A Nursing Case Study on Chronic Renal Failure In Partial Fulfilment of the Requirements in NCM-102 CRITERIA Introduction and Implications - 5% Objective - 5% Developmental Data - 5% Physical Assessment - 10% History - 5% Anatomy and Physiology - 5% Pathophysiology - 10% Interpretations - 5% Drug Studies - 5% Nursing Management - 20% Health Teachings - 5% Format - 5% Punctuality - 10% Reference - 5% _________________ TOTAL: TABLE OF CONTENTS Introduction 5 Objectives 6-7 Patient’s Data 8 Health History A. Family History i. Genogram 9 ii. Narrative 10 B. Past Health History 11-12 C. Present History 13 Complete Diagnosis 14-15 …show more content…
Specific At the end of our 2 weeks of data gathering and completing the study, the group aims to accomplish the following: Establish rapport and have a pleasant student nurse-client working relationship with our client, Sir Xxx Client x, and his significant others so that the group can gain their trust and can obtain pertinent information from them; formulate and present an introduction that is related to the case being studied; trace our client’s family tree and make corresponding legends that will show the hereditary diseases and the present status of our client’s family members; collect the necessary information about our client, his personal data, past health history and present conditions; define the final diagnosis; identify the developmental tasks of our client using Erik Erikson’s Psychosocial Theory and Rober Havighurst’s Developmental Task Theory; assess the patient thoroughly from head-to-toe (cephalocaudal); identify and present the anatomy and physiology of the urinary system; illustrate and identify the parts of the urinary system; trace the pathophysiology of the disease process; identify the precipitating and predisposing factors that may contribute to our client’s condition; present the symptoms with their corresponding rationale; interpret the results of diagnostic and laboratory examinations undergone by our client and identify the corresponding nursing considerations; enumerate the other possible diagnostic
When discussing management of CKD with a primary care provider it is up to the patient and the team to create a viable plan. "most patients require dialysis, either peritoneal dialysis (PD) or hemodialysis (HD). The majority of patients in the United States chose HD" (Hadley, 2014 p. 1116). All options should be discussed with the patient before determining any set course of actions. Alternative therapies can include; dialysis, transplantation, and even palliative care (Hadley, 2014, p. 1116). With dialysis being the mainstay of management when the kidneys start to fail (stage 5,) different options should be discussed. With numerous dialysis centers and at home options being available the pros and cons of each should be carefully measured. Fresenius Medical Care has locations throughout Northern Colorado, including Greeley and Loveland. They
Ms. S.M. was a patient admitted for the management of renal failure. During morning rounds, we noticed her potassium levels to be elevated. She was asymptomatic and her EKG did not show any abnormal changes. As a team, we coordinated with each other and successfully managed her potassium levels. The hours spent to manage this patient helped me to understand the importance of clear communication and the dynamics of team work in a hospital setting. Though we managed her hyperkalemia, the patient was still facing an uncertain prognosis with her kidney disease. Her family members were worried about providing financial support for her care, which is a major problem in India. It made me wonder if there was anything more we could do for her. However, along with providing clinical care, establishing a relationship with her and her son gave me a sense of satisfaction. It made me realize the potential of developing long term relations with my patients in this field.
My nephew was diagnosed with kidney failure in 2013. So I immediately wanted to know the answer to the question is kidney failure permanent? Kidney failure is the
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.
Acute renal failure is the most common kidney disease that exists today. It occurs when blood flow to the kidneys is in some way compromised which causes a sudden stop in kidney function. Acute renal failure is a very serious complication for a already hospitalized patient since they are already in a vulnerable state from staying in the hospital, in fact, it is the most common cause of death amongst hospitalized patients, and most commonly they occur because of a hospital workers error. Acute renal failure causes many serious problems for patients, including abnormal electrolyte and acid-base balance, excess in fluid volume, and an excess in nitrogenous wastes.
ESCRF is often considered an asymptomatic condition with a reduction of up to 70% in kidney function symptoms may still not be present (5).
