Risk For Developing Kidney Disease

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After conducting a health history assessment and formulating a genogram for my client C.N, I have come to the conclusion that she is at increased risk for developing kidney disease. C.N is a 32 years-old African American female with a current medical diagnosis of Hydronephrosis, UTI, and Left Ureteral Constriction. Unfortunately she also has an extensive family history of kidney disease. Healthy People 2020 points out that genetic determinants have a large influence on the development and progression of Chronic Kidney Disease (CKD) and that although it is not possible to alter a person’s biology or genetics determinants; however, successful behavior modification is expected to have a positive influence on the disease given that…show more content…
In 2013, kidney disease was the ninth leading cause of death in the U.S. (CDC, 2013) The chances of having CKD increase with age; it increases after age 50 years and is most common among adults older than 70 years. Adults with diabetes or high blood pressure, or both have a higher risk of developing CKD than those without these diseases. Approximately 1 of 3 adults with diabetes and 1 of 5 adults with high blood pressure has CKD. Other risk factors for CKD include cardiovascular disease, obesity, high cholesterol, lupus, and a family history of CKD. Men with CKD are 50% more likely than women to have kidney failure. African Americans experience higher rates of chronic kidney disease (CKD) than do whites. Since the late 1970s, the incidence of end-stage renal disease (ESRD) has increased at a fourfold higher rate among African-American individuals, compared with white individuals. Suggested explanations for this racial disparity include lower socioeconomic status among African Americans, higher prevalence and greater severity of diabetes mellitus and hypertension among African Americans, and increased inherited susceptibility of African Americans to kidney damage. (National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, 2014) The study Excess Risk of Chronic Kidney Disease among African American versus White Subjects in the United States: A Population-Based Study of Potential
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