Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Nursing care for patients with arteriovenous fistula (AVF): useful interventions and instructions to ensure long life for the vascular access for hemo |
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| Name | Salemi Alessandro |
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| Supervisor(s) | Cavani Francesco, Ricca Mirella |
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| Academic Year | 2021/22 |
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| Thesis type | Non research thesis |
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Abstract
Renal failure is a pathological condition that exposes the patient to a high risk of death since the kidney performs multiple functions in the human body and one of his alteration causes the onset of numerous complications. Renal failure, both chronic and acute, can arise suddenly, causing the patient to be hospitalized. It is a significant issue for the National Health System since the costs of the treatments are high. It is therefore important that prevention and screening activities for kidney failure are carried out. Carrying out screening activities is not only important to reduce the costs related to the chronicization of the disease, but it is also important to improve the patient's quality of life by creating in advance an adequate and functioning vascular access for replacement therapy, or dialysis that occurs divides into hemodialysis and peritoneal dialysis. Hemodialysis is a life-saving treatment for the patient with renal insufficiency because through the use of a complex device, which takes the name of artificial kidney, it is possible to restore hydro-electrolytic alterations and purify the blood of toxic substances. The gold standard vascular access for hemodialysis is the arteriovenous fistula (AVF) as it guarantees adequate blood flow to carry out the replacement therapy safely and effectively and exposes the patient to a lower risk of complications than use of the central venous catheter. The goal of this compilation thesis is to provide both the patient and the nurse with useful information and instructions, based on updated guidelines, to ensure greater vitality to the AVF. In particular, therapeutic education turns out to be a relevant issue since the patient must be the protagonist of their own treatment path and must become autonomous in managing their vascular access in an optimal manner even at home.
