Student name: Instructor: Patient Education / Discharge Planning: (Barriers to education, learning goals, learning outcomes) (Home Vs Facility, services needed after discharge, adaptive equipment needed for home.)The patient is able to communicate in English and hence there is no language barrier Patient demonstrated an understanding of the instructions given Patient understands the reason for dialysis and promises to come for all the sessions Patient is willing to take medication and understands why he has to take it The patient will remain on dialysis throughout the period of his stay at the hospital and until a suitable kidney donor is found. Counselling of patient’s close relatives in considering a kidney transplant will be done. Before discharge, carry out renal function tests and assess for graft rejection in case of transplant. Erikson’s Developmental Stage Related to Pt & APA citations Erikson’s stages of development underscores the effect of externalfactors, relatives and public on the kind of personality one gets from when one is a child to when one is an adult (L, 2014). The patient is in stage 7- generativity vs self absorption or stagnation- he lives alone since his wife passed on 4 years ago but his daughter checks up on him (L, 2014) Cultural Considerations: Ethnicity, Occupation, Religion, Family Support, Financial Considerations. Patient lives aloneHis daughter brought him in but left Family support not adequate Patient does not exercise due to fatigue Patient is a retired driver He is Caucasian Patient is catholic Patient does not make any cultural demand and is satisfied Patient has active insuranceHistory of Present Illness: (A brief statement by the Doctor explaining what happened to the patient before they got to the hospital) The patient is a 61 year old male, Caucasian, who is a known hypertensive and has been on dialysis due to kidney failure. Patient was first diagnosed with hypertension when he was 40. He later developed chronic kidney disease. Patients reports that he takes antihypertensive but he states that there are days when he forgets to take the medication. Patient reports that he undergoes renal dialysis three times a week. He was doing just fine until yesterday when he started experiencing abdominal discomfort which was followed by nausea and vomiting. His daughter brought him to the hospital but left for work. He reports skin itchiness. Patient denies any history of hematemesis or spontaneous bleeding. He further
