Clinical Case Study Report
Introduction: Glenda is an Aboriginal woman, from Wurankuwu living with her extended family. She is quiet, speaks both English and Tiwi and moves around the Tiwi Islands regularly to visit family, and attend meetings, cultural events and special occasions. She lives with her daughter in Darwin who is her main carer and who also transports Glenda to and from the outpatient dialysis clinic as she is suffering from chronical kidney disease. The incidence and prevalence of patients with chronic kidney disease is increasing worldwide. Chronic Kidney Disease is generally asymptomatic. Up to ninety percent of kidney function may be lost before symptoms are present. People suffering with Chronic Kidney Disease may not notice
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For kidney disease diagnosis one needs certain tests and procedures:’ the first step towards the diagnosis of the chornical kidney disease is the personal discussion with the doctor regarding your personal and family history. Among other things, the doctor might ask questions about whether if you've taken any prior medication that might affect kidney function or you've any time before been diagnosed with high blood pressure, if you've noticed changes in your urinary habits, and whether you have any family members who have kidney disease. Next, to get more thorough knowledge of your sickness the doctor performs a physical exam, checking for signs of problems with your heart or blood vessels, and conducts a neurological exam. He may also conduct blood tests to check the functionality of kidneys for the level of waste products, such as creatinine and urea, in your blood. After that next test that may come in line could be urine tests to analyze with a sample of your urine to reveal abnormalities that point to chronic kidney failure and help identify the cause of chronic kidney disease. Next comes the imaging tests to determine your kidneys' structure and size. Other imaging tests may be used in some cases. Removing a sample of kidney tissue for testing may also be recommended by the doctor. For that a kidney
Acute renal failure occurs quickly over a period of days or weeks with a reduction in GFR and elevation of BUN, plasma creatinine and crystatin C levels. Oliguria (urine output of < 30ml/hr or < 400 ml/day) is usually associated with ARF, although urine output may be normal or increased as well. Fluid is still filtered at the glomerulus but there is an alteration in tubular secretion or reabsorption. Most types of ARF are reversible if diagnosed and treated early (Perrin, 2009).
Before administration of any medication the patients chart should be looked at and varify that the patient has no allergies that could be related to said treatment or anything similar in their medical history. Also obtaining a baseline set of vitals prior to medication administration
All the symptoms that were described were based on the kidney functions, so more and further
An Egyptian mummy who died at 35 or 45 years old is named Irtieru. Irtieru is a male mummy, and he is 5’61 feet. They knew this information by scanning him with the CT X-ray. What happened was that Irtieru was preserved and later had spotted a kidney in his body. Usually, Egyptians would take out all of the mummy's organs, except for the heart. What archaeologists think is that Irtieru had a kidney disease called renal tuberculosis. Renal is something to do with the kidney and tuberculosis is an infection bacterial disease that grows nodules in the tissue, even the lungs get affected. They think that he has renal tuberculosis is because it had hardened his organ. Archaeologists did not know what he did in life, but this leads him to an elite
Chronic Kidney Disease (CKD) is a disease that is described as a loss of kidney function gradually over time. As kidney function decreases, the waste collection in the body’s blood becomes high and makes the individual feel sick. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and show as CKD progresses to advanced stages. Early detection of this disease is essential when it comes to treatment. If CKD is diagnosed early enough the disease progression can be slowed down and managed. This disease will eventually lead to failure of the kidneys
Diagnosing the disease can be relatively simple, but this depends on accurate patient history and ones ability to recognize varied clinical signs and then perform diagnostic procedures. These diagnostic procedures may include antigen testing, x-rays, ultrasonography, angiography, a complete blood count, the Knott’s or Filter test, and in the worst case necropsy.
