The Experience of Interprofessional Collaborative Practice for End-stage Renal Disease Patient with Spiritual Wellness.

This article describes the care experience of a case of end stage renal disease in which the patient was unable to cope with the progression of the disease and caused spiritual distress. The nursing care period is from January 24 to February 23, 2021. Patient data was collected using physical, psychological, spiritual and social assessments, through direct care, medical records and interviews. The identified health issues were ineffective airway clearance, compromised skin integrity, and spiritual distress. Physiological problems were treated with nursing measures such as oral care, chest physiotherapy care, keeping the skin dry, and choosing an appropriate wound dressing method. The case effectively eliminated sputum, and there was no new sign of infection in the pressure injury wound. In terms of psychological problems, interprofessional collaborative practice provided psychological support and spiritual comfort, and guided the patient to participate in medical decisions and end-of-life discussions, conduct life reviews, build self-worth, and achieve the goal of spiritual wellness. Caregivers are encouraged to participate in courses on hospice care and advance care planning to enhance the sensitivity and communication skills of clinical care in this kind of case. [ABSTRACT FROM AUTHOR]