Nursing care of patients during hemodialysis
Dialysis, as a form of replacement of renal function, is performed worldwide today. The foundation for the development of dialysis is set by Tomas Graham in 50s of the 19th century, discovering the properties of semi-permeable membrane. From the first hemodialysis, in 1924, and especially since 1945 until today, intensive progress has been made in the development of dialysis and the vascular approach. Dialysis is performed with the aim of removing harmful substances and excess fluid and correcting electrolytes and acid-base balance. It is performed on patients who have lost kidney function, most often three times a week for three to five hours. Performing a hemodialysis procedure requires additional education of dialysis nurses. For many years, education has been performed in accordance with the Ordinance of the conditions regarding space, employees and medical-technical equipment for performing chronic dialysis in health care institutions authorized for performing training. Since 2014, the elective subject Nursing in a dialysis unit has been introduced for the first time in the curriculum for the implementation of the qualification of general care nurse/general care medical technician.
Key words:
education; hemodialysis; nurse role