The Problem Of Chronic Kidney Disease

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

According to University of California (2016), more than 650,000 patients per year in the United States and 2 million patients global are affected by end stage renal disease (ESRD). Number of patient effective by ESRD is increasing every year by 5%. How serious problem it is shows Healthy people 2020. One of the goals of Healthy People 20202 is” reduce new cases of chronic kidney disease (CKD) and its complications, disability, death, and economic costs.” According to Healthy People 2020 CKD and ESRD are important public health problems in our country and main cause of suffering and poor quality of life of affected people. They are “responsible for premature death and exact a high economic price from both the private and public sectors.” Both diseases are very expensive to treat. Closely 25% of Medicare budget is

Chronic kidney disease (CKD) is a common disorder and occurs in the elderly population. In younger patients, it

However, doing clinical research and shadowing in this hospital’s emergency department opened my eyes to the daily trials of medicine without any romanticized preconceptions. A large proportion of this patient population did not have medical insurance and patients were often homeless, addicted to drugs or alcohol, or in unfortunate living situations. These patients did not have anywhere else to go for treatment, so they treated the emergency department as their primary care center, showing up for anything from a broken fingernail to chronic diseases like CKD. Working with these patients was especially frustrating, because often times their problems could have been prevented had they been able to access earlier and better care. I saw a significant need for efforts to increase access to care, especially for the surprisingly high amount of patients who came in with late stages of chronic kidney disease. In that same vein, I started a program at the University of Minnesota Twin Cities called the Kidney Disease Screening and Awareness Program. This program is working with the University of Minnesota Department of Nephrology residents to hold community screenings every few months targeted at underserved populations, testing blood, urine, and other risk factors to test for chronic kidney disease. After seeing the work these emergency physicians and nephrologists have been able to accomplish both individually and in the

The U. S healthcare system undergone major changes in the past 100 years. Scientific advancement coupled with increased sophistication of the health care workforce including physicians and nurses have given an international reputation to U.S health system. Even though weakness can be found like lack of primary health access, high infant mortality rate and increased numbers of uninsured people in U.S. A growing demand of patients with chronic illness over the age of sixty-five, is challenging to the health system.

The aging population of the United States along with a healthcare financial system not adequate to cover the cost will be a major factor in the future of healthcare. There is a disparity in health care related socioeconomic status, age of emerging population and quality of care that require new modes of care to address patient affordability, knowledge, physician cultural competency, bias and the scope of health insurance coverage (Fiscella, 2002). The population of aging Americans will increase to 3.4 million by 2020 due to the influx of over the age of 65 retiring resulting in a 21.6% in older Americans requiring health services (Longevity, 2011). In addition, this emerging population will require additional services to an increase in life

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,

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

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

Mr. Armstrong being 76-years-old likely plays a factor in his diagnosis, considering that acute renal failure is most common amongst the elderly (Singh, Levy, & Pusey 2013). Mr. Armstrong’s history of uncontrolled hypertension is likely due to primary hypertension, which is sustained increases in blood pressure due to genetics combined with environmental factors that increase vascular tone and blood volume (McCance, Huether, Brashers, & Rote, 2014). “Increased vascular volume is related to a decrease in renal excretion of salt, often referred to as a shift in the pressure-natriuresis

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

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