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Cognitive Function and Adherence of Older Adults Undergoing Hemodialysis
(Vol 35/No. 1. On-line test expires: 02/20/2010)
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.

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  AUTHOR
Debra J. Hain, DNS, ARNP, GNP, BC
 Debra J. Hain, DNS, ARNP, GNP, BC, is a Nurse Researcher/Nephrology Nurse Practitioner, Cleveland Clinic Florida, Weston, FL; Geriatric Nurse Practitioner, Louis and Anne Green Memory and Wellness Center, and Adjunct Faculty, Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL. She is a member of ANNA’s South Florida Flamingo Chapter.
  OUTLINE

As the number of older adults undergoing hemodialysis increases, it is important for nurses to consider cognitive impairment as a contributing factor to non-adherence. The purpose of this exploratory study was to identify cognitive markers that nurses can use to alert them to potential problems with adherence among older adults undergoing hemodialysis. Stories of the health challenge of making lifestyle change were analyzed with a linguistic analysis software program. A standardized instrument (3MS) that measures global cognitive function was administered. Determination of adherence level was the last activity of data collection. In this sample (n = 63), 39.7% of the participants had evidence of cognitive impairment (3MS score less than 80); 58.2% of the 39.7 % had evidence of non-adherence. There was a significant relationship between word use and cognitive function (p < .01). Cognitive impairment is prevalent among older adults undergoing hemodialysis and words might be a proxy for recognizing this.
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  CE RELATED INFORMATION
This offering for 1.4 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 describe a study on the cognitive function and adherence to treatment plans by older patients on hemodialysis.

Objectives:
1. Describe a study done to determine concerns with adherence in older persons on hemodialysis.
2. Identify cognitive markers that alert to potential problems of adherence in older patients on hemodialysis.
3. Summarize a study on cognitive function and adherence in older patients on hemodialysis.

AUTHOR DISCLOSURE STATEMENT
Debra J. Hain 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.