Clinical Narrative



As a nurse, one gets to meetmany patients with diverse conditions. Dialysis is done to patientswho have kidney failure using special machines. The equipmenteliminates wastes and excess water from the blood to prepare one forsurgery. Dialysis is vital as it makes a patient better and ready forprocedures of kidney transplant.

I had an encounter with apatient, Mark, who was brought to the hospital with the condition ofkidney failure. He had to undergo kidney dialysis. The whole eventtook my nursing experience to a whole new level. Mark was in acritical need of kidney transplant a procedure that was not readilypossible at the moment as there was no donor. To some extent, heseemed strong and did not pity himself the same way we did. He hadhopes that everything would be better. Mark’s level of confidencetaught me as a nurse to always have assurance and believe thathealing is a factor of an individual’s conviction. He did not wanthemodialysis as a way to facilitate blood filtration process in hissystem. His reason for refuting this important procedure was that hewas concerned about the recurrent weekly hospital visits. At thispoint, he accepted peritoneal dialysis which was a significantsubstitute of hemodialysis.

Mark appeared not so muchaware of the hemodialysis. Nonetheless, he chose the process after weexplained it to him as a type of dialysis that was equally relevantfor his state. Furthermore, Mark opted to be subjected to peritonealdialysis because it could easily be done at home. The procedure wasagain the best for him since he would be close to his family memberswho would provide the necessary daily support. Sequentially, havingMark’s family around during the treatment allowed him to be happyand he did not suffer from depression. It added to my experience as anurse that before giving any type of dialysis, it was appropriate todiscuss with the patient to choose the one that he or she could bemost comfortable with.

After three months ofdialysis, Mark’s son came up as a willing donor and agreed to giveone of his kidneys. After a series of lab tests, it was confirmedthat the kidney was compatible. It showed the son’s brevity as alot of family members were willing to donate but were short of thecourage to do so. Before the operation, the two were reminded to becalm and non-anxious since nervousness could raise blood pressurewhich was not good for the surgery. The doctor conducted successfuloperations on both the son and the father. Mark received a healthykidney and was very happy. My presence in the surgery room allowed meto have an opportunity of being involved in actual dialysis and Ilearned new tactics of handling any patient of similar condition. Ireceived experience on how to work with the machines.

After the whole process,well-wishers helped raise the medical fee since the family was notwell-off and could not afford the bill. Besides, the cost exceededMark’s insurance maximum pay. After a few days, he was doing welland was discharged to recover fully from home. For sure, the Markmanaged to fight for his life because of his undying faith. On theother hand, his journey with the kidney failure condition left memore experienced with handling dialysis machines and patients who mayrequire moral support.