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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Acute Kidney Injury V: Interprofessional Care01:20

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury VI: Nursing Management01:22

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...

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Advance care planning in CKD/ESRD: an evolving process.

Jean L Holley1

  • 1University of Illinois, Urbana-Champaign, USA. jholley@illinois.edu

Clinical Journal of the American Society of Nephrology : CJASN
|March 31, 2012
PubMed
Summary
This summary is machine-generated.

Advance care planning is a dynamic, patient-centered process, not just paperwork. It helps patients and families manage care, prepare for death, and clarify goals, especially in End-Stage Renal Disease (ESRD).

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Area of Science:

  • Medical Ethics
  • Nephrology
  • Palliative Care

Background:

  • Historically, advance care planning (ACP) focused on legal documents like living wills.
  • Current understanding defines ACP as a comprehensive, patient-centered process.
  • ACP involves patients, families, and healthcare providers in decision-making.

Purpose of the Study:

  • To redefine advance care planning beyond simple directive completion.
  • To emphasize the dynamic and comprehensive nature of ACP.
  • To highlight the importance of ACP in End-Stage Renal Disease (ESRD).

Main Methods:

  • Review of the evolving understanding of advance care planning.
  • Discussion of the role of advance directives and physician orders.
  • Analysis of ACP in the context of ESRD patient care.

Main Results:

  • Advance care planning is a comprehensive, patient-centered process.
  • Advance directives and physician orders are integral components of ACP.
  • ACP must be adapted and revisited throughout the course of ESRD.

Conclusions:

  • Advance care planning is crucial for patients with ESRD.
  • Nephrologists play a key role in facilitating ACP for ESRD patients.
  • Effective ACP benefits patients, families, and clinicians in nephrology practice.