...Depression and decreased perception of social support are associated with mortality in several studies of ESRD patients (Cukor, Cohen, Peterson, & Kimmel, 2007). Decreased marital satisfaction, lower socioeconomic status, and disturbances in family dynamic can affect how a patient perceives social support (Cukor et al., 2007). Social support is intended to benefit the patient and their ability to cope with stress of having ESRD (Cukor et al., 2007). Support is divided into three types: instrumental, informational, and emotional (Cukor et al., 2007). Instrumental support provides material aid, such as financial assistance (Cukor et al., 2007). Since Medicare supports all renal dialysis patients of any age, this is an example of instrumental support for Amanda. Informational support refers to providing helpful information such as guidance (Cukor et al., 2007). Studies show that religious and spiritual beliefs are associated with decreased perception of burden of illness, decreased depression, and increased perception of social support, and better satisfaction with life (Spinale et al., 2008). The social worker can help bring a Chaplin to speak to Amanda about her spirituality. Another form of guidance is having a patient who had similar experiences with End Stage Renal Disease talk to the patient through a mentor program. Emotional support involves expressing empathy and providing encouragement of emotional expression (Cukor et al., 2007). Health-care professionals can intervene...
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...Patients with Chronic Kidney Disease HCS 490 July 1, 2013 Patients with Chronic Kidney Disease There are so many people across the nation who do not know about Chronic Kidney Disease (CKD) or yet alone, what chronic means. According to Vorvick (2013), “Chronic refers to something that continues over a long period of time.” This means that a person who is diagnosed with CKD has probably had kidney damage that occurred over a period of time and they do not know about it until the disease surfaces more than before. Chronic Kidney Disease is a serious health condition that is life or death. Having the knowledge of the demographics is for this illness will allow a person to know what population is targeted, if changes in the demographics of the population will affect health care, and if the population within the demographics could address the challenges of decreasing patients with CKD. Demographics There is not a specific location that a person is more susceptible to being diagnosed with CKD, but there are specific groups of people who are at higher risk of possibly being diagnosed with CKD. The population that is known for losing function in their kidneys are mostly those people who are elderly, but CKD can be found in people of all ages as well. According to The National Kidney Foundation (2013), people who “have diabetes, high blood pressure, a family history of chronic kidney disease, are older, and belong to a population that has a high rate of diabetes or...
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...The primary aim of my assignment is to look at the issue of end of life care in dialysis satellite units, as these areas tend to be nurse led units. My interest in palliative and end of life care has arisen from the growing number of poorly patients we continue to dialyse, this has proved distressing especially for the patient, who often has unmanaged symptoms and for their families, it is also upsetting for the staff involved in their care, as it is felt nobody is acting as the patients’ advocate and helping the decision to facilitate the withdrawal of what is now an ineffective and unnecessary treatment. One of the latest developments by the Government and Department of health is the concept of Advance Care Planning. I have looked at this from various perspectives and would like to be involved in introducing the process to Sheffield Kidney Institute. In 2004, the number of patients receiving renal replacement therapy in England, Scotland and Wales was 33,511, this figure is sourced from data which has been made available to them from participating renal units throughout the country, the number of patients receiving dialysis since 2000 has risen by 7% (Ansell et al 2005) with it projected to rise by a further 10 percent over the next 5 years (Ansell et al 2005). About 15-29 percent of deaths of patients with end stage renal disease results from a decision to discontinue dialysis (Davison 2006). Importantly we need to explore which patients especially those reaching...
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...has been ruled out Membranous nephropathy * Means that the kidneys leak protein into the urine * Most common in the ages of 30-50 for white males * The acronym for the disorder is IMN * Presence of protein in the kidney leads to a higher risk to develop failure * It could be a result of * Drugs NSAID, penicilamine * Infections * Parasitic diseases * Hepatitis in kids Cure is to remove the autoantibodies The technology is a treatment that either treat the IMN or minimize the side effects of the current method The current method is to inject high doses of steroid hormones New method is autoantibody binding Associations to be contacted are: * American Society of Nephrology * Renal Association, Renal Pathology Society * Cardio Renal Society of America Networks * Specialized pharmacists in specialized renal clinic * Houston VA * Mayo Clinic * Not Quest Diagnostics Market size * Patients will want to use it because it is usually detected in white man ages 30-40 * Who conversely could have renal failure at a young age meaning within 2 years * Smaller compared to diabetes and cancer market MN market * Pending to check the number of people affected with Associations * IMN is found at the time of a routine examination * 40% are detected * 60% of the population likely with IMN is undetected for lack of symptoms like * Burning...
