Chronic Kidney Disease

The nurse’s role would be to evaluate first the patient’s level of understanding of their disease. It is important to also include a patient’s support system when teaching. The nurse must give the patient information about his or her condition in a form he or she can easily understand so the patient can develop a genuine comprehension of the disease process. After the patient has a good comprehension of the disease, he or she can then apply this knowledge to his or her own situation. When this knowledge is applied to a patient’s own situation, the patient is then able to ask questions and form a new way of thinking about living with the disease. When these steps are accomplished, the patient will then be able to create a plan that would help in achieving his or her goals in regards to living with the disease process. As nurses caring for patients with chronic illnesses, recognizing where patients are at in their journey with learning about their chronic illness, and meeting them where they are will help when educating and guiding them to the next step.

Injury to the glomerulus and the tubules presents the onset of Intra-renal failure (Matzke, 2011). Some of the frequent causes for Intra-renal failure are glomerulonephritis; pyelonephritis; and tubular injury. Post-renal failure develops from things like ureteroliths, tumors, or anatomic impediments. Opposite of the acute form, the chronic form has a slow onset that has no early stage symptoms. It is important to know that following an acute episode a chronic renal episode often follows, and at this juncture the damage is irreversible. Glomerulonephritis and pyelonephritis combined, has been reported to be the forerunner in as much as half the cases from acute to chronic renal failure. Diabetes mellitus, renal vascular disease, such as atherosclerosis, hypertension, polycystic kidney disease, drug damage, and nephrolith are all examples of other causes of CKD (Pradeep, 2014). Biopsies of kidneys that suffered with CKD reveal smaller kidneys with scarring on the tubules.

Ms. Conlon applies the nursing process to systems or processes at the unit/team/work group level to improve care. Deirdre has been the primary nurse for 6 hemodialysis patients. She has involved patients and families in monthly interdisciplinary meetings to promote self-efficacy and quality of life. With the help of the interdisciplinary team Deirdre has worked collaboratively to address and reinforce nutritional needs, social/family issues, barriers to care, and safety concerns. All of her primary care patients have maintained a goal of 100% for dialysis adequacy (benchmark is 85%) and a vascular access rate of 100% and dictated by KDOQI standards.

All the symptoms that were described were based on the kidney functions, so more and further

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

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

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.

pain. The second stage is the chronic renal failure, which is accompanied by feelings of

The strengths of the study were the educational topics of the importance of eGFR and CKD management. The fact that this study showed that there was indeed a continuation of late referrals to the nephrologists could help further problems. The staging principals and risks discussed were also important. Another strength was the fact that a pre and post survey was conducted; with the education in between the surveys. The weakness of the studies education was the lack of actual case studies and the PCPs thought that nephrologists not peers should teach the lectures. The ability of the PCPs to attend both the supper and lunch was a weakness. Another weakness of the research was the fact that it didn’t discuss all of the questions that were on

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

The etiology of CKD include; diabetes, hypertension, glomerulonephritis, ethnicity of Native American, African American, or Latino, family history, hereditary factors, direct and forceful blow to the kidneys, and prolonged consumption of OTC painkillers. The contributing factors to Mrs. Joaquin’s development of CKD would be her Type 2 Diabetes Mellitus and her ethnicity of being Native American. Her progression is from being diagnosed with Stage 3 chronic kidney disease two years prior to her visit and not properly taking her hypoglycemic or antihypertensive medications. This allowed her kidneys to continue failing which has now resulted in a GFR of 4 mL/min, putting

stages, symptoms and risk factors. It also examines the process of kidney transplantation to treat

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

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.