Nursing Care for Patients with End-Stage Renal Disease Undergoing Continuous Ambulatory Peritoneal Dialysis and Pneumonia due to Coronavirus Disease 2019 (COVID-19): Case Studies

Abstract

Patients with end-stage renal disease who require hemodialysis or peritoneal dialysis are at risk of contracting the 2019 coronavirus and severe complications that lead to death. This case study aimed to analyze the nursing care for two patients with the end-stage chronic renal disease treated with continuous ambulatory peritoneal dialysis and got coronavirus disease 2019 (COVID- 19) with pneumonia, admitted at Nakhon Pathom Hospital. Data were collected from medical records and interview patients and relatives. Gordon's functional health pattern was used as a framework for conducting nursing diagnoses and nursing care plans. The study results showed that similar nursing problems were the problem of respiratory tract infections and problems of excreting waste from the body because of chronic renal failure. Therefore, the nursing and medical approaches focus on assisting with breathing and reducing infection in various systems, medications to treat COVID-19, helping the body excrete waste, and psychological care. Nursing outcomes depend on factors such as the patient's underlying disease or other complications, such as sepsis. Therefore, the author suggests nurses should assess the health status of patients individually so that we can prescribe nursing diagnoses, set a nursing care plan that meets the needs of the patient. We may also develop a standard for nursing practice for patients with the end-stage chronic renal disease treated with continuous ambulatory peritoneal dialysis and pneumonia because of COVID-19 as a guideline for effective nursing care.