Nurse
Good morning. My name is Narso Andrew and I am a registered nurse in this hospital. How may I help you?
Patient
Hi. Good morning. My name is Patience Patricia, and my father is a patient here for dialysis.
Nurse
Okay, for better clarification. Shall I know your father’s name, please?
Patient
Sure. His name is Fethor Foster. He is here for his first dialysis.
Nurse
Thank you for the details. Now, what can I do for you today?
Patient
Nurse? As I have mentioned, this is the first dialysis for my father, and I am very new to this situation. So it would really be appreciated if you could give detailed information about kidney failure as well as dialysis.
Nurse
Definitely I can. It is my pleasure to make you understand your father’s condition.
Patient
That is so kind of you.
Nurse
You are welcome. Now, kidney failure is also called end stage renal disease.
Patient
Okay.
Nurse
The kidney’s functions are to remove extra fluid and waste from our body to maintain a healthy balance and turn these into urine to be passed out of the body.
Patient
All right.
Nurse
But in your father’s case, the kidneys are no longer functioning for the body.
Patient
Oh, I see.
Nurse
When the kidneys fail, it means that they have stopped working and it’s difficult to survive without dialysis or a kidney transplant.
Patient
Oh, is it? If you don’t mind, please let me know more about what is involved in dialysis and what exactly it is.
Nurse
Sure, why not? Dialysis is a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly.
Patient
Okay.
Nurse
It often involves diverting blood to a machine to be cleaned and returned to the body for proper regular functioning. Am I clear to you?
Patient
Yes, you are. But even now, I am unsure why he needs this thrice a week.
Nurse
Patricia, your concerns are quite reasonable. It is well known that increasing the frequency of dialysis improves the quality of life when your father gets dialysis thrice weekly. The symptoms and complications related to his conditions will be comparatively less.
Patient
That’s good to know. By the way, what about his chances of recovery?
Nurse
Patricia, I am really sorry to inform you that the chances of your father’s recovery is doubtful to improve. If he remains inside the treatment modalities, he can alleviate his symptoms and help him to become stable during his lifetime.
Patient
I understand your words Nurse. but I want to know more about dialysis. Is it a painful procedure?
Nurse
I appreciate your willingness to know details. Some people experience muscle cramps during dialysis, usually in the lower leg.
Patient
Okay.
Nurse
This is thought to be caused by the muscles reacting to the fluid loss that happens during dialysis. But there is nothing to worry about. Your father will be monitored during the procedure and managed appropriately if he experiences trouble.
Patient
Great. Meanwhile, does this procedure have any side effects?
Nurse
The most common side effects of dialysis include low blood pressure infection on the dialysis side, Muscle cramps, as I mentioned before, itchy skin and blood clots.
Patient
All right.
Nurse
If the symptoms are reported to the care team, they can provide your father with some lifestyle modifications, including diet. If you notice any symptoms of extremely low blood pressure, high blood sugar, blood clots or spreading infection. Your father should seek medical attention immediately.
Patient
Okay. I will ensure he is monitored and cared for properly at home.
Nurse
Good to hear that.
Patient
Nurse. I am heavily concerned that my father is 86 years old, and sometimes he is very stubborn. What would happen if he decided not to continue his treatment?
Nurse
I acknowledge your concern, and it is worth noticing that if your father stops his treatment, there is a chance that your father will become very ill.
Patient
All right. I really don’t want him to miss the treatment sessions. Definitely, I will take care of it and accompany him during the sessions.
Nurse
Great decision. Meanwhile, do you have any other concerns?
Patient
Not really. For now. Thank you for your information.
Nurse
It is my pleasure.
Patient
That is the end of your sweet speaking role Play. All the best.
