Effect of Health Contract Intervention on Renal Disease Patients in Korea Penny Hall RN BSN December 12, 2013 Penny Hall RN BSN December 12, 2013

Introduction Dialysis Patients are in danger of: Increased Potassium Increased Phosphorus Increased water gain resulting in fluid overload Dialysis Patients are in danger of: Increased Potassium Increased Phosphorus Increased water gain resulting in fluid overload

Literature Review Health Contract Intervention (HCI)-agreement between nurse and patient to reach common goals to be attained.

Goals Reached based on:  Nurses assessment of patient’s concerns, problems, and disturbances in health  Nurse-Patient perceptions of the interference  Sharing information of information functioning to help the patient attain goals set  Nurses assessment of patient’s concerns, problems, and disturbances in health  Nurse-Patient perceptions of the interference  Sharing information of information functioning to help the patient attain goals set

Nursing Inventions For self-care with dialysis patients are: Educational Planned & executed with the nurse leading and the patient following Educational Planned & executed with the nurse leading and the patient following HCI Active patient participation & interaction with the nurse Applicable to dialysis patients who need to do constant self-care Active patient participation & interaction with the nurse Applicable to dialysis patients who need to do constant self-care

Objective data of usefulness of HCI  Measurement of serum Potassium (K)  Measurement of serum Phosphorus (P)  Mean weight gain between treatments These are all affected by self care behaviors  A self-administered questionnaire was also used