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Preparing For Hemodialysis: Patient Stressors and Responses
(Vol 32/No. 3. On-line test expires: 6/20/2007)
To receive continuing education credit, you must read the information in this article and take an on-line post test and fill out an on-line program evaluation form. The certificate will then be generated for you as a .pdf file which you can print out locally on your computer.

CE Certification by ANNA requires a handling charge that must be paid by credit card. Pricing information is available by clicking on the "Post-Test Evaluation" link below.
  DOWNLOAD TEST ARTICLE
Please download and print the PDF file below:
  AUTHOR
Lori Harwood, MSc, RN, CNeph(C),
Lori Harwood, MSc, RN, CNeph(C), is Nurse Practitioner/Clinical Nurse Specialist, Adam Linton Hemodialysis Unit London, Ontario, Canada, and a member of the MichigANNA chapter of ANNA
Heather Locking-Cusolito, MScN, RN,CNeph(C),
Heather Locking-Cusolito, MScN, RN, CNeph(C), is Nurse Practitioner/Clinical Nurse Specialist, Adam Linton Hemodialysis Unit London, Ontario, Canada, and a member of the MichigANNA chapter of ANNA.
Joan Spittal, MSW, RSW
Joan Spittal, MSW, RSW, is Social Worker, Adam Linton Hemodialysis Unit London, Ontario, Canada, and is an associate member of ANNA.
Barbara Wilson, MScN, RN, CNeph(C),
Barbara Wilson, MScN, RN, CNeph(C), is Nurse Practitioner/Clinical Nurse Specialist, Adam Linton Hemodialysis Unit London, Ontario, Canada, and a member of the MichigANNA chapter of ANNA.
Sharon White, MBA, RN,
Sharon White, MBA, RN, is Director, Renal Program, London Health Sciences Centre, Ontario, Canada.
  OUTLINE

This qualitative study explored stressors experienced by individuals with chronic kidney disease (CKD). Individuals on hemodialysis were asked to share their recollections regarding stressors they experienced as they approached dialysis. Content analysis was used and the following themes emerged: (a) stressors; (b) emotional responses; (c) learning, preparation, and acceptance; and (d) regret and dissatisfaction. The results of this study have important implications for patient education and support in the care of patients with CKD.

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  CE RELATED INFORMATION
This offering for 2.0 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
Identify the implications for patient education and support needed in the care of patients with CKD.

Objectives:
1. List stressors, and the emotions evoked by them, as identified by individuals experiencing the need for dialysis.
2. Relate the need for education and support from professionals to the patients’ experience of dialysis.
3. Summarize components that should be included in a CKD program to ensure that patients and their families are well prepared for the dialysis experience.


AUTHOR DISCLOSURE STATEMENT
Lori Harwood, has no conflicts of interest to disclose.
Heather Locking-Cusolito, has no conflicts of interest to disclose.
Joan Spittal, has no conflicts of interest to disclose.
Barbara Wilson, has no conflicts of interest to disclose.
Sharon White, has no conflicts of interest to disclose.

 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.