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Kapiʻo News 2024-02
No full textMonthly student newspaper publication of Board of Student Publications, Kapiʻolani Community Colleg
Decreasing Fluid Overload in Hemodialysis Patients in a Rural Clinic: Providing Multilingual Educational Brochure with Images
Get PDFFluid overload is a common issue for hemodialysis (HD) patients due to required fluid restrictions. Maintaining fluid restriction can be very difficult for this population. Chronic kidney disease is defined as kidney injury or damage resulting in an inability to filter the blood efficiently. Kidney damage results in waste and fluid accumulation in the body, which causes other organs to malfunction. With end-stage renal disease (ESRD) or kidney failure, patients without kidney transplants who receive HD treatment have regimented fluid and diet restrictions. The alteration of fluid intake and diet modifications are often very challenging for ESRD patients. With the coexistence of other diseases, such as diabetes and hypertension, these patients take many different types of medications concurrently. This often creates a substantial financial burden, depression, and other personal issues for these patients. Fluid overload in patients undergoing HD treatment is common due to difficulty managing fluid intake, which may be related to language barriers. Filipino patients with language barriers may not completely understand the English language during educational orientation regarding fluid and sodium restrictions. Providing a brochure with images and translations into Tagalog (Philippines national language) dialects could be very helpful. There are approximately 60 Filipino HD patients served by the project clinic, and Tagalog is primarily spoken by approximately 50% of these patients. The brochure should aid HD patients in understanding fluid intake restrictions. Education of fluid and sodium restrictions should be performed with HD patients frequently and continuously each treatment reinforcing the patient’s knowledge of the previous teaching with a multilingual educational brochure with images
