Final Question: In patients with non-dialysis-dependent (NDD) Chronic Kidney Disease (CKD) who have iron-deficiency anemia, how efficacious is intravenous (IV) ferric carboxymaltose in increasing hemoglobin levels and reducing treatment-related adverse events compared to IV iron sucrose?
When discussing management of CKD with a primary care provider it is up to the patient and the team to create a viable plan. "most patients require dialysis, either peritoneal dialysis (PD) or hemodialysis (HD). The majority of patients in the United States chose HD" (Hadley, 2014 p. 1116). All options should be discussed with the patient before determining any set course of actions. Alternative therapies can include; dialysis, transplantation, and even palliative care (Hadley, 2014, p. 1116). With dialysis being the mainstay of management when the kidneys start to fail (stage 5,) different options should be discussed. With numerous dialysis centers and at home options being available the pros and cons of each should be carefully measured. Fresenius Medical Care has locations throughout Northern Colorado, including Greeley and Loveland. They
Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,
Lack of communication between a client and there family can cause upset, deterioration of mental health, physical health, effecting recovery and treatment causing client to possibly feel sad, depressed, lonely, rejected and neglected.
Chronic Kidney Disease (CKD) is emerging as a major challenge for the global health-care systems with increasing life-expectancy and rising rates of obesity, diabetes and hypertension (1). Not surprisingly, the incidence-rates of End-stage Kidney Disease (ESKD) have been rising world-wide with rates ranging from 12 to 455 per million population (pmp) (1). ESKD affects 107 individuals per million population in the United Kingdom (2). Although the incidence-rates have been stable from 2006-2010, it has risen from 95pmp in 2001 (2). Prior to the 1960’s when dialysis was available, ESKD was universally fatal. Since the advent of dialysis, ESKD was no longer a terminal condition. With evolving technologies and modifications of the techniques, dialysis developed into a long-term treatment for ESKD. However, survival, morbidity, and quality of life remain poor, while cost stays high.
Approach: The approach I would use for this family would be people centered approach. It is said that no one else can know how we perceive, we are the best experts on ourselves and that the family will be responsible for improving their situation, not counsellor.
The family system is founded on the notions that for change to occur in the life of an individual, the therapist must understand and work with the family as a whole. In working with the family, the therapist can understand how the individual in counseling functions within his family system and how the client’s behaviors connect to other people in the family. This theory also holds the perception that symptoms are a set of family habits and patterns passed down by generation and not a result of a psychological problem or an inability to change (Corey, 2017). Furthermore, the family system theory holds the idea that when a change occurs everyone in the unit is affected by the change.
Chronic kidney disease (CKD) is a worldwide problem that is currently three times higher for African Americans, Hispanics, Pacific Islanders, American Indians and seniors (The National Kidney Foundation, 2013). CKD occurs when the kidneys are damaged by a pathogen or injury and they can no longer adequately maintain proper levels of regulated chemicals in the bloodstream. There are many risk associated with CKD. According to the National Kidney Foundation, two of the major risks are Chronic Renal Failure (CRF) and Cardiovascular Disease. Currently twenty million American adults have CKD and millions of others are at increased risk. Age has no barrier on getting CKD. People with pre-existing health issues, and a part of certain population
Kidney failure has spread immensely throughout the United States for the past decade. There are many causes for kidney failure, but the top two in the U.S. are Diabetes and Hypertension. Before this research project, I was not aware of how common Chronic Kidney Disease is amongst us, especially since it ranges from birth to old age. One in 10 adults within the age of 20 or older has been diagnosed with kidney disease in the U.S., (Davita.com). This disease causes a complete lifestyle change and with the right educational tools, diet, compliance, and support from family and friends, the patient should be able to keep living without any complications.
Their family (system) pursued treatment with the impression that Claudia was tearing their family apart. The therapists, in this case, quickly noticed this behavior and in response, began to assistance the family to understand how each of the members were participating in this behavior. Applying the components to the Brice family’s situation from the article, Bowen Family Systems Theory and Practice: Illustration and Critique, to the major goals the family systems theory is, first, the individuals in the family must each become aware of emotional systems function and second, increase differentiation, where individuals begin to make individual changes instead of trying to change each other (Brown,
Mark is a four year old male who has been diagnosed with chronic renal failure. Mark has two older brothers, John and Max. His mom, Carol, is a teacher at the local elementary school. His dad, Mike, is a community police officer. Mark goes to preschool from 0800-1200 four days a week. They live in a rural community in small four bedroom house with their dog, Bruno. Everyone in the community seems close and supportive. Both Mark’s older brothers caught strep throat at school and then Mark caught it. The strep wasn’t treated for two weeks as his mother thought his symptoms were allergies. Mark was in the clinic with his mom with symptoms of decreased urine output, rusty colored urine, and swelling of the abdomen. The doctor diagnosed him
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.