CHRONIC KIDNEY DISEASE
NSG 4055: Illness & Disease Management across Life Span
Susan McCoy
LaTonya Brown
June 24, 2014
Chronic Renal Disease impacts many Americans life in the United States. “We estimate that more than 20 million people may have CKD, of varying levels of seriousness” (CDC, 2014). The chances of having Kidney Disease increase with age and is common in adults over age 70 because the kidney functions decrease. Kidney Disease affects the body ion so many different ways it can cause bone breakage; fluid overload causes pulmonary edema, congestive heart failure, anemia, and decrease in quality of life.
The person I interviewed was a Chronic Renal Failure patient that has been on dialysis for about 4 years. 1.
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I have been on dialysis for about 4 years.
7. If diabetic how it is controlled and how long has had condition?
I.B. My diabetes in controlled by insulin and pills along with my diet. I try to stay away from fatty foods and a lot of sugary foods.
8. Any other disorders like cardiovascular disease, high blood pressure and stroke?
I have high blood pressure never had any clogged arteries that they have said and never had a stroke.
Dialysis changes a lot of different things in a person’s life some people become more sedentary related to anemia and tiredness involved in the dialysis. Many people seem to not be able to cope with the changes that their life has to endure to survive. Caregivers have a strain on them also they “burden increases significantly as functional and cognitive impairments imposed by the chronic disease limit the ability of the patient to care for their selves” (Gayomali, C. & Sutherland, S, 2008). The interviewee and his family seemed to be coping very well with the dialysis treatment and with the changes in his everyday lifestyle. He is a 58 year old male so they are aware of the possibility of at some time he may need a kidney transplant and their options if he shall refuse the transplant. They express any concerns with each other and seem very open to new possibilities.
References
Center for Disease Control (2014). 2014 National Chronic Kidney Disease Fact Sheet. USA.gov Retrieved from:
The second option to explore would be continuing the dialysis treatments. While considering this option with the family it is very important to stress the hardships that go along with the aggressive treatment. Making the family fully aware of the
Causes of kidney disease are wide-ranging in number; however diabetes, high blood pressure, inherited disease, and infection remain to be the contenders of cause (Davidson, 2011). Acute kidney disease can be identified by anuria and oedema. CKD is often called a “silent” killer, because instead of a sign, that would render immediate evidence, CKD only provides symptoms that many don’t know to correlate to renal issues. The symptoms may also increase at the latter stages of the
Ms. Cetiner has been an RN in the hemodialysis unit for the past 6 years. She provides excellent care to our Veterans, and consistently functions in a professional manner with staff, patients and families. She was part of a unit I CARE award presented by Dr. Mayo-Smith for quality and commitment to our Veterans. She demonstrates competency in the utilization of the nursing process as evidenced by the accurate assessment, plan, implementation, and evaluation of patient care in her daily practice. She developed a unit diabetic foot
Three days before being called for her kidney transplant, Rachel was put on dialysis which uses an artificial device to clean and filter the blood of waste products. This caused her major pain and distress, Rachel says that this was ‘one of the most painful experiences she’s ever been through’. She said the pain was mainly in her shoulder and it felt like she was being ‘dragged down to the floor’, this affected her quality of life as for those three days she had a dependence on medicinal substances and medical aids. After the transplant Rachel still has to take drugs each day
This may account for about 5% of all diagnosed cases of diabetes. The insulin production is, therefore, impaired and this affects almost one million people in the U.S. Risk factors are less definite for type 1 diabetes than for type 2 diabetes, but autoimmune, genetic, and environmental factors are involved in emerging this type of diabetes. Obesity is associated with insulin resistance and type 2 diabetes also known as adult-onset diabetes, may account for about 90% to 95% of all diagnosed cases of diabetes. “This is especially true for women, for 39.9% of African American women, compared with 24.0% of white American women have abdominal obesity”. (Marshall, 2005). Risk factors for type 2 diabetes include older age, family history of diabetes, impaired glucose tolerance, physical inactivity, and race/ethnicity. Information from the CDC states, the treatment for type 1 diabetes is healthy eating, physical activity, and insulin injections. The amount of insulin taken must be balanced with food intake and daily activities. Blood glucose levels must be closely monitored through frequent blood glucose testing. Type 2 treatment is the same; however, blood glucose testing is needed. In addition, many people with type 2 diabetes require oral medication, insulin, or both to control their blood glucose levels. People should also eat more fiber by eating more
Thanks Brenda for taking time to read our presentation and providing an input. In regards to your question on what keeps the partners motivated and recognized for their efforts, is prevent long term complications that can arise from and very common among chronic conditions. Since the Obamacare/ affordable care act (ACA), insurance companies cannot bias again those who are suffering from chronic conditions such as hypertension (“Coverage”, n.d). For instance, if the person has insurance they are more likely to go the doctors and get early diagnosis and management rather than not getting diagnosed and going to the emergency department with the end stage kidney failure and going on Hemodialysis. The later will impose greater burden on our country’s
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
As a dialysis nurse I am tasked with providing pre and post treatment assessments for each patient and through these assessments I identify if there are any patient problems that must be managed. These problems can include access issues, such as clotting or infection, fluid related problems and many others. If a patient is short of breath or complains of chest pain prior to
Kidney failure is the result of kidney disease that has either not been treated, or failed to respond to treatment. Some kidney diseases are: Acute kidney failure (potentially reversible), Acute nephritic syndrome, Goodpasture syndrome, Atheroembolic renal disease, Glomerulonephritis, Polycystic kidney disease, and chronic kidney failure (end stage) (United States National Library, 2010). The usual treatment for kidney failure is medication and dialysis. Dialysis is used for end stage kidney failure, when the patient has lost
In the United States there are 122,365 people waiting for organs to be donated; of those 100,218, are waiting for a kidney transplant. The transplant list is so long that some patients wait up to 10 years to receive a kidney. These patients wait in agony for a kidney they may never receive. An article by Barbara Mantel affirms that the most common reasons for kidney transplant include: Hypertension, Diabetes mellitus, kidney stones, Inherited Kidney disease, and inflammatory effects of drug therapy for other diseases. The U.S Department of Health and Human Services records show that in 2012 there were 30% more deceased Kidney donors than living donors. The
The introduction of dialysis as a lifesaving treatment for kidney failure was not the result for any large scale research
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 is a worldwide public health problem and has been defined by the presence of injury and / or loss of renal function (glomerular filtration rate - GFR) within 3 (three) months or more, regardless of diagnosis ¹.
High blood pressure which is called hypertension is another common disease which can cause chronic renal failure. This
Kidney failure is a public health problem, which has dramatic effects on patients' health. In some