8. ▪ Collecting data on ESRD patients who start dialysis, peritoneal dialysis and undergo kidney transplantation

10. CAUSEPERCENTAGE OF INCIDENCE 1. DIABETES MELLITUS 44.6 % 2. HYPERTENSION 23 % 3. GLOMERULONEPHRITIS 19.3 %

11. COUNTRY ACCEPTANCE RATE OF TREATMENT (PMP) UNITED STATES OF AMERICA 300 % SOUTH KOREA 100 % PHILIPPINES 86%

14. ▪ Health care plan for patients with CKD focuses more on examinations and medical treatment by health workers and laboratory tests. ▪ Only few will assess the views of patients with regards to their well being and perspective on the disease.

15. ▪ Broad range of human experiences related to one's overall wellbeing. ▪ Quality of life, by its very natures, is idiosyncratic to the individual. ▪ It implies value based on personal expectations and is defined by subjective experiences, states and perceptions.

16. ▪ Patients with CKD undergo a permanent life-altering situation. ▪ It changes patients’ eating, sleeping, medication use and daily activities at home and in the community.

18. “Each patient is unique, a composite of factors and characteristics within a given range of responses contained within basic nature.” “Wellness does not necessarily mean that the patient has to be healthy physically.”

19. “A person must continually adapt to the environment.” “The goal of nursing is to assist the patient to adapt to illness so as to be able to respond to other stimuli.”

20. “The purpose of nursing is to help others identify their felt difficulties.” “Nursing is a significant, therapeutic, interpersonal process.”

22. 1. The demographic profile of nurses according to: a.Age b.Gender c.Civil Status d.Support System (financial capacity) e.Duration of Illness 2. Quality of life of the patients in terms of the following domains: a.Physical Health b.Psychological Health c.Social Health Relationships d.Environmental Health 1. The demographic profile of nurses according to: a.Age b.Gender c.Civil Status d.Support System (financial capacity) e.Duration of Illness 2. Quality of life of the patients in terms of the following domains: a.Physical Health b.Psychological Health c.Social Health Relationships d.Environmental Health 1. Analysis of the following data: a.Demographic profile. b.Quality of life of participants according to the given domain. 2. Determining the significant relationship the profile and quality of life of patients with Chronic Kidney Disease? 3. Formulation of an Individualized Nursing Renal Management Program. 1. Analysis of the following data: a.Demographic profile. b.Quality of life of participants according to the given domain. 2. Determining the significant relationship the profile and quality of life of patients with Chronic Kidney Disease? 3. Formulation of an Individualized Nursing Renal Management Program. Individualized Nursing Management Program INPUT PROCESS OUTPUT FEEDBACK

23. ▪ This study aims to assess and describe the quality of life of patients diagnosed with CKD which shall serve as a basis in creating a backdrop for an individualized nursing management program. ▪ Specifically, it seeks to answer the following problems:

24. 1. What is the demographic profile of patients in terms of the following: a.Age; b.Gender; c.Civil Status; d.Educational Attainment; e.Support System (financial capacity); f.Duration of Illness?

25. 2. What is the quality of life of the patients in terms of the following domains: a.Physical Health; b.Psychological Health; c.Social Health Relationships; d.Environmental Health?

26. 3. Is there a significant relationship between the profile and quality of life of patients with Chronic Kidney Disease? 4. What are the lived experiences of the participants in relation to their present illness? 5. Based on the results of the study, what Individualized Nursing Management Program can be formulated?

27. ▪ There is no significant relationship between the quality of life of patients when grouped according to the profile obtained.

29. ▪ Limited to the patients of Ilocos Training Regional and Medical Center (80-90 CKD patients per month ). ▪ Regardless of age and gender. ▪ Patients with dementia, delirium or are psychologically incapacitated, and those who will refuse to participate will be excluded from the study.

30. ▪ Quantitative design (Descriptive) will be use to assess the quality of life of patients with CKD. ▪ Qualitative design (Phenomenology) will be use to describe the quality of life of patients with CKD. ▪ The mixed method has a complementary strengths and non- overlapping weaknesses.

31. ▪ World Health Organization Quality of Life (WHOQOL) Tool from the WHO will be utilized for the descriptive part of the research to measure the quality of life of patients with CKD. ▪ This instrument consists of 26 items which focuses on assessing the 4 broad domains of quality of life: a.Physical Health b.Psychological Health c.Social Health Relationships d.Environmental Health.

32. ▪ To describe the lived experiences of the participants, the researcher will utilize guide questions (open ended), structured interviews, Focused Group Discussion (FGD) and observation. ▪ A voice recorder will be utilized and will soon be transcribed for future references.

