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Exploring symptoms in patients managed without dialysis: a qualitative research study

Exploring symptoms in patients managed without dialysis: a qualitative research study
Exploring symptoms in patients managed without dialysis: a qualitative research study
Little is known about the prevalence and burden of symptoms in patients managed without dialysis. This study was the result of a larger study exploring the experiences of 30 such patients and their trajectories to death. Data were analysed relating to symptoms once the patients had been referred to a Renal Supportive Care Service based in the East End of London, UK. A high symptom prevalence was found with 30 different symptoms reported at first consultation. Widely reported symptoms impacting on daily living included breathlessness, oedema, pruritus, nausea and vomiting and pain. Findings indicate that as symptoms escalate and death approaches, some symptoms, such as fluid overload and lethargy become difficult to treat indicating that death is close. This new knowledge can help staff as they attempt to determine when the end of life is approaching in order to support and care for patients appropriately. This paper highlights a need for effective identification and management of symptoms as they arise and further exploration of the effects of these symptoms on daily living
nursing, palliative care, psychosocial, research
1755-6678
9-15
Noble, Helen
65485329-4bed-4f9b-96c1-26e7f91e531f
Meyer, Julienne
c4fc2052-b132-4749-9df3-41f012d7e90f
Bridges, Jackie
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Johnson, Barbara
4fb4f990-a256-402d-8ca2-53182692dc0a
Kelly, Daniel
10b0a4eb-fd29-4110-81da-92700153149e
Noble, Helen
65485329-4bed-4f9b-96c1-26e7f91e531f
Meyer, Julienne
c4fc2052-b132-4749-9df3-41f012d7e90f
Bridges, Jackie
57e80ebe-ee5f-4219-9bbc-43215e8363cd
Johnson, Barbara
4fb4f990-a256-402d-8ca2-53182692dc0a
Kelly, Daniel
10b0a4eb-fd29-4110-81da-92700153149e

Noble, Helen, Meyer, Julienne, Bridges, Jackie, Johnson, Barbara and Kelly, Daniel (2010) Exploring symptoms in patients managed without dialysis: a qualitative research study. Journal of Renal Care, 36 (1), 9-15. (doi:10.1111/j.1755-6686.2010.00140.x). (PMID:20214703)

Record type: Article

Abstract

Little is known about the prevalence and burden of symptoms in patients managed without dialysis. This study was the result of a larger study exploring the experiences of 30 such patients and their trajectories to death. Data were analysed relating to symptoms once the patients had been referred to a Renal Supportive Care Service based in the East End of London, UK. A high symptom prevalence was found with 30 different symptoms reported at first consultation. Widely reported symptoms impacting on daily living included breathlessness, oedema, pruritus, nausea and vomiting and pain. Findings indicate that as symptoms escalate and death approaches, some symptoms, such as fluid overload and lethargy become difficult to treat indicating that death is close. This new knowledge can help staff as they attempt to determine when the end of life is approaching in order to support and care for patients appropriately. This paper highlights a need for effective identification and management of symptoms as they arise and further exploration of the effects of these symptoms on daily living

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More information

Published date: March 2010
Keywords: nursing, palliative care, psychosocial, research

Identifiers

Local EPrints ID: 175635
URI: http://eprints.soton.ac.uk/id/eprint/175635
ISSN: 1755-6678
PURE UUID: 133d48e3-a872-44f3-bcf1-3376a5337cb6
ORCID for Jackie Bridges: ORCID iD orcid.org/0000-0001-6776-736X

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Date deposited: 25 Feb 2011 10:00
Last modified: 14 Mar 2024 02:57

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Contributors

Author: Helen Noble
Author: Julienne Meyer
Author: Jackie Bridges ORCID iD
Author: Barbara Johnson
Author: Daniel Kelly

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