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...Health care system is changing, and some of these changes will contribute to raise patient's education and preventive care. In our country an estimated of 26 million adults have Chronic Kidney Disease (CKD). Most of the CKD patients ignore their kidney conditions and the real reasons behind their illness or health problems (Healthy People 2020). The community nurse is focused on preventing complication, in addition to provide and promote healthy lifestyles. Poor control over diabetes and high blood pressure are the main causes that lead to Chronic Kidney Disease (Simons, 2009). It is indispensable to raise the knowledge and information of this disease among families and communities to lower the incidence of Chronic Kidney Disease and End Stages Renal Disease (ESRD). There are a number of actions that can be made to fight this disease. Simple laboratory tests can help to detect any problems affecting the proper function of the kidneys. Patients suffering from diabetes or hypertension should be equipped with several essential tools to successfully face the disease. Other significant actions are promoting and teaching healthy eating habits, raising awareness on weight control, increasing physical activities, getting informed about their conditions by reading related articles. Sometimes patients do not know about these healthy tips which are essential for the enjoyment a better quality life. Below are some related questions: How to prevent complication in our kidney...
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...Dialysis Patients: Vulnerable Population Dialysis patients are part of an extremely vulnerable population. And they have to be given special attention (Pavlovic, 2010). They are susceptible and vulnerable to developing other chronic diseases. Cardiovascular disease along with end-stage renal disease usually develops and accounts for over 50% mortality rates. With this chronic disease spouses becomes caregivers. Depression and negative emotions can settle in. This can lead to abuse or neglect. It is important to ask the patient how they are being treated in their relationships. The nurse must show concern, and listen closely to the patient, and look for nonverbal clues. Many of these patient do not have the money or transportation to and from dialysis. They have to rely on others to get them to and from dialysis. Many of these vulnerable patients end up living in a nursing home. They are also vulnerable due to living in low income housing. Some are unable to get to the store to buy the foods, they need a special diet. When you are hungry then you take what you can get. The goal is to reduce cardiovascular morbidity and mortality in these high risk patients. These patients usually die from SCD which is sudden cardiac death (Schlieper, 2015). Many have no insurance, and other have insurance like Medicare, which there has been many cuts in the past. Cuts which threaten them from getting good quality care. Medicare accounts for over 85% coverage for over 400,000 dialysis...
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...The Marketing Plan BY GEORGE SAMIR SAAD Introduction: My department is "AlSalam Nephrology department", in which I am the senior doctor and the responsible for patients and the subordinates –doctors, nurses and workers-. This department one of the most famous oldest unit in Egypt, in which renal transplantation done successfully and legally. The unit has: * 8 renal dialysis machines, * 2 outpatient clinics, * 20 inpatient beds, * 3 professors, * 1 senior doctor, * 5 doctors, * 3 head nurses, * 5 nurses, * 4 assistances, * 2 workers. Situation analysis: Current service: - AlSalam nephrology department, responsible for many services, like: * Renal transplantation, * Follow up renal-transplanted patients, * Renal dialysis for chronic renal failure patients, * Outpatient clinic for kidney diseases; and * Teaching and practicing place for new doctors who care with nephrology. - The unit in AlSalam hospital, which present in ElMohandseen area in Giza, Egypt, which is a famous, commercial, crowded, rich area. - The hospital accredited with ISO 9001 in 2004. -Background information -Date of opening the unit: 1983 -Average No. of outpatient/Day: 60 patients - No. renal failure patients/Day: 20 patients -Costs /outpatient: 40 LE -Revenue /out patient: 120 LE -Net profit /outpatient: - 80 LE, which is good. -Costs / renal failure patients: 200 LE -Revenue / renal failure patients: 250...
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...Running Head: BIOSTATISTICS IN NURSING: FINAL PAPER Biostatistics in Nursing: Final Paper Richard Hoinacki Nova Southeastern University NUR 3200 Marcia Derby RN, MSN, Asst Prof. October 15, 2008 Many people develop renal disease and once they become diagnosed with End Stage Renal Disease many have only a few choices when it comes to renal replacement modalities. According to Chapman, M., Fink, N., Finkelstein, F., Marsh, J., Meyer, K., Powe, N., Wu, A. (2004), every year in the United States, nearly 90,000 patients with chronic kidney disease progress to ESRD and begin renal replacement therapy. Most patients optimally would prefer a kidney transplant, but many may not have the ability to find a donor and must get on a transplant list. So while they wait for a suitable kidney donor their only option is dialysis. End Stage Renal Disease patients have two choices of dialysis, either hemodialysis or peritoneal dialysis. Chronic dialysis can impose a considerable burden on patients and their families, with regards to health care and their quality of life. Many statistical studies have been done to compare the qualities of life with ESRD patients who are on hemodialysis and peritoneal dialysis. According to Lausevic, M., Nesic, V., Stojanovic, M., Stefanovic, V. (2006), health-related quality of life is a multidimensional concept that includes physical functioning, social functioning, mental health, and general health perceptions. This paper...
