Contemporary Nephrology Nursing

Author: Sandra Bodin, MA, RN, CNN
Affiliation:
Publisher: American Nephrology Nurses Association
Publication Date: 2017
ISBN 10: 1940325374
ISBN 13: 9781940325378
eISBN: 9781940325385
Edition: 3rd

Description:

Contemporary Nephrology Nursing (3rd edition) is an excellent resource for all nurses caring for patients with kidney disease. The textbook includes 50 chapters written by 79 expert authors. The Contemporary Nephrology Nursing textbook is meant to serve as an adjunct to ANNA's Core Curriculum for Nephrology Nursing by providing more in-depth information. This edition includes an update of all current chapters with evidence-based data and the addition of 28 completely new chapters, covering the full breadth of nephrology nursing practice. Three exciting new sections deal with nursing management of comorbidities and complications, cultural safety, health literacy, psychosocial issues in nephrology nursing, and regenerative medicine and innovations. Each chapter includes key concepts highlighting implications for nephrology nursing. Each chapter offers self-assessment questions and continuing nursing education (CNE) credit opportunities; more than 75 contact hours are available.

Table of Contents

Front Matter

  • ABOUT
  • Notice
  • Disclaimer
  • Sponsors
  • Foreword 2nd Edition Editor
  • Foreword
  • Contributors
  • Reviewers
  • Style Guide for 3rd Edition
  • Preface
  • Continuing Nursing Education

SECTION 1 Nature and Scope of Nephrology Nursing

    1: Professional Nephrology Nursing

    • The Development of Professional Nursing Practice
    • Professional Nursing Today
    • Specialty Nursing Practice
    • Certification
    • Nephrology as a Nursing Specialty
    • Summary
    • Abbreviations and Acronyms
    • References

    2: The Evolution of Nephrology and Nephrology Nursing

    • Reconstructing the History of Nephrology
    • Era of Correlating Pathology to Clinical Manifestations
    • Changes in Terminology and Continuing Developments
    • Hemodialysis
    • Peritoneal Dialysis
    • Renal Transplant
    • Pediatric Nephrology
    • Nephrology Nursing
    • American Nephrology Nurses Association
    • Summary
    • Abbreviations and Acronyms
    • References
    • Appendix 2-A The History of the American Nephrology Nurses Association at a Glance

SECTION 2 The Kidney

    3: Physiology of the Kidney

    • Anatomy of the Kidney
    • Vascular Supply
    • Macroscopic Anatomy
    • Microscopic Anatomy
    • Kidney Processes
    • Glomerular Filtration
    • Kidney Hemodynamics
    • Urinary Concentration and Dilution
    • Summary
    • Abbreviations and Acronyms
    • References

    4: Diseases of the Kidney

    • Glomerular Diseases
    • Tubulointerstitial Diseases
    • Lupus Nephritis
    • Contrast-Induced Nephropathy
    • Drug-Induced Nephropathy
    • Other Nephrotoxic Agents
    • Vascular Diseases
    • Hypertensive Nephrosclerosis
    • Microangiopathic Diseases
    • Scleroderma
    • Atheroembolic Kidney Disease
    • Cystic Diseases
    • Infectious Diseases
    • Obstructive Diseases
    • Neoplasms of the Kidney
    • Kidney Disease and Pregnancy
    • Renal Agenesis
    • Summary
    • Abbreviations and Acronyms
    • References

    5: Chronic Kidney Disease: Diagnosis, Classification, and Management

    • Defining and Classifying CKD
    • Assessment of Severity of CKD
    • Complications of CKD: Identification and Management
    • Comorbid Conditions and Modification Strategies
    • Identification of Individuals at Risk for CKD
    • Risk Factors for Progression
    • Strategies to Slow Progression
    • Summary
    • Abbreviations and Acronyms
    • References
    • Acknowledgment

