The Registered Nurses Association of Ontario (RNAO) (2009) reported, “an estimated two million Canadians have kidney disease or are at risk for it” (p. 17). According to Porth (2011) and the Kidney Foundatoin of Canada (n.d.c), chronic kidney disease (CKD) has several different causes that combined cause a loss in renal function over 3 months or more, resulting in kidney failure, and its progression is classified into five stages. The two main causes for CKD are diabetes and hypertension (HTN) (National Kidney Foundation, 2012a). Practical nurses caring for adults with chronic kidney disease must consider the importance to their practices and to the adults and their families and the care and education needed to assist the adult and family.
According to Koufaki and Kouidi (2010), the population of adults diagnosed with CKD is increasing rapidly because of the high prevalence of diabetes and in today’s society. Because of the rise in the risk factors, knowledge in prevention and care is important for nurses, adults, and their families who have or are at risk for CKD. This mean that many Canadians are at risk for or have CKD; therefore is a larger demand for care for adults with the disease. The care for adults with CKD can be demanding not just for them, but also for their families, nurses, and other members of the health care team. Understanding how to provide adequate care is important for nurses and family members to understand in order improve living for adults living with CKD.
Because of there is no cure for CKD, it is important for practical nurses to have the knowledge to provide proper care to adults with CKD because by providing adequate care and teaching it may be possible to prolong or stop the progression to hig...
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... Initiative. Nephrology Nursing Journal, 37(2), 121-131.
Orlando, L.A, Belasco, E.J., Patel, U.D., & Matchar , D.B. (2011). The chronic kidney disease model: a general purpose model of disease progression and treatment. BMC Medical Informatics and Decision Making, 11(41).
Porth, C. M. (2011). Essentials of Pathophysiology (3rd ed.). Toronto, ON: Lippincott, Williams & Wilkins.
Registered Nurses Association of Ontario (2009). Decison Support for Adults with Chronic Kidney Disease. Toronto, Canada: Registered Nurses Association of Ontario. Retrieved from http://www.rnao.org/Storage/61/5545_Decision _Support_for_Adults_Living_with_Chronic_Kidney_Disease_Revised_Final_Sept_23,_2009.pdf
Schrauf, C.M. (2011). Factors that influence state policies for caregivers of patients with chronic kidney disease and how to impact them. Nephrology Nursing Journal, 38(5), 395-402.
The article has been well organized and written. Mackay clearly states her rationale for writing the article and provides a valid reason to hold up her article with sources. Within the introduction section, the authors present worrying statistics of Americans affected by kidney disorders. Moreover, the author provides the disadvantages of dialysis with only Kidney transplantation being the only option. The author relates the topic to the readers...
Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22441230.
We also evaluated the proportion of residents requiring assistance in their activities of daily living (ADLs) according to the KATZ scale. Within our cohort of residents ≥65 years old, the majority of residents with CHD needed assistance with 3-4 ADLs (p=0.18) (Figure 1). However, this was found this to not be statistically significant.
It has also developed numerous courses that are intended to provide information and tools that may be needed to approach both significant nursing care and patient care issues. Given the scale of the population suffering with chronic kidney disease and the diversity of backgrounds in which patients are found, this curriculum may be of benefit to nurses caring for nephrology patients in many settings (ANNA, 2015). It supports, promotes among its members, and sponsors nursing research intended to develop evidence-based practice and to advance nursing science (ANNA, 2015). It strives to provide nurses with leadership opportunities, and encourages nurses to seize opportunities to advance and refine their leadership abilities (ANNA, 2015).
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some
I never stops to educate myself. I consider myself as a life-long learner. The profession of nursing offers an opportunity for me to learn daily because I always learn something every day. Once I learn something new, I like to apply it to my practice. Duffy’s quality of caring guides me to practice. I just had a 64-year-old patient who is going to have dialysis the first time. Understanding the anxiety that she had was more important than educating the process of dialysis. The patient stated that she wanted to live longer and finally decided to have the dialysis, but she was nervous about this. A care plan relate to coping mechanism was developed because showing a sense of sympathy and caring could help her to relieve the anxiety. When caring is evident, patients enhance self-esteem, quality of life, knowledge and coping mechanisms, as well as decreased lengths of stay and healthcare costs (Desmond, et al., 2014). On the other hand, in an uncaring situation, a patient feels humiliated, vulnerable, and
Without proper working kidneys, blood pressure can rise, body fluids accumulate and red blood cell count can decrease. Usually kidney problems occur from disease, conditions and disorders. Disease can come from damage to nephrons, which help filter the blood. Infections can travel from the bladder up to the kidneys. Kidney cancers, kidney stones, cysts and injury all can damage a kidney. Without properly working kidneys, our heart, lungs and brain, as well as other organs are put in danger. (Capicchiano 2013) Kidney dialysis is not always a permanent need; sometimes it is needed for a short time. Kidney dialysis can occur in many places, the hospital, a home or in a center. Often people return to work after dialysis, unless their job involves strenuous activity such as heavy lifting or digging. (Lewin, 2010)
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
As a nurse working in a inner city hemodialysis clinic with a diverse patient population, it is necessary to be culturally competent. For the purpose of developing cultural competence and being able to apply it in a clinical setting, Leininger’s Culture Care theory was chosen. Additionally, with a growing multicultural population in health care, it is inevitable to not care for someone from a different culture at one point or another in the nursing practice. The Agency for Healthcare Research and Quality (2012) reported that in 2010, roughly 41% of the U.S. population identified themselves as a member of an ethnic minority group. With that said, it is crucial to adopt Leininger’s Theory and incorporate it into practice. By integrating the theory
... smoking; this is making their kidneys die quicker than they already are which are struggling to try to maintain a small amount of filtration process. Lastly, a second long term goal is to encourage a person who drinks excessive alcohol to stop because that will defiantly put the person at risk to die faster than the disease itself and will also affect their liver function as well. These goals are meant to help and restore the process of Acute Renal Failure but will only be accomplished if the person with this disease is willing to give it everything they got to fight or await a miracle to end their sickness.
-Sonnenberg, E. 2008.Caregiver Stress: The Impact of Chronic Disease on the Family. Available at: http://www.beliefnet.com/healthandhealing/getcontent.aspx?cid=74397.Access date 21 December 2013.
Sarnak, Mark J., et al. "Kidney disease as a risk factor for development of cardiovascular disease a statement from the American Heart Association Councils on kidney in cardiovascular disease, high blood pressure research, clinical cardiology, and epidemiology and prevention." Circulation 108.17 (2003): 2154-2169.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.