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Management of pediatric patients with chronic kidney disease
Deborah Miller1, Dina MacDonald
1Pediatric Nephrology, Inova Fairfax Hospital/Pediatric Specialty Clinics, Falls Church, VA, USA.
Insights
Pediatric chronic kidney disease (CKD) requires skilled nursing care for complications and complex treatments. Nurses are vital in providing acute, preventive, and coordinated care, alongside essential patient and family education.
Area of Science:
- Pediatric Nephrology
- Nursing Practice
- Chronic Disease Management
Background:
- Pediatric chronic kidney disease (CKD) presents significant challenges requiring specialized nursing interventions.
- The progressive nature and complex treatments of pediatric CKD necessitate expert nursing care in inpatient and outpatient settings.
Purpose of the Study:
- To review key issues in pediatric chronic kidney disease (CKD).
- To highlight the critical role of nurses in managing pediatric CKD.
- To enhance understanding of real-world nursing practices through a case study approach.
Main Methods:
- Literature review focusing on pediatric chronic kidney disease.
- Case study analysis to illustrate nursing practice.
- Discussion of nursing interventions for acute and preventive care.
Main Results:
- Nurses play a crucial role in managing complications and coordinating care for pediatric CKD patients.
- Effective nursing interventions include acute and preventive strategies.
- Patient and family education and shared decision-making are essential components of care.
Conclusions:
- Nurses are integral to optimizing outcomes for children with chronic kidney disease (CKD).
- Comprehensive nursing support is essential for managing the complexities of pediatric CKD.
- Empowering nurses with knowledge and skills improves care delivery and patient/family coping.
Abstract:
Chronic kidney disease in children is associated with complications that require nursing interventions in both the inpatient and outpatient settings. Given the progressive nature of the disease and the complexity of the treatment regimen, it is important that nurses be comfortable implementing acute and preventive care strategies and facilitating the coordination of care. In addition, the need for multiple therapies can be distressing for patients and their families, further supporting the role of the nurse in patient and family education and decision making regarding the plan of care. In this review, we discuss the pertinent issues of pediatric chronic kidney disease in the context of a case study to promote better understanding of real-world nursing practice.
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