A new approach to psychological support in the renal setting

Autor:	Jeff Cove
Rok vydání:	2012
Předmět:	business.industry medicine.medical_treatment Motivational interviewing Context (language use) Disease urologic and male genital diseases Transplantation Nursing Medical advice Preparedness Structured interview medicine Renal replacement therapy business
Zdroj:	Journal of Renal Nursing. 4:6-11
ISSN:	2052-2894 2041-1448
DOI:	10.12968/jorn.2012.4.1.6
Popis:	There is wide scope for psychologists to contribute to secondary prevention in non-reversible medical conditions such as end-stage renal disease (ESRD): reducing further avoidable health deterioration through enhancing patients' adjustment and adherence to medical advice and treatment. Two phases in patients' journeys are particularly significant, their transition from the pre-dialysis clinic to dialysis-based renal replacement therapy (RRT) and their assessment for transplantation. We devised structured interviews with patients in these stages aimed at identifying and addressing illness acceptance issues and barriers to future adherence, delivered through clinics run in parallel with nursing and medical colleagues. They have broadened our understanding of both staff and patient concerns about transition to RRT or listing for transplants and provided a context for both brief preventive and further follow-up work. Key to enhancing psychological preparedness has been exploring the meaning ascribed to the forthcoming change and patients' personal health beliefs, in the context of their broader life situation, values and goals.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::221b6aea0f0d6c6ebf3ee4cea903fbc9 https://doi.org/10.12968/jorn.2012.4.1.6 Zobrazit plný text záznamu