Chronic Kidney Disease: Diagnosis, Treatment, and Lifestyle Recommendations
Janelle Giggey
Nur6531
Walden University
August 2, 2015
Chronic kidney disease (CKD) is a condition characterized by a gradual loss of kidney function over time (kidney.org, 2015). Renal failure is a complex and challenging health issue that demands the involvement of both specialists and primary care providers (Buttaro, Trybulski, Polgar, Bailey, & Sandberg-Cook, 2013). In this paper I will discuss what chronic kidney disease is, how it is diagnosed, and what treatment options there are, as well as how potential patient factors can impact diagnosis and treatment of chronic kidney disease.
Diagnosis
Chronic kidney disease can start slowly and worsen over time. Patients with a history of diabetes and hypertension are especially susceptible. According to the CDC, approximately 1 of 3 adults with diabetes and 1 of 5 adults with high blood pressure has chronic kidney disease. In addition to diabetes and high blood pressure, other conditions that increase the risk of kidney disease include heart disease, obesity, older age, high cholesterol, and a family history of chronic kidney disease (cdc.gov, 2015). The clinical presentation of CKD is often subtle and can go unnoticed with physical symptoms alone in those with mild CKD. Buttaro et. al., (2013) explains that symptoms are uncommon in those with a GFR above 35%. Once GFR falls below 35%, a variety of metabolic, psychiatric, hematologic,
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
Chronic kidney disease (CKD) is a common disorder and occurs in the elderly population. In younger patients, it
What supports the diagnosis of chronic renal failure instead of acute renal failure? Give reasons from George’s history; his signs/symptoms.
constantly worries about be diagnosed with chronic renal disease. He stressed he wishes he can
My community assessment project focused on adults with chronic renal disease who are receiving peritoneal dialysis under the care of the Davita Dialysis Clinic located in Dothan, Alabama. This modality of artificial kidney replacement minimizes the disruption of the user’s daily life by allowing them to remove waste products from their bodies on daily basis during their ordinary sleeping hours. According the Centers for Disease Control and Prevention, it was estimated that as many as 10% of adults or more than 20 million people in the United States may be suffering from chronic kidney disease and in 2011 alone, 113,136 of these individuals began treatment for their end stage renal disease ("National chronic kidney disease fact sheet,
Using an existing National VA AKI-CKD study cohort extracted from the VA CDW containing electronic medical records, I will identify those in the cohort diagnosed with AKI using KDIGO along with associated International Classification of Diseases, Ninth Revision (ICD-9) diagnostic codes for AKI or acute renal failure as inclusion criteria in my study population (Kidney Disease Improving Global Outcomes (KDIGO), 2012). I will exclude those who do not fit the set cohort criteria.
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
End Stage Renal Disease also known as stage 5 of Chronic Kidney Disease. When this development happens you either need Dialysis or a kidney transplant to stay alive. DaVita has more than 2,100 outpatient dialysis centers located around the country. Our Kidneys are located in our lower back and are bean shaped organs that is very important to help our body filtrate waste and excess fluid amongst a few other things. It is said that “1 in 10 adults have Kidney Disease”.
Kidney disease has become more prevalent over the years, one in nine Americans has chronic kidney disease, resulting in the need for a kidney transplant. Kidney failure is caused by variety of factors resulting in damage of the nephrons, which are the most important functioning unit of the kidneys. Kidney failure can be broken down into three groups: acute, chronic, end-stage. Once kidney failure is irreversible, dialysis or transplantation is the only method of survival. To avoid a kidney transplant, one needs to be aware of the pre-disposing factors, signs and symptoms, available treatments, and proper diet.
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.
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,
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
However, when the kidneys stop working completely, this situation is known as end-stage renal failure (ESRF). There are some diseases may cause chronic renal failure and this essay will focus on two types of these common diseases.
At the end of our 2 weeks of data gathering and completing the study, the group aims to accomplish the following:
Kidney failure is a public health problem, which has dramatic effects on patients' health. In some