Concept Analysis on Adherence with ESRD Patients and Impact on their Life

Concept Analysis on Adherence with ESRD Patients and Impact on their Life
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Concept Analysis on Joanne Duffy’s Quality Care in treatment Adherence on Hemodialysis Patients
Abstract
Purpose: This research aims to define the idea of adherence and how it relates to quality care in the treatment of patients experiencing Hemodialysis.
Method: The concept analysis technique of the quality care model by Joanne butts were applied in this work.
Results: According to the findings of this concept analysis, commitment to the quality and treatment of life is a complicated notion. It includes physical, psychological, or other characteristics of human beings, both within and outside of the body. Therefore, the term adherence is much more suitable to employ regarding hemodialysis patients' quality of life.
Conclusion: This paper explained the distinctions between adherences as well as other terms, such as compliance and concordance, and also provides describing characteristics, such as adherence therapies or suggestions, the rewards and importance of adherence felt, recognition and acknowledgement of the present state, and capacity to do tasks as fast as possible. To make this notion more obvious, model, borderline, and contradictory instances were provided. The antecedent, consequences, and empirical referents have all been discussed. These are beneficial, but they need further investigations, and, most important, they must be explored in the context of enhancing nursing, not just in academic writing.
Keywords: Chronic Kidney disease (CDK), adherence, quality of life, concept analysis,
1. Introduction
Chronic Kidney Disease (CKD) victims have many organ defects. Increased uremic and other toxic metabolites induce decreased bodily functioning and increase the formation of illness in various systems, including pleuritic and pulmonary edema in the respiratory system, uremic fetus and itches on the skin pericardial effusion in the heart and lungs (Kannan, 2019). These weaken the body's organs, reducing its capacity to carry out regular duties.
Hemodialysis is one method of reducing the quantity of uremic and other toxic metabolites in the patient's body. It is a method of filtering out these hazardous byproducts. This operation can help people live for many years while also increasing their capacity to undertake activities. Increasing their abilities also promotes an improvement in their quality of life. Adherence is a frequent phrase used by people to indicate that they are obeying the advice of a healthcare provider. Many synonyms, including compliance and concordance, are often used simultaneously with adherence. Furthermore, some discrepancies must be highlighted and how the notion of adherence is handled in the instance of CKD.
2. Purpose
This research aims to define adherence as it relates to the quality of life, especially for patients with Hemodialysis.
3. Method
The concept analysis technique of the quality care model by Joanne Betty’s was applied in this work.
4. Results
Quality care concept analysis includes the following elements: definition, related concepts, defining qualities, model case, borderline case, related case, contrary case, associated consequences, and empirical referents. The following is an example of how to apply the concept:
Definition
In response to the growing need to highlight the patient's decision-making participation, the term adherence has substituted compliance. The phrase adherence emphasizes the patient's choice to choose their desired advice. The phrases adherence and non-adherence define how closely a patient's conduct follows the prescriber's agreed-upon guidelines. As a result, concordance was coined to describe a patient-centred approach to prescribing and taking medications.
Model Case
Paul, a 65-year-old male, has had chronic kidney disease (CKD) for the past five years.  His doctor advised him to get hemodialysis 3-times a week, limit his fluid consumption to 900 mL per day, and consume a low-protein diet. He goes to the clinic 3-times per week on a schedule for Hemodialysis, limits his fluid uptake, and requests his spouse to prepare low-protein foods for him. He also invites his wife to keep reminding him if he misses following these guidelines. He is continuously attempting to complete tasks on his own. He hardly ever asks his wife or children for assistance unless he is truly unable to do so. He stated that he would do his best until the end of his life. His family, including his spouse and kids, are always supporting him.
In this scenario, all of the characteristics are listed. This instance demonstrates how Quality Care in treatment Adherence on Hemodialysis has a beneficial impact on this person's quality of life. It is essential to follow the treatments or advice of the healthcare provider to obtain the best degree of quality of life possible.
Contrary Case
Gordon has had CKD for a year. However, he disregards his healthcare provider's treatments and advice. He...