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Patients receiving hemodialysis are challenged with restricting their fluid intake to ensure appropriate interdialytic weight gains. While nurses endeavor to promote selfcare, the ability to manage fluid gain rests on the patient's understanding and decision to limit fluid intake. A mixed-methods pilot study was undertaken to determine if motivational interviewing, a patient-centered, conversational, and collaborative approach to stimulating behavior change and resolving ambivalence, enhances self-care fluid management. Participants felt that motivational interviewing was very helpful, although findings suggest self-care fluid management requires a toolkit of interventions. Key motivational interviewing actions for nurses are presented.
This article was published in the following journal.
Name: Nephrology nursing journal : journal of the American Nephrology Nurses' Association
A significant percentage of patients on chronic hemodialysis have an interdialytic weight gain (IDWG) above the recommended values. High IDWG has detrimental effects on survival, cardiovascular outcom...
Patients on hemodialysis (HD) are advised to limit daily water- and salt intake to reduce interdialytic weight gain (IDWG). To counterbalance protein-losses, protein-rich meals are sometimes provided ...
Providers need to be comfortable addressing obesity and gestational weight gain so they may give appropriate care; however, health care providers lack guidelines for the most effective educational str...
Weight gain is a major side effect of antidepressant (AD) drugs. We assessed whether early weight gain is a predictor for long term weight gain in depressed patients treated with antidepressants.
The objective of this study was to compare gestational weight gain (GWG) among women in group and traditional prenatal care.
This study will evaluate the efficiency of dietary intervention on intradialytic weight gain. Uniric hemodialysis patients without serious dietary complications, who accumulate above 2.5 k...
Fluid restriction is necessary among patients with chronic kidney disease. However, treatment adherence remains a challenge. Hence, this study determined the effects of a fluid distributio...
The purpose of this study is to enroll approximately 450 subjects to see if a behavioral weight management program is successful in helping military female personnel who are pregnant or po...
The GEM intervention leverages the patient-centered medical home model by using the GEM tool to provide individually tailored, patient-centered care at the time of the primary care visit, ...
With this study the investigators will test, in a randomised clinical trial (RCT), the efficacy of a behavioral dietary adherence enhancement intervention paired with PDA-based dietary sel...
An integrated professional approach to screening, evaluation, control, and reduction of abnormal WEIGHT GAIN.
Increase in BODY WEIGHT over existing weight.
Assistants to a veterinarian, biological or biomedical researcher, or other scientist who are engaged in the care and management of animals, and who are trained in basic principles of animal life processes and routine laboratory and animal health care procedures. (Facts on File Dictionary of Health Care Management, 1988)
A method of continuously holding a partially wrapped baby to the chest, involving skin-to-skin contact. Originally it was a method of caring for LOW-BIRTH-WEIGHT INFANT in developing countries and is now more widespread in developed nations. Aside from encouraging breast feeding, the extra sleep that the infant gets assists in regulating body temperature, helps the baby conserve energy, and redirects calorie expenditures toward growth and weight gain.
Management control systems for structuring health care delivery strategies around case types, as in DRGs, or specific clinical services.