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...Renal Transplant and Medication Compliance: Patient-Centered Nursing Interventions will Facilitate Better Patient Compliance of Medications in Post-Renal Transplant Recipient Yonica Jamieson Jersey College Abstract Patient in compliance with prescribed medications or treatments is warrant, in any medical condition. This research paper, focused and took a look at the effects of non-compliance with immunosuppressant medications in post-renal transplant recipients, such as graft rejection. Identified some barriers to compliance and discussed how patient-centered nursing interventions should be used to alleviate these barriers and bring about compliance with immunosuppressant medications, at the same time decreasing graft rejection in renal transplant recipients. Renal Transplant and Medication Compliance: Patient-centered Nursing Interventions will Facilitate Better Patient Compliance of Medications in Post-Renal Transplant Recipients In medicine, the term non-compliance is commonly used in regard to a patient who does not take a prescribed medication or follow prescribed course treatments (MedicineNet, 2012). This is one of the major issues with post-renal transplantation recipients. Renal transplant is a surgery done to implant a healthy kidney into a person with end-stage renal disease. End-stage renal disease is when the kidney stops function all together, that makes the person unable to live without dialysis...
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...Chronic kidney diseaseFrom Wikipedia, the free encyclopedia Jump to: navigation, search Chronic kidney disease Classification and external resources Uremic frost on the forehead and scalp of a young man who presented with complaints of chronic anorexia and fatigue with blood urea nitrogen and serum creatinine levels of approximately 100 and 50 mg/dL respectively. ICD-10 N18 ICD-9 585.9 585.1-585.5 403 DiseasesDB 11288 MedlinePlus 000471 eMedicine article/238798 MeSH D007676 Chronic kidney disease (CKD), also known as chronic renal disease (CRD), is a progressive loss in renal function over a period of months or years. The symptoms of worsening kidney function are non-specific, and might include feeling generally unwell and experiencing a reduced appetite. Often, chronic kidney disease is diagnosed as a result of screening of people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with a blood relative with chronic kidney disease. Chronic kidney disease may also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis.[1] It is differentiated from acute kidney disease in that the reduction in kidney function must be present for over 3 months. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a lower glomerular filtration rate and as a result a decreased capability of the kidneys...
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...Hematology - CKD M’Lyn Spinks Combating anemia in chronic kidney disease (CKD) with erythropoietin-stimulating agents (ESAs) has been shown to improve both mental and physical factors (Iranian, 2013). Erythropoietin (EPO) is a protein hormone produced by the kidney that binds with receptors in the bone marrow and stimulates erythrocyte production (Munk, 2013). Perceptions of quality of life, cognition, sexual function, symptoms of depression and socialization are all scored higher in patients with Hb levels in near-normal range (Iranian, 2013). While the most common physical symptoms of anemia in CKD improve with ESA treatment, it is also been shown to positively effect the more severe consequences (Iranian, 2013). Improvement in cardiac function has been noted in patients diagnosed with left ventricular hypertrophy and congestive heart failure (Iran, 2013) as well as stabilized renal function in non-dialysis patients (Iranian, 2013). Treatment of anemia in CKD patients is also attributed to reducing lengths of hospital stays and decreasing mortality rates (Iranian, 2013). While the benefits of ESA’s in combating the symptoms and consequences of anemia in CKD are indisputable, there is a wide range of treatment regimens, inconsistent parameters for treatment, and increased risk of stroke and morbidity in the pediatric population (Bamgbola, 2011). Regimens have been reported that are up to 30% different in dose and results show wide variations in patient response (Bamgbola...
