Chronic Kidney Disease Summary

A review of the medical records indicates that he suffers from multiple medical illness, which includes chronic COPD/heart failure for which he is oxygen dependent due to debilitating shortness of breath, chronic stable HTN-manage with medication, chronic stable hyperlipidemia-manage with medication, chronic poorly controlled anemia, chronic GERD, chronic phantom limb syndrome with pain- LAKA. He also has a history of DVT. He has had multiple hospitalization. His last hospitalization was in April for pneumonia. He is current on antibiotic therapy fro pneumonia.

Recently, he has been experiencing a variety of unexplained physical symptoms including back pain, headaches, and chest pain. He has sought medical help for these problems several times. He reports that he often goes to the ER due to experiencing chest pain but after numerous tests are run, he is discharged upon finding nothing wrong. Complaint: In addition to the physical symptoms listed above, the patient also states he feels scared and anxious.

In Mrs. S. case, her multi organ involvement with indication of heart failure, pulmonary hypertension and kidney insufficiency was burdensome to her over all health. Joint contractures, peripheral edema and her inability to carry on her daily function due to pain and fatigue was very distressing and disabling. She was too tired to carry out any of her daily needs. She was incontinent of bowel and urine. Mrs. S had positive of Raynaud’s phenomenon as evident in her digits; encouraging the patient to keep warm, avoiding cold to reduce vasoconstriction and tissue hypoxia. Patient was on morphine 2 mg IV for pain control, which I believed wasn’t effective as she continued to moan even after administration. As patient advocate, pain was a priority issue so I reported the issue to my nurse and communicated with the pain services. Her pain was controlled by changes in opioids and her activities were kept to minimal, pacing activities and visitors were

NH hospitalization record reveals a medical history of a non-injurious stroke, numerous episodes of sickle cell crisis, acute chest syndrome and chronic asthma. NH is prescribed a daily regimen of medications including a daily dose of 15,00 mg hydroxyurea, 1 mg folic acid for his SCD and 44 mcg of inhaled fluticasone for his asthma. Currently, while suffering from sickle cell crisis, NH is prescribed oxycodone 5mg, Toradol 21 mg IV solution, acetaminophen, and morphine as well as a continuous IV drip of D5 ½ NS, KCL. Due to the opioids and level of pain NH has endured the last 4 days (since beginning of crisis) he is exhausted and considered a fall risk due to his fatigue and reports that he naps off and on throughout the day and only gets out of bed to use the

A review of his medical records indicates that he suffers from advanced dementia; he is now wheelchair dependent and needs assistance with all his ADLS. The facility nurse reports that he recently was treated with for pneumonia with antibiotic therapy. He has chronic left knee pain and left hip pain that is managed with tramadol. He suffers from co-morbidity of neuropathy-stable with medication, atrial fibrillation-stable, HTN-stable, depression-stable with medication.

A review of his medical record indicates that he suffers from COPD-chronic-oxygen dependent. He suffers from an old CVA with left hemiplegia as a result he spends most of his days in bed. He has a history of seizure disorder that is stable with medication, he has not had a recent seizures. He also suffers from sleep apnea-uses CPAP at night.

Every human body contains one pair of kidneys. They are situated towards the back of the body under the ribs, just at the level of the waist, with one on each side of the body. Each kidney is composed of about one million units called nephrons, and each nephron consists of two parts: a filter, called the glomerulus and a tubule leading out from the nephrons (Cameron 1999). According to Marshall and Bangert (2008), the kidneys have three major functions: firstly, the kidneys excrete waste from plasma in the blood. Secondly, they maintain extracellular fluid volume and composition. Lastly, the kidneys play a role in hormone synthesis.

This is 41 year old white male. Patient is here complaining of back pain that is radiating down to his legs, sharp pain. Patient reported that he was attacted and was severely bitten and also was stumped on his lower back was hospitalized for several weeks , about one month ago from that he is also experiencing post dramatic distress syndrome. anxiety and panic attach and nightmares. Patien denies chest pain, SOB, N/V/ D,or fever. Current pain 6/10. Patien is a current tobacco user with a 30 pack year history, histroy of alcohol abuse, and substance abuse, currently in a group home.

A review of his medical records indicates that he suffers from residual weakness resulting from his last CVA. He has had progressive functional declined to been total care with all ADLS with all this needs anticipated. As a result of his weakness he is bedbound and has contracted extremities. He also suffers from co-morbidities of HTN-poorly controlled, diabetes mellitus-chronic, controlled with medication, Parkinson's disease that is advanced and is progressive. He also has a history of aspiration pneumonia; he was treated approximately a month ago for respiratory infection.

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,

The authors of this article hypothesize that early identification and intervention through the primary care clinicians will decrease the progression of chronic kidney disease (CKD) and improve patient outcomes overall. They evaluate a specialist nurse led intervention in the primary care setting to see if specific risk factors in a study sample of adults at “high risk CKD progression” which include uncontrolled type II diabetes, hypertension, and history of poor clinical attendance. This was clearly stated in the abstract of the article. It is reflected throughout the research by describing what specific measurements were used to evaluate this research question, and reiterated in the results and conclusion sections of the article. They want

Chronic Kidney Disease is the most common type of kidney disease. This is a long term disease that will not improve in any way, in any amount of time. The most common way to contract this is by high blood pressure. High blood pressure is highly troubling for the kidneys. This is because it can increase the pressure on the glomeruli. Glomeruli is the tiny blood vessels in the kidneys where blood is cleaned. Over time, the heightened pressure destroys these vessels and the kidney functions begin to decline. Kidney function will eventually destroy itself to the point where the kidneys can no longer perform their job accordingly. In this case, someone would need to go in a dialysis. Dialysis filters extra fluid, waste, and unnecessary stuff out

The study introduction presents an overview of information on Chronic Kidney Disease (CKD). Specifically, the problem statement includes the definitions and diagnostic symptoms of CKD, its prevalence, consequences and risk factors associated with CKD and health-related quality of life (HRQoL). The researcher briefly discusses medical and psychosocial interventions as non-conventional treatment approaches for patients with CKD. Furthermore, the chapter explains peer intervention as an effective proven intervention and prevention approach for improving HRQoL in patients with CKD. Later sections include the research purpose, significance of the study, and relevance to social work. A chapter summary is added in the

End stage renal disease [ESRD] is a chronic condition that is characterized by failure of renal function, resulting in ineffective regulation of electrolyte levels, acid-base balance and excretion of toxins in the body (Molzahn & Butera, 2006). Disturbance in these processes can lead to various other complications (such as fluid retention, hyperkalemia and anemia), potentially leading to a lower quality of life. Peritoneal dialysis [PD] is a common intervention used to treat ERSD and its associated symptoms by filtering out waste products using a dialysate that is pumped into the peritoneal cavity through a catheter. Individuals receiving dialysis experience many physical and psychological stressors involved with managing their chronic

When it comes to the social history, the doctor will discuss the family history as well. This is because some diseases are genetic and can be passed on from one generation to the other. Adding, the behavior of the victim may also significantly contribute to accurate diagnosis by evaluating the drug usage habits of the victim. Age is also crucial in the diagnosis most people suffering from the disease are aged 55 and above. Medical history of the patient should also be evaluated in order to arrive at a logical conclusion as diabetes and cardiovascular diseases may also lead to chronic kidney