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nanny state versus self care of hemodialysis patient
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<KoenVdB7>
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I work currently since 2.5 years as a dialysis nurse. Everything I now know about hemodialysis I learned in our dialysis Center itself, but since early October 2016 I also follow the training as a nefrologisch nurse organised by Orpadt in collaboration with Odisee. Within those training we got the assignment to write a paper around a topic of choice that relates to the concept of hemodialysis.
I would like to work out my paper around the title ' nanny state versus self care of hemodialysis patient '. There is so much around this topic not yet published, but I am convinced that both patients and health care providers have a vision on this issue.Through this forum I would like to bring the discussion on this subject and/or get tips on where I can find more information on this topic.
I can annoy me as a dialysis nurse to the way we organize everything around our patients.
I think we keep maintaining bad habits because we have made it our patients just that way. We make our patients often no longer responsible for their self care and as a result they are very demanding in some areas. Are we not thereby as nurses responsible for the shortage of self care at our dialysis patients sometimes?

I shall now give 1 example that will clarify what exactly I mean.
I am thinking here of investigations at other specialists that our patients sometimes need.
The hemodialysis patient finds it often normal that we organize these investigations for them at the time and in the location that best suits him/her.
Patients sometimes demand a lot. I knew a patient who demanded that a specialist came to him on the spot during his dialysis treatment. The patient refused to consult the specialist at another time. And we followed him in this desire…..

Don’t get me wrong !
I certainly don't want to stigmatize all dialysis patients, because there are also patients who have the responsibility for their own care.
but the generalization of ' the dialysis patient ' as ' the difficult, demanding patient ' is still on many departments within our hospital.
Is that justified?
Where does that generalization come from?
What can we do about this?
 
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