Epoetin alfa: patient management issues and development through recombinant DNA technology. Part 2: Answers to questions about Epoetin alfa.
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Biomedical subjects
Publications and source records attributed to L Binkley.
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A retrospective study of 50 chronic home hemodialysis patients and 20 transplant recipients revealed: 1) sexual dysfunction occurs with the development of renal insufficiency and does not appear to improve during chronic hemodialysis; 2) recovery may follow successful renal transplantation, but not always; 3) drug therapy appears beneficial in the treatment of uremic hypogonadism and sexual dysfunction; 4) professional couselling is of paramount importance and recommended during all phases of treatment.
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Many of us are not prepared in assisting patients through the final phase of the life cycle. Recognising physical manifestations of stress, understanding why patients experience loss with kidney disease, and realising the supportive role that staff play for a patient undergoing this process, are key to assisting the patient to cope with loss and bereavement. The renal caregiver can assist the patient to view the ESRD life from another perspective as they journey through the life cycle to death. In so doing, the renal caregiver can recognise the needs of the family during this period, thus making them feel they fulfil a valuable role in the patient's final care. Being with a patient and family at the time of death is extremely rewarding as it helps the staff bring closure to the nurse patient relationship.