CHBT study plan

Map the nephron segment by segment and state the primary transport function of each segment from memory

Explain how glomerular filtration rate is determined by net filtration pressure, surface area, and permeability

Trace the renin-angiotensin-aldosterone axis and predict the effect of each blockade point on potassium and volume status

Distinguish diffusion, convection, and adsorption in solute removal and identify which dominates for small versus middle molecules

Compare clearance-based and Kt/V-based adequacy measures and calculate a Kt/V from given urea, time, and volume values

Interpret a dialysis prescription and explain how blood flow, dialysate flow, membrane area, and treatment time each shift clearance

Classify dialysis membranes and describe how flux and biocompatibility influence outcomes

Relate ultrafiltration rate and volume removal to intradialytic hypotension risk

Describe the physiological basis of respiratory sinus arrhythmia and baroreflex-mediated heart rate variability

Explain operant conditioning of autonomic responses and why immediate, accurate feedback is essential to learning

Distinguish sympathetic and parasympathetic contributions to skin temperature, electrodermal activity, and heart rate

Summarize the evidence base for heart rate variability biofeedback and slow-paced breathing at roughly six breaths per minute

Compare electrodermal, thermal, respiratory, electromyographic, and cardiovascular feedback channels on sensor type, signal range, and typical clinical use

Explain artifact sources for each channel and the correction or filtering strategy for each

Calculate a resonance frequency breathing rate from heart rate variability data and justify the pacing protocol

Demonstrate correct sensor placement and baseline recording procedure on a volunteer or simulator

Assemble a session setup checklist covering sensor placement, signal verification, artifact screening, and safety limits

Design a biofeedback session sequence for a patient on hemodialysis that fits within treatment constraints and access-site precautions

Adapt pacing and feedback targets for a patient with limited mobility, sensory loss, or cognitive impairment

Justify why certain modalities are contraindicated or require modification during a dialysis run

Conduct a structured pre-session assessment covering symptom burden, anxiety, sleep, pain, and readiness to learn

Match relaxation techniques such as paced breathing, progressive muscle relaxation, and guided imagery to specific patient presentations

Describe how to recognize and respond to hypotensive episodes, cramping, and access-site symptoms during a session

Write measurable short-term goals with a patient and define how progress will be tracked across sessions

Explain informed consent, scope of practice, and referral obligations for biofeedback practitioners in a dialysis setting

Identify privacy, documentation, and data-handling requirements for psychophysiological recordings

Analyze ethical dilemmas involving patient autonomy, unrealistic expectations, and boundaries of the supportive role

Outline infection-control and equipment-cleaning steps for shared sensors in a clinical environment

Integrate all six domains into a single end-to-end patient pathway from assessment through session delivery and follow-up

Complete timed practice sets weighted to the domain percentages and review every missed item to its underlying concept

Rehearse explaining biofeedback rationale to a patient and to a dialysis care team in plain language

Identify the three weakest remaining topics and build a targeted remediation list