    6: Nutrition and Chronic Kidney Disease

    • Treatment Guidelines
    • Definition of CKD
    • Kidney Physiology
    • Nutritional Assessment
    • Medical Nutrition Therapy for CKD Stages G3-G5 (not on dialysis)
    • Medical Nutrition Therapy for Dialysis
    • Medical Nutrition Therapy for Transplant
    • Diabetes
    • Pregnancy
    • Malnutrition
    • Nutritional Supplementation
    • Vitamin Requirements
    • Patient Education and Self-Management
    • Cultural Diversity
    • Medical Nutrition Therapy
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 3 Dialysis Therapies

    7: Hemodialysis

    • Introduction to Hemodialysis
    • Water Treatment for Dialysis
    • The Hemodialysis Prescription
    • Prevention and Management of Treatment Complications
    • Summary
    • Abbreviations and Acronyms
    • References
    • Acknowledgment

    8: Peritoneal Dialysis

    • Peritoneal Dialysis
    • Preventing and Managing Complications of Peritoneal Dialysis
    • Summary
    • Nursing and the Future of PD
    • Abbreviations and Acronyms
    • References
    • Websites

    9: Home Dialysis Therapies

    • Use of Home Dialysis
    • History of Home Dialysis
    • Benefits of Home Dialysis
    • Barriers to Home Dialysis
    • Home Dialysis Modality Decision Making
    • Home Hemodialysis Therapies
    • Home Hemodialysis Program Requirements
    • Considerations for Patients on HHD and Their Caregivers
    • Equipment Requirements for Home Hemodialysis
    • Vascular Access for HHD
    • The Role of the Home Hemodialysis Nurse
    • The Future of Home Dialysis
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 4 Dialysis Access

    10: Arteriovenous Fistula

    • History of the Arteriovenous Fistula
    • Defining the Arteriovenous Fistula
    • Patient Selection for an Arteriovenous Fistula
    • Timing of the Arteriovenous Fistula Placement
    • Site Selection for the Arteriovenous Fistula
    • Surgical Technique for Arteriovenous Fistula Creation
    • AVF Maturation
    • Assessment of the Arteriovenous Fistula
    • Interventions for the Arteriovenous Fistula that Fails to Mature
    • Cannulation of the Arteriovenous Fistula
    • Considerations When Cannulating a New Fistula
    • Infiltration and Other Complications of Needle Placement
    • Monitoring and Surveillance of the Vascular Access
    • Complications of AVFs and Interventions
    • Vascular Access Care Plan
    • Patient Education
    • Staff Education
    • Quality Monitoring
    • Current Studies
    • Future Nursing Research
    • Abbreviations and Acronyms
    • References

    11: Arteriovenous Graft

    • Locations of Arteriovenous Grafts
    • Types of Arteriovenous Grafts
    • Vessel Preservation
    • Vessel Mapping
    • Creation
    • Healing Process and Maturation
    • Cannulation Techniques
    • Monitoring
    • Surveillance
    • Prevention and Management of Complications
    • Summary
    • Abbreviations and Acronyms
    • References

    12: Central Venous Catheter

    • History of Catheters for Hemodialysis
    • Types of Catheters for Hemodialysis
    • Catheter Care Including Best Practices Recommendations
    • Education for Nurses and Patients
    • Implications for Nephrology Nursing
    • Summary
    • Abbreviations and Acronyms
    • References

    13: Peritoneal Dialysis Access

    • History of PD Access
    • Catheters for Acute PD
    • Catheters for Chronic PD
    • Chronic Catheter Insertion
    • Exit-Site Care
    • Catheter-Related Complications
    • Summary
    • Abbreviations and Acronyms
    • References

    14: The Role of the Interventional Nephrology Nurse

    • Guidelines and Change Concepts
    • Vascular Access Setting
    • Preprocedure
    • Procedure Room
    • Scrub Nurse
    • C-Arm Technician
    • Inventory Control
    • Other Nursing Roles
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 5 Comorbidities and Complications of CKD: Nursing Management

    15: Anemia

    • Blood Pathology/Pathophysiology
    • Clinical Manifestations
    • Anemia Workup
    • Laboratory Evaluation
    • Common Causes of Anemia
    • Anemia Treatment
    • Implications for Nephrology Nurses and Advanced Practice Nurses
    • Abbreviations and Acronyms
    • References

