Statutory responsibilities of nursing activity in pre- and post-transplant period for patients with renal pathology
Information for nursing staff, 2022, 55(2), 57-65.
V. Vasileva
Fakulty of Medicine, Sofia University „Sv. Kl. Ohridsky”
Abstract. The recommendations of the world organizations supporting patients with kidney disease and kidney transplantation unanimously indicate the need for an interdisciplinary approach of care that responds adequately to the dynamics in the current health of patients in the pre- and post-transplant period. This model of care is carried out by a multidisciplinary team with different composition depending on the individual needs of the patient. A key position in the team is occupied by the nurse, as she coordinates all health care in the monitoring of individuals, provides physical, psychological and educational support and, accordingly, is in the closest contact with both the patient and all specialists in the team. Good communication and cooperation between the different teams involved before, during and after the performance of kidney transplantation are part of the mechanisms for increasing long-term results. The aim: To outline the duties and responsibilities of the nurse in pre- and post-transplant care for patients with kidney diseases in the stage of waiting for a kidney transplant and the subsequent monitoring of their condition after the operation. Analysis of literary sources for the period January 2018 – November 2022 took place. Legal provisions regulating the organization and persons involved in pre- and post-transplant care for patients with kidney diseases in our country and the level of autonomous competencies of nurses with direct participation in the activities in the field of Nephrology, Urology, Dialysis Sector and Dispensary were studied. Рresent an analysis of the statutory responsibilities of the nurse in pre- and post-transplant care for patients with kidney diseases according to the recommendations of the world organizations assisting patients with kidney disease and kidney transplantation.
Key words: regulated responsibilities, nursing activity, pre- and post-transplant care
Address for correspondence: Chief-Asist. Prof. Veselina Vasileva, PhD, е-mail: vzvasileva@uni-sofia.bg