Problems With Chronic Renal Failure

One of the first things that we learn about Enid is that she must be a good nurse. The first paragraph on page 31 is full of observations that a nurse would make. She notes the coloration of Mrs. Quinn’s urine, which is an indication of the condition of her failing kidneys. She also observes the smell of her patient’s breath and the stains on her body. These are all signs that give her some idea of how much time Mrs. Quinn has before dying as well as her mental state.

HEENT is fine without facial asymmetry. He has conjugate gaze. There is no neck vein distention. In listening to his lungs, he has good air sounds on the right side, but I can hear very few breath sounds on the left side. His cardiac exam is rapid, a little bit irregular, heart rate of 100. His pulse ox is 95% on room air. The abdominal exam is unremarkable without organ enlargement or tenderness. I cannot hear bruits. He does have palpable distal pulses but there is a little bit of edema, left leg worse than the right leg. He does have an open wound on the inside of his left knee which looks more like a scratch, but apparently it was a vein harvest site. It is leaking clear edema fluid. According to the daughter, he does have a stage II sacral ulcer that is going to be followed by the wound nurse. I have continued all of his essential hospital medications. I did ask that he be weighed on a daily basis, he is in the Heart Failure Program. I have asked that we keep his legs elevated as much as possible. We are going to try to get some type of a reclining chair from physical therapy. All the therapies are going to see him. He is still on a different dysphasia 3 diet with honey thickened liquids. We will have the wound nurse see him. I am going to get baseline labs for prognostic purposes. I think we are going to be cautious in his discharge because I think it will be probably in terms of months before he can become a full caregiver for his wife and they may need to get some outside help in the home. I am going to send a copy of this to his daughter Lisa. Her cell phone number 919-349-6556. Her fax number is

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.

Adherence to immunosuppressive medication in renal transplantation is imperative for graft survival. Non-adherence is one the major cause of graft failure post-transplant. Non-adherence can be described as not taking medications, missing medications, wrong timings, not taking proper dosages, anything that does follow the prescribed treatment regimen. (….) In some studies non-adherence can be as high as 70% of patients. (…) Renal failure due to non-compliance of treatment regimen is economically, socially and morally inexcusable.

The most common cause of kidney failure in the United State is Diabetes. According to “the U.S. renal data system the top five causes of renal failure are diabetes, hypertension, glomerulonephritis, cystic diseases and Urologic diseases”. Unfortunately, people can have renal disease for a long period of time before detecting or notice any symptom leading to a potentially life treating. Kidneys are equipped with millions of nephrons that continually filtering out and removes waste products such as urea and extra fluid (electrolytes) of the blood and discharge as urine through the urethra. If nephrons are damaged it cannot regenerate, resulting functional failure of the renal, leading to accumulation of waste products in the body, causing serious number of complications such as Rhabdomyolysis and Somatalgia. Not only that, but uremic poisoning.

Glomerulonephritis is a disease that affects the glomeruli of your kidneys that filters the waste in your blood. Your glomeruli becomes damaged because of a problem with your body's immune system. Salt and extra fluid begin to build up in your kidneys, making them unable to filter properly. There are two types of Glomerulonephritis- acute or chronic. Acute Glomerulonephritis can be caused by a skin or throat infection or by other illnesses such as lupus. Chronic Glomerulonephritis can develop over time without any symptoms. Sometimes the disease runs in the family, but with most cases of glomerulonephritis disease the cause is unknown. Glomerulonephritis can affect anyone with diabetes, or other kidney diseases. It is commonly seen in young

While researching journal articles related to End Stage Renal Disease and Chronic Kidney Disease (CKD), an alarming statistic was found. Since 1990, kidney failure cases have more than tripled in the United States and are likely to increase due to the aging population and higher prevalence of conditions such as diabetes and hypertension; both of which are risk factors for CKD (CDC, 2014).

Chromic Kidney Disease is a disease that affects 80 percent of the United States population. Though it may seem to come suddenly, it can be prevented and treated by monitoring what you put into the body and how the body functions. Also, knowing the different stages of the disease can help you recognize what is happening to the body and how to help it to recover.

One the outside people can seem to be heathy, but we never know what may be going on with them internally. I spoke with a 45 year old man who is married with a full family of 7. He is a detective with the local police department. As he is a man of faith he works in his church. His friends and family can always depend on him. On a normal week, he can been seen going to work, the gym, church, cutting grass for family and friends, taking care of his widowed mother and playing with his 2 year old grandson. From the outside looking in, people would say he has a very blessed life. What many people do not know is that he is battling a very deadly disorder. He is in stage 3 renal failure, also known as CKD Chronic Kidney Disease. There is no cure for this disorder, all that can be done is to take measures to slow the progression.

Matthew is an 18 year old student with a medical history of postrenal Acute Kidney Injury (AKI) at birth, secondary to Posterior Bilateral Urethral Valves (PUVs). The causes of AKI are divided into three categories: prerenal, (reduction in the normal amount of blood flow and fluid in the body) intrinsic, (damage to the renal tissues impairing renal function) and postrenal, (obstruction in the urinary tract below the kidneys),

In the article “Facilitating Change in Medical -Surgical Units Through an Educational Program on Chronic Kidney Disease” by Mary Ann S. Isales, exhibits the concerns of insufficient knowledge regarding with chronic kidney disease among professional medical-surgical nurses. The sole purpose of this article is due to the fact that an experimental analysis by Barrantes discovered that chronic kidney disease has become an extensive health issue; as a result, patient’s mortality has increased by seven folds. Furthermore, another case has a correlation with chronic kidney disease as it unfolds that five percent of hospitalized patients in noncritical areas will result in developing this atrocious condition. In spite of the concerns of obtaining this

I actually don't consider old age is as sickness/ disease. It is a natural progression. There are old people who are healthy, and there younger people who are critically sick. Old age is not the case in all aspects of health care prioritization. In Great Britain, however, there is an age limit to get dialysis treatment when it comes to End Stage Renal Disease (ESRD). I think it's all about resource allocations. let us say that you have two ESRD patients who are 20 years old and 90 years old and you want to treat both of them. But, you only have a resource to give dialysis treament for one person, so for whom you use the resource? . I will defenately pay for the 20 years old young man for two reasons 1) The young person has not lived long enough

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,

According to the Centers for Disease Control and Prevention (CDC) 2010, 10% of adults in the United States have chronic kidney disease (CKD). That is estimated at about 20 million people. People with CKD may not feel any symptoms in the early stages, so treatment most likely has not been started. When a person often finds out they are in need of treatment, they may already be in kidney failure or end stage renal disease (ESRD). This paper will discuss the reimbursement mechanisms presented in the Sullivan article, the economics of providing ESRD treatment from the organization's point of view, patients options and potential trade-offs related to cost, quality, and access to

At the end of our 2 weeks of data gathering and completing the study, the group aims to accomplish the following: