Question

1. patient teaching for renal transplant?

2.what are advance directives? what are some examples of them.

Answer 1

1. Renal transplant mostly done in case of end stage renal disease patients who have irreversible failure of their kidneys. Patient education is important part in renal transplant because it's a big surgical procedure so patient should understand major things regarding the surgery. Patient education will help to identify potential problems that may effect the transplant procedures. It also help patient to decide transplant is the best option for his disease.

Major points in health education include in pre-transplant education and after discharge.

Pre transplant education includes

1 .Explanation about the urinary system location of kidney its importance and physiology. 2. Understanding the patient regarding surgical procedures, its type and duration anesthesia and all. 3. Gives explanation regarding important drugs used after transplant like immunosuppressant therapy, antibiotics and all. 4. Discribe about pre- operative preparation which include tissue typing ,Laboratory tests , x ray , Ecg, and pre renal transplant evaluation which included fitness of the patient, his blood type matching with donor tissue etc.

5. Teaches post operative expectations after surgery like rejection or any other unsuccessful possibilities.

These are important patient education in pre transplant period. After surgery health education gives regarding importance of diet (renal diet), exercise, hygiene to prevent infection, importance of follow up clinics and regular intake of medications on time.

These are important points that should be keep in mind while giving health education to renal transplant patients.

2) Advance directives are given to patients some important advance directives are patient should be psychologically stable and free from alcohol or drug abuse because after surgery many problems will occur for example patient may develop cardiovascular disease, thyroid problems, frequent infection so he should be stable to withstand all. Another directive is patient shouldn't have uncorrectable medical conditions like advance liver disease, major cardiovascular disease, Cancer etc these individuals are unsuitable clients for procedures. Patient should maintain optimum weight and diet that is essential for maintaince of transplanted kidney. These are some important directions given to client.