id n e ys a n d d e cr e a s e t h eir
ab ilit y t o keep a p er son h ealt h y.

D i a l y s i s i s a t r e a t m e n t t h a t d oe s s om e o f t h e
t h i n g s d on e b y h e a l t h y k i d n e y s .
 HEMODIALYSIS
A m a c h i n e i s u se d t o f i l t e r
waste products out of t h e
b l o o d , do i n g w h a t h e a l t h y
kid n eys wou ld n or m ally
d o.
p at ien t 's mo od is u n st able
d ep en d in g on t h e cycle
n e ed su r ger y a few m on t h s i
n ad van ce to set u p blood v
e s s e l a c c e s s , e x c e p t i n
em er gen cies
PERITONIAL
DIALYSIS
A p ar t o f t h e a b d o m e n
called t h e p e r i t o n e u m i s
u sed tofilter wasteou t of
t h e bl o o d i n t e r n a l l y .
p at ien t is u su ally tir ed
n ee d t o h av e s u r g e r y
t o s e tu p a b d o m i n a l
ca t h e t e r 2– 3 weeks i n
a d va n ce of s t a r t in g
LITERATURE
REVIEW
T h e s t u dy is m a i n ly a r t i c u l a t e d o n Mitesh’s Theories for cognitive
decline in Hemodialysis (HD) p a t i e n t s a n d Ligon’s T h e o r y of
Hemodialysis Pa t i e n t Behavior wh e r e b o t h s u g g es t s t h a t
patients und ergo ing dialysis a r e p ro n e to anxiety and
eve n t u a l ly psychological d eterio ration .

Pa t i e n t s w i t h e n d - s t a g e r e n a l d is ea s e a r e physically a n d
m e n t a l ly impaired. People a r o u n d t h e m g re a t ly influences
h o w well t h e y b e h ave especially a t t e n d i n g m ed ic al staffs.
METHODOLOGY
RESEARCH DESIGN
This study used a Qualitative Case Study design which
utilized a descriptive approach in data collection.

RESEARCH LOCALE
This study was conducted in one (1) location. The
respondent was interviewed within the vicinity of a Dialysis
center in Marikina city.
KEY INFORMANT SELECTION
A Non-Probability Purposive Sampling Technique wa s used. Ther e
were two (2) participants chosen where t h e y m e e t t h e criteria:
middle-aged w o m a n probably between 40 a n d 65 y ear s of age, a n d
is going t hr ough Hemodialysis
RESEARCH INSTRUMENTS
The r esearcher s designed a self-administered interview questions
a n d used a n electronic equipment (voice recorder) in gathering
necessar y dat a .
DATA COLLECTION
This case study used the primary data collection procedure.

DATA ANALYSIS
The researchers use "Descriptive Analysis" and “Thematic
Analysis” as a way of measuring and weighing of the
recovered data in this research.
RESULTS AND
DISCUSSION
MAJOR THEMES
 RESTRICTIONS
PHYSICAL RESTRICTIONS - Un dergo i n g di alysi s e a s i ly s t r a i n s t h e m , t h u s
m a k i n g n o r m a l p hy s i c a l a c t iv i t y h a r d e r. S o m e p hy s i c a l re s t r i c t i o n s

a l s o c o m e f ro m t h e i r d i e t p l a n w h i c h t h e y s h o u l d follow.

SELF INDUCED RESTRICTIONS - w a y of t h e r e s p o n d e n t s t o c o n t ro l

t h e m s e l v e s i n t e r m s of l i m i t ing t h e m s e l v e s f ro m t h i n g s t h a t t h e y a r e

n o t al l owed t o do a n d e a t .
 LIFESTYLE
CHANGES
WORK - b e c a u s e p a t i e n t s a r e e a s i ly s t ra i n e d , t h e y a r e m o s t likely t o

s t o p wo rk i n g t o avo i d p hy s i c a l s t re s s .

FAITH - going t h r o u g h a ro u g h t i m e like h av i n g t o go t h r o u g h di alysi s

e n l i g h t e n s people i n so m a n y way s , o n e of w h i c h is bri n gin g s o m e o n e

cl o ser t o God.

ENVIRONMENT - T h e s u r ro u n d i n g s a n d co n d i t i o n s i n w h i c h a

di alysi s p a t i e n t s h o u l d be i n is s o m e w h e r e q u i e t a n d a w a y f ro m
u n c l e a n p l a c e s b e c a u s e of t h e i r w e a k e n e d i m m u n e s y s t e m .
 COPING
DEPRESSION - De p re s si o n a s a n i n i t i al r e a c t i o n is n o r m a l es peci al ly t o a
di alysi s p a t i e n t t h e y feel n e g l e c t e d a n d i t s e e m s like t h e s t a r t of t h e e n d
for t h e m .

ACCEPTANCE - Ac c e p t i n g t h e f a c t t h a t yo u will go t h r o u g h a r o u t i n a r y

p ro c e s s of h a v i n g yo u blood fil tered by a m a c h i n e b e c a u s e of y o u r

k i d n e y slowly n o t bei n g a b l e t o f u n c t i o n is a l o t t o h a n d l e .
CONCLUSION
Going t h r o u g h Dialysis s t r a i n s p hys i c al , m e n t a l a n d e m o t i o n a l well-
being.

All P a t i e n t s ex p e r i e n c e d a n x i e t y a n d d i s o r i e n t a t i o n i n a c o u r s e of t i m e
a n d t a k e s a h a r d t i m e t o a c c e p t t h e i r condition .

Pa t i e n t ' s fa m i ly a r e t h e m o s t a f fe c t e d s i n c e t h e r e is f e a r of losing a
fa m i ly m e m b e r especi al ly w h e n i t is t h e m o t h e r.

H av i n g CKD a n d going o n a di alysi s c a u s e s a v e r y d r a m a t i c c h a n g e

i n p a t i e n t s ' dai ly a c t iv i t i e s a n d mood.

T h e r e is a n a p p r o p r i a t e o r d e s i g n a t e d t y p e of e n v i r o n m e n t a n d
lifestyle r e c o m m e n d e d for p a t i e n t s t o r e d u c e s t r e s s o r s t h a t c a n
a f fe c t t h e i r h e a l t h