    16: Disorders of Calcium and Phosphorus Metabolism

    • Pathophysiology
    • Epidemiology
    • Complications and Manifestations of Mineral Metabolism Disorders in CKD
    • Prevention of Bone Disease or Bone Disease Complications
    • Acute and Chronic Management
    • Pharmacotherapy
    • Nonpharmacotherapy
    • Summary
    • Abbreviations and Acronyms
    • References

    17: Hypertension

    • Pathophysiology of Hypertension
    • Complications of Hypertension
    • Epidemiology of Hypertension and Causes of Hypertension
    • Initial Evaluation of Hypertension in the General Population
    • Prevention and Management of Complications
    • Acute Management of Hypertension Urgency and Emergency
    • Management Strategies
    • Pharmacotherapy of Hypertension
    • Promoting Patient Adherence in a Lifelong Regimen
    • Summary
    • Abbreviations and Acronyms
    • References

    18: Diabetes Management and Implications of Care for Individuals with Diabetic Kidney Disease

    • Magnitude of Diabetes in the United States
    • Classification of Prediabetes and Diabetes Types
    • Diagnostic Testing for Diabetes
    • Complications of Diabetes
    • Manifestations of Diabetic Kidney Disease
    • Special Considerations in Diabetes Care for Patients with CKD 5
    • Challenges of Self-Management in DKD
    • Summary
    • Abbreviations and Acronyms
    • References

    19: Alterations in Fluid, Electrolyte, and Acid-Base Balance

    • Alterations in Fluid Balance
    • Alterations in Sodium Balance
    • Alterations in Potassium Balance
    • Alterations in Calcium and Phosphorous Balance
    • Alterations in Magnesium Balance
    • Alterations in Acid-Base Balance
    • Implications for Nephrology Nurses
    • Summary
    • Abbreviations and Acronyms
    • References
    • Acknowledgment

    20: Heart Failure and Atrial Fibrillation

    • Heart Failure
    • Atrial Fibrillation
    • Nursing Implications
    • Abbreviations and Acronyms
    • References

    21: Hemodialysis-Induced Myocardial Stunning

    • Historical Background
    • Basic Myocardial Pathophysiology Review
    • Definition of Myocardial Stunning
    • Evidence Linking Myocardial Stunning to the HD Treatment
    • Risk Factors for Myocardial Stunning
    • Application to Practice
    • Patient Education
    • HD-Induced Effects on Other Vascular Beds
    • Areas for Future Study
    • Summary
    • Abbreviations and Acronyms
    • References

    22: Cardiorenal and Hepatorenal Syndromes

    • Cardiorenal Syndrome
    • Hepatorenal Syndrome
    • Summary
    • Abbreviations and Acronyms
    • References

    23: Pulmonary Hypertension

    • Incidence and Prevalence
    • Pathophysiology
    • Diagnosis of Pulmonary Hypertension
    • Treatment
    • Implications for Nephrology Nurses
    • Summary
    • Abbreviations and Acronyms
    • References

    24: Lipid Disorders in Chronic Kidney Disease

    • Prevalence and Epidemiology of Dyslipidemia
    • Relevance to Chronic Kidney Disease
    • CKD and Dyslipidemia
    • Conclusions
    • Abbreviations and Acronyms
    • References

    25: Depression in Chronic Kidney Disease

    • Etiology and Risk Factors Associated with Depression
    • Neurobiology Explanations for Depression
    • Screening and Diagnosis of Depression
    • Issues of Suicide: Risks and Protective Factors
    • Plan of Care with Suicidal Ideation
    • Treatment of Depression
    • Summary
    • Abbreviations and Acronyms
    • References

    26: Sleep Disorders

    • Sleep in Patients Receiving Hemodialysis
    • Research Design
    • Results
    • Discussion
    • Conclusions
    • Abbreviations and Acronyms
    • References

