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Management of pediatric patients with chronic kidney disease
Deborah Miller1, Dina MacDonald
1Inova Fairfax Hospital/Pediatric Specialty Clinics, Falls Church, VA, USA.
Insights
Pediatric chronic kidney disease (CKD) requires skilled nursing care for complications. Nurses play a vital role in patient education, decision-making, and coordinating complex treatment plans for children with CKD.
Area of Science:
- Pediatric Nephrology
- Nursing Practice
- Chronic Disease Management
Background:
- Chronic kidney disease (CKD) in children presents significant health challenges.
- Management requires comprehensive nursing interventions in various healthcare settings.
Observation:
- Pediatric CKD involves progressive disease stages and complex treatment regimens.
- Patients and families face distress due to multiple, ongoing therapies.
Findings:
- Nurses are crucial for implementing acute and preventive care strategies.
- Effective coordination of care is essential for managing pediatric CKD.
- Nurses facilitate patient and family education and shared decision-making.
Implications:
- Enhanced nursing expertise in pediatric CKD improves patient outcomes.
- Integrated nursing support is vital for managing the complexities of pediatric CKD.
- Case studies enhance understanding of real-world nursing practices in pediatric nephrology.
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 theirfamilies, 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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