Abstract

The purpose of this article is to describe the experience of caring for a patient with end-stage renal disease (ESRD) secondary to hypertension who underwent initial hemodialysis. The nursing care period lasted from September 5 to September 19, 2024. We applied the Neuman Systems Model to conduct a holistic assessment, including the collection and analysis of intrapersonal, interpersonal, and extrapersonal factors. The identified health issues included a potential risk for decreased cardiac tissue perfusion, feelings of powerlessness, a knowledge deficit regarding self-care precautions at home after hemodialysis for ESRD, and a potential risk for infection.

Given the patient’s arterial sclerosis, vascular narrowing, reduced blood flow to the heart and kidneys, and declining renal function due to uncontrolled hypertension, it was crucial to control blood pressure during hemodialysis. This would help ensure adequate perfusion to vital organs, minimize hypertensive complications, and alleviate symptoms caused by insufficient blood flow. In addition, nursing care was provided to help alleviate feelings of powerlessness. To address the knowledge deficit associated with self-care after the first hemodialysis, self-care precautions were provided to ensure proper post-treatment management at home. Information and preventive measures related to nutrition, hygiene, and infection control were also discussed to improve the patient’s willingness to adopt healthy habits and reduce the risk of infection.

Through this nursing experience, we aimed to provide valuable insights and serve as a reference for healthcare professionals who manage similar cases in the future.