33. 1.How did your present illness affect your quality of life? 2.How are you coping/adapting with the changes brought about by your present illness? 3.How well are you coping with your present illness? 4.How do you feel about your present illness? 5.What can you say about the support that you are receiving?

34. 6. How did your present illness change the way you look at your life? 7. How do you visualize your future? 8. How are you contented with your health? 9. What are the negative changes brought about by your present illness? 10. What are the positive changes brought about by your present illness?

35. ▪ Purposive sampling is a sampling in which particular settings, persons or events are deliberately selected for the important information they can provide that cannot be as well from other choices. ▪ Convenience sampling involves drawing samples that are both easily accessible and willing to participate in the study.

36. Research DesignExclusive Dates 1. QuantitativeOctober 1, 2014 – October 31, 2014 2. Qualitative October 1, 2014 until point of saturation is reached

37. ▪ Amarga, E. (2013). Chronic Kidney Disease Prevalent Among Filipinos. Retrieved from Philippine Council for Health and Research Development website: http://www.pchr d.dost.gov.ph/index.php/2012-05-23-07-46-36/2012-05-24-00-03- 06/5819-chronic-kidney-disease-prevalent-among-pinoys ▪ Becker, G. (2011). “Asian Leadership in Chronic Diseases”. The Korean Academy of Medical Sciences. Retrieved from http://www.biomedsearch.com/attachments/0 0/19/19/47/1919 4885/jkms-24-S3.pdf http://www.biomedsearch.com/attachments/0 0/19/19/47/1919

38. ▪ Black, J. M. & Hawks, J. H. (2010). Medical-Surgical Nursing Clinical management for Positive Outcomes (8th Edition) (pp. 796-797). Winsland House I, Singapore. Saunders Elsevier. ▪ ▪ Burckhardt, C. S. & Anderson, K. L. (2011). The Quality of Life Scale: Reliability, Validity and Utilization. Retrieved from Health and Quality of Life Outcomes website: http://www.hql o.com/content/1/1/60 ▪ ▪ Center for Disease Control and Prevention. (2011). Measuring Healthy Days: Population Assessment of Health-Related Quality of Life. Retrieved from: http://www.cdc.gov /hrqol/pdfs/mhd.pdf

39. ▪ Crisostomo, S. (2014). DOH: Cases of Kidney Failure on the Rise. Retrieved from The Philippine Star website: http://www.philstar.com/headlines/2014/02/25/129427 1/doh-cases- kidney-failure-rise http://www.philstar.com/headlines/2014/02/25/129427 1/doh-cases- kidney-failure-rise ▪ Department of Health’s Philippine Health Statistics 1982-2009 Survey. Retrieved from http://w ww.doh.gov.ph/node/198.html ▪ Fowler, C. & Baas, L. S. (2009). Illness Representation in Patients with Chronic Kidney Disease on Maintenance Hemodialysis. Retrieved from HighBeam Research website: http://ww w.highbeam.com/doc/1G1- 144980421.html

40. ▪ Fukuhara, S., Lopes, A. A., Bragg-Gresham, J. L., Kurokawa, K., Mapes D. L., Akizawa, T. & Philip, J. (2012). Health-related quality of life among dialysis patients on three continents: The Dialysis Outcomes and Practice Patterns Study. Retrieved from Kidney International Journal website: http://www.nature.com/ki/journal/v64 /n5/full/4494100a ▪ National Kidney and Transplant Institute. (n.d.). Retrieved from National Kidney and Transplant Institute website: http://www.nkti.gov.ph/kidney_health.dohttp://www.nkti.gov.ph/kidney_health.do ▪ National Kidney Foundation. (2011). A “New Normal”: Life on Dialysis- The First 90 Days. Retrieved from National Kidney Foundation website: http://www.kid ney.org/patients/pee rs/pdf/11-10-0307_DialysisTransitionBk2_Oct07_LR_b m.pdf

41. ▪ Philippine Renal Disease Registry’s National Health and Nutrition Survey. (2010). Retrieved from: http://www.psn.ph/sites/default/files/Chronic%20Kidney%2 0Disease% 20(PSN).pdf http://www.psn.ph/sites/default/files/Chronic%20Kidney%2 0Disease% 20(PSN).pdf ▪ Teddlie, C. & Yu, F., (2010). Mixed Methods Sampling: A Typology With Examples. Journal of Mixed Methods Research 2010, 1, p 77., DOI: 10.1177/234567890 629430 ▪ World Health Organization (2012). “Health Situation and Trends in the Philippines”. Retrieved from: http://www.wpro.who.int/asia_pacific_observatory/Philippi nes_Health_System _Review.pdf http://www.wpro.who.int/asia_pacific_observatory/Philippi nes_Health_System _Review.pdf