The study explores the psychological impact on a male diabetic patient with End Stage Renal Disease (ESRD) affected by acute dialytic complication in the form of seizures caused by excessive fluid volume as well as its adverse effect on his health. Data was collected and
analyzed during the care period between 5/31/2008 and 6/30/2008 using the Gordon health evaluation methods, observations, interviews and case history. The author found that the case was stressed by symptoms of dialytic maladjustment. The health hazards included: risk for injury, excessive fluid volume and impaired adjustment. During nursing care the author focused on the followingpatient health issues: water intake, nutrition, home safety, fall prevention and health education for coping with physical discomfort. Through patient attention and empathy, efforts were made to encourage and support the patient to live a normal life while receiving dialysis. The patient was also provided with information on the importance of hemodialysis to help him relax and enjoy life again. While hemodialysis is a long-term process for the patient, individualized and continuous nursing care can be provided to help the patient come to terms with dialysis and improve his quality of life.