Severe Kidney disease - Nursing Science

What is Severe Kidney Disease?

Severe kidney disease, often referred to as chronic kidney disease (CKD), is a medical condition characterized by a gradual loss of kidney function over time. When kidney function deteriorates to a critical level, it can lead to end-stage renal disease (ESRD), necessitating dialysis or a kidney transplant.

Causes and Risk Factors

The primary causes of severe kidney disease include diabetes and hypertension. Other risk factors encompass age, genetic predisposition, prolonged use of certain medications, and conditions like glomerulonephritis and polycystic kidney disease.

Symptoms and Signs

Patients with severe kidney disease may exhibit symptoms such as fatigue, swelling in the legs and ankles, shortness of breath, and changes in urination patterns. Other signs include nausea, vomiting, and loss of appetite.

Nursing Care and Management

Assessment and Monitoring
Nurses play a crucial role in the assessment and monitoring of patients with severe kidney disease. This includes regular measurement of blood pressure, monitoring fluid balance, and tracking laboratory tests like serum creatinine and glomerular filtration rate (GFR).
Patient Education
Patient education is vital in managing severe kidney disease. Nurses should educate patients about the importance of dietary restrictions, such as low sodium, potassium, and protein diets. They should also emphasize the adherence to prescribed medications and the significance of regular follow-up appointments.
Symptom Management
Nurses should address symptoms like pain, itching (pruritus), and sleep disturbances. They should collaborate with other healthcare professionals to provide comprehensive care aimed at improving the patient's quality of life.
Dialysis Care
For patients requiring dialysis, nurses are responsible for preparing and monitoring the patient during and after the procedure. This includes assessing the access site for signs of infection and complications, ensuring proper machine settings, and providing emotional support.

Psychosocial Support

Severe kidney disease can be emotionally and mentally challenging for patients and their families. Nurses should provide counseling services and facilitate support groups. They should also address any concerns related to lifestyle changes and help patients cope with the disease's impact on their daily lives.

Conclusion

In summary, severe kidney disease requires comprehensive and continuous nursing care. Through proper assessment, patient education, symptom management, and psychosocial support, nurses can significantly improve the outcomes and quality of life for patients suffering from this condition. Their role is indispensable in ensuring that patients receive holistic and effective care throughout their treatment journey.

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