Diagnosis and primary care management of focal segmental glomerulosclerosis in children

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Angela Y Wong1, Rita Marie John

  • 1Angela Y. Wong is a pediatric NP at Maimonides Children's Hospital, Brooklyn, N.Y. Rita Marie John is a PNP program director and associate professor of nursing at Columbia University Medical Center, Columbia University School of Nursing, New York, N.Y.

The Nurse Practitioner
|August 23, 2018
PubMed

Insights

Focal segmental glomerulosclerosis (FSGS) affects children and requires careful management. Nurse practitioners (NPs) play a vital role in monitoring medication, growth, and psychological well-being for pediatric FSGS patients.

Area of Science:

  • Nephrology
  • Pediatric Nephrology
  • Clinical Nursing

Background:

  • Focal segmental glomerulosclerosis (FSGS) is a significant cause of kidney disease in children.
  • Pediatric FSGS necessitates comprehensive management strategies beyond renal function.
  • The role of advanced practice providers in pediatric nephrology is increasingly recognized.

Purpose of the Study:

  • To outline the crucial role of Nurse Practitioners (NPs) in managing pediatric Focal Segmental Glomerulosclerosis (FSGS).
  • To detail the NP's involvement in the clinical presentation, diagnostic evaluation, and therapeutic interventions for pediatric FSGS.
  • To emphasize the importance of multidisciplinary care coordination for children with FSGS.

Main Methods:

  • Review of current literature on pediatric FSGS management.
  • Discussion of the NP's scope of practice in nephrology.
  • Case study analysis (implied).

Main Results:

  • NPs are integral to monitoring medication adherence and efficacy in pediatric FSGS.
  • NPs contribute to tracking and managing growth and developmental milestones in affected children.
  • NPs provide essential psychological support and health monitoring for pediatric patients and their families.

Conclusions:

  • Nurse Practitioners are essential members of the healthcare team for pediatric FSGS.
  • Comprehensive NP-led care addresses medical, developmental, and psychosocial needs in pediatric FSGS.
  • Optimizing NP involvement can improve outcomes for children with kidney damage from FSGS.

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