Multidisciplinary teams at Durri which are supported by Medical Outreach Indigenous Chronic Disease Program (MOICDP), work towards to manage chronic kidney disease. They consist of nurses for chronic diseases, general practitioners, a visiting nurse practitioner, nephrologists and Aboriginal health workers, who work together 2 in order to manage chronic kidney disease in the community. Chronis kidney disease is a major health issue for Aboriginal peoples and the occurrence of kidney disease is 3.7
Diabetes has become a serious issue in indigenous Australians in Australia. According to the Australian human rights commission (2001), indigenous people were three times more than non- indigenous Australians. Compared with all the population in the world, aboriginal Australians have the fourth highest rate of type 2 diabetes. Around 10% to 30% of them are diagnosed with diabetes and many of them will have the disease in early age (Better Health Channel, 2011). Based on the truths stated above, it shows that diabetes is serious health problems around indigenous Australians that need to be solved eagerly. This report will discuss four parts regarding diabetes among indigenous Australians included impact on the individual, family, population, together with, the implications for the role of nurse dealing with.
The concern of social issue in this study is the disproportionate burden of chronic kidney disease in Indigenous Australians. Aboriginal and Torres Strait Islander suffer considerably higher rates of chronic kidney disease than the non-Indigenous population in which 11% of those getting treatment for end-stage kidney disease (ESKD) are Indigenous people. On the other hand, the population of Indigenous Australians is only around 3% of the total population in Australia (Anderson, Cunningham, Devitt, & Cass, 2013; Anderson, Devitt, Cunningham, Preece, & Cass, 2008). Therefore, such condition indicates a serious public health problem due to several barriers that affect Indigenous people’s response towards ESKD and its treatments. Living in remote area with poor health facilities creates a constraint for Aboriginal people to receive equitable treatments while renal specialist, renal transplantation and dialysis services tend to be allocated in the urban area (Cass, Cunningham, Snelling, Wang, & Hoy, 2004; Preston-Thomas, Cass, & O 'Rourke, 2007). Patients with ESKD have to attend dialysis treatment three times a week. Hence, Indigenous people who come from a remote area must leave their community to get dialysis medication. Coming from low socio-economic status and education level, Indigenous people also have to face some difficulties to engage with the treatment services. Effective communication between Indigenous people and health providers during the treatment process might
At the end of our 2 weeks of data gathering and completing the study, the group aims to accomplish the following:
Patients who are diagnosed with acute renal failure go through difficult times dealing with the disease. Their families too experience psychological difficulties, not knowing the degree of suffering their loved ones are going through. Therefore, in order to provide the best of care for the patient, nurses need to be knowledgeable about the problem, and find the best professional way to educate the patient and family so that the patient does not end up into the hospital for re-admission. Family members can best relate to the situation and understand what their loved ones are going through if they are included into the care of the patients. You get a better outcome when you treat patients as a whole. It is critical for nurses and other health care workers to provide patients and their family members with the necessary information in order for them to make informed decisions.
Chronic Kidney Disease (CKD) is among the leading causes of mortality throughout the world, and its prevalence and the health care costs resulting from it are considerable and increasing. CKD commonly is silent and asymptomatic until its late stages. Accordingly, CKD is diagnosed prior to symptomatic stage of kidney failure, resulting in delays in proper interventions and the emergence of adverse consequences in the CKD patients
stages, symptoms and risk factors. It also examines the process of kidney transplantation to treat
When treating kidney disease it is important to control the underlying disease that is causing the damage to the kidneys. If diabetes is diagnosed keeping blood glucose levels under control and if high blood pressure is the cause keeping blood pressure under control with a reading of 130/80. Medication can be helpful such as ACE inhibitors, angiotensin II receptor blockers. Acute renal failure the main goal is to get the kidneys functioning again the physician may limit the amount of fluids taken in daily along with antibiotics to protect against any infections and diuretics to help with fluid removal. In some cases patient will require dialysis for a short period of time. Treating end-stage renal failure requires dialysis and or transplants.
Specific blood tests also can be an accurate diagnostic tool. A kidney biopsy can also provide accurate results. Chest x-ray, ultrasound, and electrocardiogram can be effectively used (Stevens, 2009).