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Biomedical subjects

Dori Schatell

Publications and source records attributed to Dori Schatell.

15 recordsLinked to original sources
PubMed2003

The nephrologist's critical role in patient education.

Nephrologists have a unique role in assisting patients' adaptation to chronic kidney disease and in preparing them for the complex decisions that are necessary in end-stage renal disease (ESRD). Using a chronic disease model patients with chronic kidney disease (CKD) must learn to accept some responsibility for their care and learn self-management skills such as adhering to treatment plans and accurately reporting symptoms. Nephrologists are well positioned to offer patients realistic hope that can enable them to form positive attitudes regarding their illness. Informed patients who are actively involved in decisions regarding their care will likely be more adherent to medical recommendations, be more satisfied, and have better outcomes.

Attitude of Health Personnel↗
PubMedDate not supplied

An integrated approach to care for patients with chronic kidney disease.

Although the Kidney Disease Outcomes and Quality Initiative (K/DOQI) guidelines serve to integrate the multiple stages of chronic kidney disease (CKD), in practice, the treatment of kidney disease over its progressive course may be somewhat fragmented. Because the provision of integrated care across the stages of kidney disease, is likely to be advantageous for both patients and care providers, a conceptual framework which graphically depicts the complex and chronic nature of kidney disease may prove useful. The Life Options Rehabilitation Advisory Council (LORAC) proposes a cycle diagram to reflect the chronicity and complexity of kidney disease and to emphasize a holistic perception of kidney disease from its inception to the worst-case scenario outcome of kidney failure [corrected]. The kidney disease cycle conceptualization can serve as a patient teaching aid and as a reminder of the communication, collaboration, and cooperation that are required among primary care physicians and practitioners in each of the specialty areas that address the spectrum of kidney disease.

Delivery of Health Care, Integrated↗
PubMedDate not supplied

Self-management in patients with end stage renal disease: exploring domains and dimensions.

The management and appropriate treatment of chronic disease are ongoing challenges in health care. As the population ages, the prevalence of chronic disease can be expected to increase. Since by definition there is no cure for chronic disease, controlling, minimizing, or managing its negative effects becomes a primary goal. In the self-management perspective, it is neither clinicians nor health care systems who must accomplish the bulk of chronic disease management but rather the patients themselves. Moreover, self-management has been shown to be associated with improved outcomes. Self-management is comprised of two domains: self-management of health care and self management of everyday life. Self-management of health care includes self-care activity, partnership in care, communication, self-care self-efficacy, and adherence. Self-management of everyday life entails achieving/maintaining "normality" in everyday roles and functioning. End stage renal disease (ESRD) is a chronic disease for which self-management is particularly relevant. Understanding the components of self-management may help patients and clinicians to embrace this approach, to enter the mutual relationship it requires, and to maximize positive outcomes for patients with ESRD.

Activities of Daily Living↗