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Related Concept Videos

Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

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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...
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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Chronic Kidney Disease III: Interprofessional Care01:28

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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 IV: Nursing Management01:18

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Chronic Obstructive Pulmonary Disease01:24

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COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
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Wellbeing intervention for chronic kidney disease (WICKD): a randomised controlled trial study protocol.

Kylie M Dingwall1, Tricia Nagel2, Jaquelyne T Hughes2,3

  • 1Menzies School of Health Research, Institute of Advanced Studies, Charles Darwin University, PO Box 4066, Alice Springs, NT, 0870, Australia. kylie.dingwall@menzies.edu.au.

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This study tests a new app to improve mental health for Indigenous Australians with kidney disease. The app aims to reduce distress and improve quality of life for those undergoing dialysis.

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E-mental healthIndigenousKidney diseaseRenalWellbeing

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Area of Science:

  • Indigenous Health
  • e-Mental Health
  • Renal Medicine

Background:

  • Indigenous Australians face disproportionately high rates of end-stage kidney disease (ESKD), particularly in remote areas.
  • Treatment for ESKD often involves relocation, impacting quality of life and adherence due to grief and sadness.
  • Culturally adapted interventions are needed to address both physical and mental health challenges in this population.

Purpose of the Study:

  • To evaluate the effectiveness of a culturally adapted e-mental health intervention, the AIMhi Stay Strong App, for Indigenous Australians with ESKD.
  • To assess the app's impact on psychological distress, depressive symptoms, quality of life, and treatment adherence.
  • To explore the cost-effectiveness of this novel digital therapy.

Main Methods:

  • A 3-arm, single-blind, waitlist randomized controlled trial involving Indigenous participants with ESKD undergoing haemodialysis.
  • Comparison of motivational care planning (MCP) using the Stay Strong App against a control app and treatment as usual.
  • Outcomes measured include psychological distress (Kessler Distress Scale), depressive symptoms (PHQ-9), quality of life (EQ5D), and dialysis treatment adherence via file audit.

Main Results:

  • The study is registered and actively recruiting participants.
  • Data collection is ongoing to determine the efficacy of the Stay Strong App.
  • Analysis will focus on participant-reported outcomes and adherence metrics.

Conclusions:

  • This trial will provide crucial evidence on the efficacy of electronic wellbeing interventions for Indigenous individuals with ESKD.
  • Findings are expected to inform the development and implementation of culturally appropriate digital mental health services.
  • The study addresses a significant gap in mental health support for a vulnerable population experiencing high levels of distress.