Case study on psychological assessment and treatment plan

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Case study on psychological assessment and treatment plan

The aim of the present study was to review the literature and to explore the psychological impact of dialysis on the quality of life of people with chronic renal failure.

Literature review based on studies and reviews derived from international Medline, PubMed, Cinahl, Scopus and Greek Iatrotek data bases concerning psychological problems of people with renal failure. The collection of data conducted from March to December Also, were used keywords such as haemodialysis, psychological factors, social status, economic status, renal failure, quality of life, as well as articles by the National Documentation Centre, which provided valid and documented data from global research and epidemiology.

Case study on psychological assessment and treatment plan

According to the literature, Chronic Renal Failure is associated with long-term psychological effects on patients undergoing haemodialysis. A chronic illness, such as kidney failure, is a continuous process since these patients try to accept their new image and to adapt their lifestyle to dialysis treatment.

Patients with kidney disease undergoing regular dialysis face difficulties in maintaining their employment, their social life, their financial flexibility and their limitation of liquids and foods.

Complexity and chronic nature of the disease affect the quality of life of patients with CRF and their health and reduce their life expectancy. So, the role of the Nephrology Nurse is highly important for the implementation of effective nursing interventions and psychological support during their treatment.

Key words Dialysis, chronic renal failure, quality of life, psychological factors Introduction Chronic Renal Failure CRF is an irreversible and progressive kidney failure where body fails to maintain metabolic and electrolytic balance, resulting in uremia, metabolic acidosis, anemia, electrolyte imbalances and endocrine disorders.

At the same time, their physical health, their functional status, their personal relationships and their social and economic status are greatly affected. The most common stressors are financial difficulties, changes in social and marital relationships, [ 2 ] regular hospital admission, inability of holiday vacation, restriction of leisure time, relationships with nursing and medical staff, fear of disability or death, increased dependence on artificial kidney machine, uncertainness about the future and physical fatigue.

That is because the daily consumption of fluids should not exceed of ml per day due to the risk of causing pulmonary edema. An equally distressing factor is the requiring effort to follow the dietary guidelines, as the excessive intake of potassium and phosphorus is responsible for causing heart failure and possible itching or renal osteodystrophy respectively.

Case study on psychological assessment and treatment plan

According to that study, Loss of employment is responsible for the appearance of intense anxiety and problems of sexual function while employment positively affects the psychological status and libido of spouses.

Physical or mental fatigue can be caused by sleep disorders or fatigue after dialysis. Specifically, these patients, before the enrollment in a program of CRF, are facing a health problem as most people with a chronic problem. After the beginning of dialysis, they exhibit considerable psychological personality disorders, such as alexithymia, neuroticism, introversion and psychotism.

Depression is associated with important aspects of the clinical course, including mortality, increased number of hospital admissions, reduced compliance with drugs and reduced quality of life.

The association between psychosocial factors and depression depends on gender, age and type of dialysis. Also, depression manifests mainly with sadness, anxiety, depressed mood, poor self-esteem, pessimism about the future, decreased libido, sleep disorders and limited appetite.Timothy P.

Melchert, in Foundations of Professional Psychology, The biopsychosocial approach to treatment planning rests on a very different approach. This approach uses a holistic perspective that focuses on the full range of psychological, biological, and sociocultural influences on development and functioning along with their interactions.

Conversion therapy is the pseudoscientific practice of trying to change an individual's sexual orientation from homosexual or bisexual to heterosexual using psychological or spiritual interventions. There is virtually no reliable evidence that sexual orientation can be changed and medical bodies warn that conversion therapy practices are ineffective and potentially harmful.

Assessment and Treatment of Chronic Pain 2 Practical PAIN MANAGEMENT, March © PPM Communications, Inc. Reprinted with permission. Phases of Pain Treatment The treatment of pain generally proceeds through several dis-. The Department of Biomedical Engineering was established in at Case Western Reserve University, founded on the premise that engineering principles provide an important basis for innovative and unique solutions to a wide range of biomedical and clinical challenges.

Mar 29,  · How to Write a Mental Health Treatment Plan Three Parts: Conducting a Mental Health Assessment Developing Goals Creating the Treatment Plan Community Q&A A mental health treatment plan is a document that details a client's current mental health problems and outlines the goals and strategies that will assist the client in 94%().

The CHRONICLE Study is a multi-center, non-interventional, prospective cohort study of adults with severe asthma who do not achieve control with high-dose inhaled corticosteroid (ICS) therapy with additional controllers and/or require systemic corticosteroid or monoclonal antibody therapy.

Psychological aspects in chronic renal failure | Insight Medical Publishing