Chronic Kidney Disease becomes evident after kidney function is extensively impaired. Identification of disease process helps people to understand its cause, modes of treatment and outcomes from treatment or failure to treat. The purpose of this paper is to discuss the disease process, major treatment strategies and their impact to the disease process, and give a Nursing Evidence-Based Practice. It will also present a case study on the disease, and present a Nursing Care Plan for the disease.
Chronic Kidney Disease is a problem that occurs when a kidney function is impaired by a disease, causing damage to it. Impairment on the kidney results from some of the organs attached or related to the kidney having been affected due to other infections. Examples of the diseases commonly associated with causing kidney failure include diabetes, high blood pressure, urinary tract obstruction, and recurrent kidney infections, among others.
According to Medical News Today (MNT), there are a number of factors that contribute to developing chronic kidney disease, which include; a family history of the disease, age; this disease mostly affects people over 60 years, urinary tract obstruction, kidney diseases at birth, high blood pressure, sickle cell disease and medication, among others (Nordqvist, 2013).
Chronic Kidney disease affects the normal functioning of the body. According to National Kidney Foundation (NKF), the kidney is responsible for production of hormones called erythropoietin (EPO), which signals the body to make red blood cells (NKF, 2008). When one has kidney disease, the body may not be able to make EPO and this leads to reduced red blood cells which may lead to anemia. Since a combination or a group of cells of the same kind and which perform similar function makes a tissue, the effect of chronic kidney disease on cells affects formation of tissues.
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(“Chronic Kidney Disease Research Paper Example | Topics and Well Written Essays - 2000 words”, n.d.)
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(Chronic Kidney Disease Research Paper Example | Topics and Well Written Essays - 2000 Words)
“Chronic Kidney Disease Research Paper Example | Topics and Well Written Essays - 2000 Words”, n.d. https://studentshare.net/nursing/602994-chronic-kidney-disease.
This paper shall discuss the important responsibilities which nurses play within the purview of primary health care, in terms of education, advocacy, and partnerships. This study will specifically discuss the factors for chronic diseases among children in Australia. It shall consider the impact that these chronic diseases have on family.
Chronic kidney disease (CKD) and cardiovascular disease (CVD) are usually associated with causing mortality risk, studies show that cardiovascular risk increase if the patient suffers from anemia (Fishbane, 2005, p.716). Cardiovascular disease is normally associated with the renal disease, while chronic kidney disease enhances hypertension and dyslipidemia, which leads to renal failure.
If ion concentrations in the surrounding fluid are high, water from cells will go extracellularly, and the cells will shrink. In contrast, if they are low compared to that within cells, then water will rush intracellularly, leading to cell rupture. In addition, they have less barrier against toxins present in its surroundings, thus making them more susceptible to the adverse effects of harmful substances present in the body.
Protein requirements are found to be higher in patients with end stage renal disease. This is because of the losses that happen in the process of dialysis. There is a recommended level of dietary protein intake for renal patients. This intake is based on their body weight.
The clinical and experimental transplantation was extensively exploited in the early 1950s and the first two decades of the 20th century. Joseph Murray and colleagues performed the first successful renal transplant in 1954 at Boston, USA. With no effective immunosuppressant therapies, Murray was aware that tissue rejection would complicate matters for the recipient; therefore in order to minimize the chances of rejection Murray performed the transplantation between monozygotic twins.
Kidneys form urine through the absorption of water and waste from blood. Adolf, Schunke and Schunke (2004) outline other functions of the kidney as regulation of body blood pressure and acid base balance, and stimulating the formation of red blood cells. The normal breakdown of body tissues and food are responsible for formation of waste in the blood.
The two major types of research are quantitative and qualitative research studies. The former relates to numerical and measurable aspects whereas the latter is concerned with quality and abstract elements. This assignment thus focuses on analyzing the articles based on criteria such as their study purpose, literature review, study design, data collection, “operational definitions, methodology, data analysis/ results,” sampling and so on, in order to determine if the articles are effective examples of quantitative and qualitative research studies (Coughian et al., 2007.
The title also succeeds in highlighting that a randomized research with a control. However, the title does not highlight the stage of the chronic kidney disease of the target patients. Although the title does provide a precise idea of what the article seeks to tackle, it fails to highlight the research variables.
The research carried out an analysis that highlighted the potential of self-management services in reducing the rate at which chronic kidney disease progressed. They relied on both primary and secondary ends as the most critical variables in the study. These variables were estimated glomerular filtration rate as the primary end point while the secondary end point used were checking for a decrease of up to 50%, end-stage renal disease, demanding renal replacement therapy and all-cause mortality.