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Patterns of Interdialytic Weight Gain During the First Year of Hemodialysis
(Vol 33/No. 5. On-line test expires: 10/20/2008)
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  AUTHOR
Janet L. Welch, DNS, RN
Janet L. Welch, DNS, RN, is Associate Professor, Indiana University School of Nursing, Indianapolis, IN. She is a member of the Hoosier Hills Chapter of ANNA. The author has no conflict of interest to disclose.
Susan M. Perkins, PhD
Susan M. Perkins, PhD, is Associate Professor, Indiana University School of Medicine, Division of Biostatistics, Indianapolis, IN. The author has no conflict of interest to disclose.
Cynthia S. Johnson, MA
Cynthia S. Johnson, MA, is Biostatistician, Indiana University School of Medicine, Division of Biostatistics, Indianapolis, IN. The author has no conflict of interest to disclose.
Michael A. Kraus, MD
Michael A. Kraus, MD, is Clinical Associate Professor, Indiana University School of Medicine, Division of Nephrology, Indianapolis, IN. The author has no conflict of interest to disclose.
  OUTLINE

This retrospective study describes patterns of interdialytic weight gain (IWG) over the first year of hemodialysis in 27 individuals. IWG increased over the first 12 weeks and appeared to reverse after 12 weeks, increasing again after 32 weeks. Interventions may need to occur after the individual has been receiving treatment for 12 weeks; booster interventions may be indicated after 32 weeks. Variability in the two measures used (mean daily interdialytic weight gain and mean daily percent above dry weight) suggests a need for further study.

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  CE RELATED INFORMATION
This offering for 1.3 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:
To increase the awareness of patterns of interdialytic weight gain in a study of patients in their first year of dialysis.

Objectives:
1. Describe the pattern of weight gain noted in a study of patients in the first year of dialysis.
2. Analyze the suggested need for standardization in interdialytic weight gain measurement.
3. Relate suggested avenues of further research about interdialytic weight gain in patients on dialysis.


AUTHOR DISCLOSURE STATEMENT
Janet L. Welch has no conflicts of interest to disclose.
Susan M. Perkins has no conflicts of interest to disclose.
Cynthia S. Johnson has no conflicts of interest to disclose.
Michael A. Kraus 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.