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| Title |
| Dialysis: Historical and Ethical Perspectives (1 credit hours) |
| Abstract |
| This module provides an overview of the history of methods for treating chronic and acute kidney failure, as well as the evolving criteria for assessing and prescribing treatment for patients with renal disease. Professional ethics for dialysis nurses are considered, with an examination of the role of advance directives in the care of ESRD patients.
Planners, content specialists and feedback personnel have declared that there is no conflict of interest in the preparation and content of this module. There is no commercial support for or endorsement of products in this module. |
| Author |
Elyn Sulger, RN, BS, CNN, CNA-BC, CPHQ, LNC
Elyn Sulger began her career as an acute and chronic renal care nurse in 1976 at UNC Chapel Hill. Since 1981, Elyn has been involved in nursing education and quality management, developing and coordinating staff education and facilitating process improvement teams. In her current position as Nurse Manager at a Renal Care Center with over 200 chronic and acute dialysis patients and 45 home dialysis patients, Elyn is responsible for 80 staff members, and for reporting clinical patient outcomes to regulatory agencies. She also coordinates related activitiesincluding: patient advisory group, facility team, infection control surveillance, water system, ongoing education, skills check, corporate compliance, quality management, performance improvement, PI plan, management team, coding, patient activities, and all QA activities as well as other professional activities.
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| Objectives |
After completing the module the learner will be able to:
- Define ethics and morals in nursing practice.
- Describe consequences or outcome based views.
- Identify key components in the code of ethics for nurses.
- Describe the historical process of determining who was eligible for dialysis.
- Discuss current treatment decisions for dialysis patients.
- Identify ethical/moral decisions in dialysis.
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| Resources |
| Alexander S. “They decide who lives, who dies: Medical miracle and a moral burden of a small committee.” Life Magazine. 9 November 1962: 102-25.
Baxter, Baxter Healthcare Corporation, (2002), Choices.
Lockridge RS. (2004) The Direction of End-Stage Renal Disease Reimbursement in the United States. Seminars in Dialysis 17 (2), 125-130.
Wikipedia. Hemodialysis. Available at: http://en.wikipedia.org/wiki/Hemodialysis. Accessed June 4, 2007. |
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