SECTION 6 Kidney Disease Across the Life Span

    27: The Child with Kidney Disease

    • Treatment Modalities
    • Complications of CKD in Children
    • Nutrition
    • Psychosocial Issues
    • Kidney Transplantation in Children
    • Summary
    • Abbreviations and Acronyms
    • References

    28: Older Adults with Chronic Kidney Disease

    • Aging in America and Beyond
    • Theories of Aging
    • Normal Aging Physiologic Changes
    • Geriatric Syndromes
    • Atypical Presentation of Illness
    • Comprehensive Nursing Assessment and Interventions
    • Interventions for CKD and Comorbid Conditions
    • Kidney Replacement Therapies
    • Summary
    • Abbreviations and Acronyms
    • References

    29: Supportive Care of Patients with Chronic Kidney Disease

    • Choosing Supportive vs. Dialytic Treatment: A Shared Approach
    • Symptom Assessment and Management
    • Quality of Life
    • What People Want Near End of Life
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 7 Acute Kidney Injury

    30: Acute Kidney Injury

    • Overview of Acute Kidney Injury
    • Causes of AKI
    • Interrelated Clinical Conditions
    • Nursing Management and Treatment Options
    • Nursing Assessment and Responsibilities
    • Kidney Replacement Therapy Options
    • Therapeutic Apheresis
    • Vascular Access
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 8 Pharmacology of Kidney Disease

    31: Pharmacology of Kidney Disease

    • Metabolism and Elimination of Pharmacologic Agents
    • Drug Dosing Modifications in Chronic Kidney Disease
    • Drug Therapy for the Management of Anemia
    • Drug Therapy for the Management of Electrolyte Disorders
    • Commonly Used Drugs in Kidney Insufficiency
    • Summary
    • Abbreviations and Acronyms
    • References

    32: Medication-Related Nephrotoxicity

    • Risk Recognition
    • Mechanisms
    • Prevention and Recognition
    • Medication Safety
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 9 Regenerative Medicine and Innovations in Nephrology Nursing

    33: Kidney Transplantation: Organ Donation

    • Overview of Solid Organ Transplantation
    • Recipient Evaluation
    • Matching Donors and Recipients
    • Types of Donors
    • More Transplantation Options
    • Organ Procurement and Allocation
    • Initiatives to Increase Organ Donation
    • Public Education
    • Summary
    • Abbreviations and Acronyms
    • References

    34: Kidney, Pancreas, and Liver Transplantation: The Procedures and Nursing Management

    • Kidney Transplantation
    • Pancreas Transplantation
    • Liver Transplantation
    • Summary
    • Abbreviations and Acronyms
    • References
    • Acknowledgment

    35: Pharmacology of Transplantation

    • Immunology of Transplantation
    • Induction Therapy
    • Maintenance Therapy
    • Generic Immunosuppression Substitution
    • Other Medications
    • Drug Interactions
    • Medication Adherence and Self-Management
    • Summary
    • Abbreviations and Acronyms
    • References

    36: Regenerative Medicine

    • Cell-Based Therapy
    • Other Regenerative Strategies
    • Implications for Nephrology Nurses
    • Summary
    • Abbreviations and Acronyms
    • References

    37: The Wearable Artificial Kidney

    • Making the Wearable Artificial Kidney a Reality
    • How the WAK Works
    • Developing a WAK Team
    • The Patient and Nurse Experience
    • Summary
    • Abbreviations and Acronyms
    • References

    38: The Implantable Artificial Kidney

    • Background and Significance
    • History of Wearable Devices
    • Current Developments in Wearable Devices
    • Implications for Nephrology Nursing
    • Summary
    • Abbreviations and Acronyms
    • References

SECTION 10 Advocacy

    39: Creating a Culture of Safety

    • Defining a Culture of Safety
    • Framework for Change
    • Quality and Performance Improvement Framework
    • Changes for Improvement
    • Implementing a Culture of Safety
    • Conclusion
    • Abbreviations and Acronyms
    • References

