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1Running Head: Capstone Project Change ProposalCapstone Project Change ProposalGregory HarrisonNRS 493 Professional Capstone and PracticumGrand Canyon UniversityEmily Nelson, DNP, RN, NPD-BC, CNE, PCCNDecember 6, 2020
2Capstone Project Change ProposalCapstone Project Change ProposalAppropriate management and care of vascular access are very important to hemodialysispatient care. Vascular access is the cornerstone of hemodialysis (HD) therapy. Vascular accesswith good function and few complications not only promotes hemodialysis therapy success butalso facilitates the ability of patients to restore normalcy to life. Proper vascular accessmaintenance requires good cooperation between HD registered nurses and patients. Nurses areresponsible to apply their professional knowledge and technological advances in the clinicalpractice to educate and encourage patients to take care of themselves. Patients are responsible toapply learned self-care knowledge to their daily life.Clinical Problem StatementPatients with end stage renal disease (ESRD) whom accepted hemodialysis as their renalreplacement therapy will face unforeseen and unpredictable changes in their economic status,social roles, activity levels, and normal routines (Parker, 2019). Hemodialysis treatments in theacute hospital setting are complex and involve multiple care providers and patients with variouscomorbidities. Noncompliance and lack of education among dialysis patients is a major problem,even though it has been shown to be inversely related to survival. For example, noncompliancewith prescribed therapy and lack of self-care negatively impacts patient care and results in pooroutcomes. For example, at least one-half of hemodialysis patients are likely to be noncompliantwith some part of their treatment regimen. Therefore, deprived of proper and timely education,therapeutic goals cannot be achieved, resulting in unfavorable patient outcomes (Medeiros,Alzete de Lima, Lucena de Araujo, Galiza, Felipe, & Caetano, 2016).
3Capstone Project Change ProposalPurposeComparatively, dialysis water quality, infection control, intradialytic hypotension,vascular access complications, medication errors, and miscommunication between staff membersand patients themselves are examples of the need for prolonged and continuous educationregarding evidence-based practice, of HD modality (Thomas-Hawkins, Flynn, & Dillon, 2020).Hemodialysis is a life supportive measure for patients with ESRD and acute kidneyinjury (AKI). However, delivering education requires a constant motivation factor fromhealthcare team members concerning patient overall health and patient compliance. In essence,HD requires patients to commit and adhere considerable time to their treatment, comply withstrict dietary and fluid restrictions and take prescribed medication on a regular basis (Nair &Edison, 2013).

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Term
Spring
Professor
N/A
Tags
Chronic kidney disease, renal disease, Patient Safety in Hemodialysis Units

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