End Stage Renal Disease (ESRD) is the final stage of chronic kidney disease (CKD) where the kidneys lose nearly all their function. This stage requires dialysis or kidney transplantation to sustain life. ESRD is marked by a glomerular filtration rate (GFR) of less than 15 mL/min.
A thorough nursing assessment should include a comprehensive history and physical examination. Key components include monitoring vital signs, assessing for edema, and evaluating mental status. Laboratory tests such as serum creatinine, blood urea nitrogen (BUN), and electrolytes are essential in assessing kidney function.
Nursing care for patients with ESRD is complex and multifaceted. It requires not only clinical skills but also compassion and dedication to improve the quality of life for these patients. By understanding the pathophysiology, management strategies, and providing holistic care, nurses can make a significant impact on the lives of individuals affected by ESRD.