In the history of a chronic kidney disease patient, I found that both of his parents have passed away. While his mother and father did get a divorce after he graduated high school, their separation made them stronger, and better parents. My patient has two sisters, both older, the middle one with mental illnesses of schizophrenia and paranoia. This creates a dysfunctional communication pattern within the sibling structure, the middle sister is difficult to communicate with, due to the feeling of abandonment. He was never married, but 16 years ago, found out that he had a daughter with an old girlfriend. She is now 32 years old. Now, he also has a granddaughter. Due to his disability and lack of mobility, he is only able to keep in touch with them through the internet and phone.
The topic of my disease diary is Kidney Failure. In the following I will talk about the characteristic of the failure, the causes and symptoms, what happens chemically, the treatment of the disorder and how the relationship to other body systems is.
Chronic kidney disease occurs through a gradual loss of kidney function over time. The disease includes conditions that damage the kidneys and decrease their ability to keep the body healthy through conducting their required jobs. When the condition gets worse, waste builds to high levels in the blood. An individual with the disease can develop complications such as high blood pressure, anemia, weak bones, poor nutritional health, never damage and increases the likeliness for heart and blood vessel disease ("About Chronic Kidney Disease," 2015). Consequently, problems with kidney disease may happen slowly over a long period of time.
Chronic kidney disease is that is a decline in the function of the of the renal system due that can be measured by the glomerular filtration rate. Long term complication can lead to end stage renal failure which places patient to be on long-term dialysis. The incidence of chronic kidney is on a constant rise. The main cause of chronic disease is diabetes in combination with hypertension. In the United States, there are an estimated 25 million people who have been diagnosed with chronic kidney disease (CKD), and the prevalence is especially high among the elderly with approximately ten million cases in those over the age of 77. The purpose of this paper is to describe the clinical presentation of chronic kidney disease and describe potential factors that may impact the diagnosis and include treatment options.
Renal Failure is a common condition that could also be described as Acute renal failure (ARF) or Chronic renal failure(CRF), both conditions occur when there is a loss of kidney function. Kidney disease or renal failure is the ninth leading cause of death in the United States (Pradeep ,2014). Specifically, acute renal failure is characterized by the kidney’s sudden inability to filter blood, excrete wastes, concentrate urine, preserve electrolytes, and sustain fluid balance which leads to many problems in the human body. Acute renal failure alone is a frequent clinical problem, especially in the intensive care unit, where according to Clin (2004), “is associated with mortality of between 50% and 80%” (p5). As for the pathophysiology
Final Question: In patients with non-dialysis-dependent (NDD) Chronic Kidney Disease (CKD) who have iron-deficiency anemia, how efficacious is intravenous (IV) ferric carboxymaltose in increasing hemoglobin levels and reducing treatment-related adverse events compared to IV iron sucrose?
Hey there Mary, it would great to see you, just give a text when you’re in the village. And yep just picked up the insulin this morning. Going give her two shots a day, did one this morning at the vet’s office and the cat didn’t even flinch, so should be a hassle there (but 56 bucks for the little vial of insulin). And as for having the cat now, I thought I told you last year what happen, I don’t what to be a bummer on a crap day like this. But my mother passed away last April from Kidney failure, it’s a long story, but due to increasing dementia she wasn’t eating or drinking and that lead to UTI’s and in effect lead to kidney failure and at her age dialysis was not a good option (more painful then helpful). Sad but she passed peacefully and
Kidney Failure is when the kidneys lose the ability to eliminate excess salts, fluids and waste from the blood. If the bodies fluids rise to dangerous levels this cause the kidneys to lose their filtering ability. The symptoms of kidney failure are: swelling and fluid retention, pain between the rib and hips, decreased sensation especially in the hands or feet, high blood pressure, and metallic taste in your mouth. A doctor can diagnose kidney failure by using a stethoscope to see if they hear crackling in th lungs; which is a sign of fluid retention. Doctors will also order laboratory tests to see if there are any abnormal values. The preferred method used by doctors is an ultrasound, but an abdominal x-ray, an abdominal CT Scan, or an MRI.
An Effective Treatment of Kidney Failure The kidney can fail for many reasons, when it does it leaves the sufferer with an inability to filter out harmful substances in the blood. This leads to a number of symptoms. The first treatment for kidney failure would normally be dialysis, there are two techniques.