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Kidney

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CHRONIC KIDNEY DISEASE
NSG 4055: Illness & Disease Management across Life Span
Susan McCoy
LaTonya Brown
June 24, 2014

Chronic Renal Disease impacts many Americans life in the United States. “We estimate that more than 20 million people may have CKD, of varying levels of seriousness” (CDC, 2014). The chances of having Kidney Disease increase with age and is common in adults over age 70 because the kidney functions decrease. Kidney Disease affects the body ion so many different ways it can cause bone breakage; fluid overload causes pulmonary edema, congestive heart failure, anemia, and decrease in quality of life.
The person I interviewed was a Chronic Renal Failure patient that has been on dialysis for about 4 years. 1. How would you rate your overall health?
I.B. I have been fairly good I have good days and bad days but I am so tired after I go to dialysis it really drains me until all I do is sleep all day after the treatment.
2. What is your race and ethnic background? I.B. I am African American and I have no Hispanic Descent.
3. Living conditions?
I.B. I live with my daughter who has a family of her own but she takes care of me well. She ensures that I take my medicine on time. She also takes me on different outings like to the park and different places.
4. Do you have access to the proper food for a kidney disease diet?
I.B. She buys me the kind of food that I need to follow my diet so I can have the right nourishment. I try to eat the right food but sometimes I slip up and want other foods like junk food.
5. Do you require assistance in activities of daily living at home?
I.B. I am able to get around the only days I really need assistance is on my dialysis days when I feel weak and tired. I sometimes am stiff in the morning and I need help getting started but once I am up and at it I am fine.
6. What caused the ESRD, length of time on dialysis, and is Diabetes present?
I.B. The cause of my kidney disease is my diabetes and high blood pressure I had let it went on for a while without treatment and the damage occurred to my kidneys. I have been on dialysis for about 4 years.
7. If diabetic how it is controlled and how long has had condition?
I.B. My diabetes in controlled by insulin and pills along with my diet. I try to stay away from fatty foods and a lot of sugary foods.
8. Any other disorders like cardiovascular disease, high blood pressure and stroke?
I have high blood pressure never had any clogged arteries that they have said and never had a stroke.
Dialysis changes a lot of different things in a person’s life some people become more sedentary related to anemia and tiredness involved in the dialysis. Many people seem to not be able to cope with the changes that their life has to endure to survive. Caregivers have a strain on them also they “burden increases significantly as functional and cognitive impairments imposed by the chronic disease limit the ability of the patient to care for their selves” (Gayomali, C. & Sutherland, S, 2008). The interviewee and his family seemed to be coping very well with the dialysis treatment and with the changes in his everyday lifestyle. He is a 58 year old male so they are aware of the possibility of at some time he may need a kidney transplant and their options if he shall refuse the transplant. They express any concerns with each other and seem very open to new possibilities.

References
Center for Disease Control (2014). 2014 National Chronic Kidney Disease Fact Sheet. USA.gov Retrieved from: http://www.cdc.gov/diabetes/pubs/factsheets/kidney.htm
Gayomali, C., Sutherland, S., & Finkelstein, F. (2008). The challenge for the caregiver of the patient with chronic kidney disease. Nephrology Dialysis Transplantation. Retrieved from: http://m.ndt.oxfordjournals.org/content/23/12/3749.full

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