Living with home-based haemodialysis: insights from older people

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Title Living with home-based haemodialysis: insights from older people
Author Namiki, Satoko; Rowe, Jennifer; Cooke, Marie Louise
Journal Name Journal of Clinical Nursing
Year Published 2009
Place of publication United Kingdom
Publisher Blackwell Publishing Ltd.
Abstract Aims and objectives. To understand the challenges older people living with end-stage kidney disease and home haemodialysis face in their everyday life. Background. As the treatment of end-stage kidney disease has advanced, two aspects have emerged; increased life expectancy of end-stage kidney disease patients and psychosocial adaptation to a changed life. There is limited information regarding older peoples' experiences of adaptation to end-stage kidney disease and home haemodialysis. Design. This qualitative study took place in Australia and involved participants who were over 60 years of age and undergoing home haemodialysis. Methods. Four participants aged between 60–75 years, with end-stage kidney disease and currently enrolled in a programme of home haemodialysis took part. Data were collected via in-depth audio-recorded interviews and subjected to a qualitative thematic analysis. Results. Three themes were generated that provide insight into participants' everyday activities, significant relationships, challenges and hopes for the future. Conclusion. Findings indicated a transformed care dynamic, positive appraisal and active everyday engagement by participants. A positive outlook on life in the present enabled participants to look to their future with purpose and hope. Outstanding systems of partnership significantly facilitated this view. Relevance to clinical practice. Knowledge from the study may contribute to the development of patient–care partnerships that facilitate and promote independence for older people being treated for chronic illnesses.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1111/j.1365-2702.2009.02901.x
Volume 19
Issue Number 3-4
Page from 547
Page to 555
ISSN 0962-1067
Date Accessioned 2010-01-22
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject Aged Care Nursing
URI http://hdl.handle.net/10072/30912
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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