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Pictures and Perspectives: A Unique Reflection on Interdialytic Weight Gain
(Vol 36/No. 6. On-line test expires: 12/20/2011)
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
Peter M. Sinclair, RN,
 Peter M. Sinclair, RN, is a Clinical Nurse Educator, Nephrology Services, Hunter New England Area Health Service, New South Wales, Australia.
Vicki Parker, PhD, RN, CNC,
 Vicki Parker, PhD, RN, CNC, is a Clinical Nurse Consultant, Centre of Practice, Opportunity and Development, Hunter New England Area Health Service, New South Wales, Australia.
  OUTLINE

The purpose of this study was to explore the perspectives of managing interdialytic weight gain for individuals on hemodialysis. A qualitative design was used to elicit patients’ stories with some participants using images to support their story telling. Data were analyzed using an iterative theming process. Themes that arose from preliminary data analysis include magnitude of loss, constant struggle, and transition to acceptance. Transition to acceptance is not a linear progression to understanding and compliance but a multifaceted, tortuous struggle unique to individuals and largely dependent upon support, belief in a life worth living, and willingness to engage in surveillance and maintenance of behavior. Appreciating the impact and meaning of fluid restriction for individuals on hemodialysis will assist health professionals to identify support strategies that facilitate healthy fluid gain behaviors.
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  CE RELATED INFORMATION
This offering for 1.1 contact hours and 15 pharmacology minutes is being provided by the American Nephrology Nurses’ Association (ANNA), ANNA is accredited as a provider of continuing nursing education (CNE) by the American Nurses Credentialing Center’s Commission on Accreditation. ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910. This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continuing nursing education requirements for certification and recertification.

  EDUCATIONAL OBJECTIVES

Goal:
To afford clinicians the opportunity to comprehend the disruption that managing interdialytic weight gain causes to the lives of people who undergo hemodialysis.

 Objectives:
1.Describe the experiences of individuals undergoing hemodialysis in terms of managing interdialytic weight gain and fluid restrictions as outlined in this study.
2.Identify and discuss how clinician dialogue influences healthcare partnerships and the adoption of healthy fluid gain behaviors.
3.Discuss the main themes identified in this study and how they will influence real world practice.
AUTHOR DISCLOSURE STATEMENT
Peter M. Sinclair, has no conflicts of interest to disclose.
Vicki Parker, 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.