    40: Nursing-Sensitive Quality Indicators

    • Quality of Nursing Practice Began with Nightingale
    • Current Value of Nursing
    • Healthcare Quality Indicators
    • Definition and Classifications of Quality Indicators in Health Care
    • Nursing-Sensitive Quality Indicators
    • Exemplars of Nephrology Nursing-Sensitive Quality Indicators: Patient Falls, Patient Experience, Engagement, and Person-Centered Care
    • Summary
    • Abbreviations and Acronyms
    • References

    41: Cultural Safety in Nephrology Nursing

    • Introduction to Cultural Safety
    • Cultural Safety and Nephrology Nursing
    • From Dialysis as Advanced Life Support …
    • … To Dialysis as Symptom Management
    • Practical Strategies for Shifting to Cultural Safety in Nephrology Nursing
    • Summary
    • Abbreviations and Acronyms
    • References

    42: Related to Teaching and Learning

    • Patient Education
    • Nurse Role in Educating the Adult Patient
    • Therapeutic Regimen
    • Living on Dialysis
    • Chronic Kidney Disease’s Impact on Adult Learning Ability
    • Nurse Knowledge of the Education Process
    • Recommendations for Nurses
    • Summary
    • Abbreviations and Acronyms
    • References

    43: Health Literacy

    • The Definition and Components of Health Literacy
    • Health Literacy in the Chronic Kidney Disease Population
    • Tools For Verbal and Interpersonal Communication
    • Summary
    • Abbreviations and Acronyms
    • References

    44: Infection Prevention and Control

    • Bacterial Infections
    • Healthcare-Associated Infections
    • Viral Infections
    • Respiratory Infections
    • The Role of Vaccines in Disease Prevention
    • Ebola Virus Disease
    • Summary
    • Abbreviations and Acronyms
    • References

    45: Psychosocial Issues in Nephrology Nursing

    • Quality of Life
    • Mental Health Issues
    • Pain and Palliative Care Issues
    • Impact on Social Support Members
    • Unique Psychosocial Challenges for Pediatric Patients with CKD
    • Unique Psychosocial Challenges for Older Patients with CKD
    • Patient Self-Management
    • Psychosocial Adjustment to Kidney Replacement Therapy: A Three-Phase Model
    • Working With Nephrology Social Workers
    • Summary
    • Abbreviations and Acronyms
    • References

    46: Sexual Health

    • Health-Related Quality of Life
    • Men vs. Women
    • Barriers to Addressing Sexual Health Concerns
    • Broaching the Topic with Patients
    • Summary
    • Abbreviations and Acronyms
    • References

    47: Healthcare Informatics

    • Basics of Healthcare Informatics
    • Bridging Technology and Caregiving
    • Advanced Role of the Nephrology Nurse
    • Summary
    • Abbreviations and Acronyms
    • References

    48: Public Policy and the Legislative Process

    • Contemporary Issues in Chronic Kidney Disease
    • The Importance of Action
    • Structure of the Federal Government
    • How a Bill Becomes Law
    • Federal Budget Process
    • Setting the Stage for Legislative Action
    • The Process of Advocacy
    • Nurses and Political Action
    • History of ANNA’s Involvement in the Legislative Arena
    • Summary
    • Abbreviations and Acronyms
    • References
    • Additional Sources

    49: Evidence-Based Nephrology Nursing Practice

    • Defining Evidence-Based Practice
    • Exploring the History of EBP
    • Differentiating EBP from Research
    • The Nurse’s Role in EBP
    • The EBP Process
    • Research Evidence
    • Non-Research Evidence
    • Evaluating the Strength of the Evidence
    • Using the Evidence to Recommend Practice Change
    • Summary
    • Abbreviations and Acronyms
    • References

    50: Research Priorities for Nephrology Nursing: Challenges and Recommendations

    • National Priorities for Research
    • Current Challenges for Nephrology Nursing
    • Research Priorities and Recommendations for Nephrology Nursing
    • Summary
    • Abbreviations and Acronyms
    • References

CONTINUING NURSING EDUCATION

    Continuing Nursing Education

    • Chapter Learning Outcomes and Optional Learner Engagement Activities