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...Central University of Technology, Bloemfontein Early detection and prevention of Chronic Kidney Disease Contents page Definition of key terms used in the assignment Abbreviations used in the assignment Introduction Chronic Kidney Disease, a condition characterised by a gradual loss of kidney function. CKD is often misdiagnosed owing to the lack of knowledge about the disease. With early detection and prevention of the progression of the disease CKD patients can still enjoy life to the fullest while they manage their disease, however if the healthcare professionals fail to identify the disease on time the patient can suffer dire consequences. Besides the financial implications associated with the disease, there are the emotional implications together with physical and psychological. This assignment seeks to explore such implications in an effort to highlight the importance of early detection and prevention of kidney disease, with the best interest of the patient at heart Background Normal kidney anatomy http://doctorstock.photoshelter.com/image/I000096SqkYwaLhE The bean-shaped kidneys lie in retroperitoneal position in the superior lumbar region. Extending approximately from T12 to L3, the kidneys receive some form of protection from the lower part of the rib cage (E.N. Marieb, K Hoehn, 2010) The kidneys functions can be divided into two, non-excretory functions and excretory functions. Under excretory we have Glomerular filtration, Tubule...
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...Chronic Kidney Disease Abstract Chronic kidney disease is a progressive disease that destroys the function of the human kidneys. This purpose of this research paper is to present an introductory profile of the disease. The profile includes a description of the disease, leading causes, how it is diagnosed, and its stages. Current statistics of the individuals impacted by the disease and mortality are provided. This paper will also explain the progressive nature of the disease and how the kidneys are damaged. Finally, the treatment goals and actions for the different stages of the disease are laid forth. Chronic Kidney Disease Kidneys are vital organs that regulate the body’s fluid level, filter toxins, control blood pressure, and more. A human cannot live without at least one functioning kidney. Chronic Kidney Disease (CKD) is a progressive disease that destroys the operating capacity of the kidneys. CKD impacts millions of Americans and is often undiagnosed until it is in an advanced stage. The human body attempts to compensate for the disease and, in doing so, worsens the condition. CKD is usually caused by another underlying cardiovascular condition. Treatment for CKD seeks to slow the progression of the disease by relieving the underlying condition. Once CKD has reached its final stage, kidney function is insufficient and renal replacement therapy is required. Chronic Kidney Disease (CKD) was formerly known as chronic renal failure (Haynes & Winearls...
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...fluid detoxification, total body fluid regulation, acid-base balance, electrolyte balance in the blood, and blood pressure regulation. However, more and more occupational environment today affects kidney health and lead to chronic renal disease. Chronic renal disease (CKD) refers people who are losing in renal function of nephrons over at least three months. Occupational kidney disease is usually caused by lead, cadmium, mercury, beryllium, uranium, silicosis, organic solvents, and carbon disulfide. For example, toxic chemical silica can affect renal function or structure and lead to nephropathy, and organic solvents people used in industry or home products can cause direct tubular toxins. A study published by International Journal of Nephrology and Renovascular disease, “Occupational risk and chronic kidney disease: a population-based study in the United State adult population” written by Sofia Rubinstein and et al. examines the relative risk for the occurrence of CKD between different occupations in the US adult population. The research conducted a population-based National Health Interview survey of 91,340 participants. People who had weakening kidneys in the past 12 months had been defined as having CKD. As a result, after controlling for age, gender, hypertension, and education as a reference groups, the study found that workers in building, grounds cleaning and maintenance occupations were 4.3 times more likely to get CKD; healthcare practitioners and technical occupations...
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...Long-term Impact of Lifestyle on Kidneys -- Not Just the Heart Alex R. Chang, MD Authors and Disclosures Posted: 05/17/2011 * Print This * Share | | Hi. This is Dr. Alex Chang from Loyola University Medical Center, Department of Nephrology. I'm here at the National Kidney Foundation meeting presenting Lifestyle Behaviors and Incident Chronic Kidney Disease.[1] The premise for our study was that, as everybody knows, the obesity rates in America have gone up drastically. Nearly one-third of adults in the United States are obese. Nearly one-sixth of children are obese. These increasing rates of obesity are also paralleled by increasing rates of hypertension and diabetes as well. It seems logical that these increasing rates will also affect kidney disease. Our study was designed to look at young adults aged 18 to 30 years, from the CARDIA [Coronary Artery Risk Development in Young Adults] study.[2] The CARDIA study is a longitudinal study. It started in 1985-1986, looking at young adults who were free of diseases. Essentially, they have had up to 25 years of follow-up at this point. In this cohort, we decided to look at lifestyle behaviors and the risk for incident chronic kidney disease. The lifestyle behaviors that we examined were smoking, obesity, diet, and physical activity. We created a diet score using methods similar to those that other researchers have used based on the DASH [Dietary Approaches to Stop Hypertension] diet. This diet was used in the...
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