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Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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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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Kidney Transplant III: Nursing Management01:16

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
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Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

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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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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...
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Living Well With Kidney Disease and Effective Symptom Management: Consensus Conference Proceedings.

Connie M Rhee1, Dawn Edwards2, Rebecca S Ahdoot1

  • 1Division of Nephrology Hypertension and Kidney Transplantation, University of California Irvine, Orange, California, USA.

Kidney International Reports
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PubMed
Summary

Chronic kidney disease (CKD) symptoms significantly impact well-being and require effective management. A consensus conference emphasized person-centered care and shared decision-making for optimal treatment outcomes in CKD patients.

Keywords:
chronic kidney diseaseconservative managementperson-centered carequality of lifesymptom clustersunpleasant symptoms

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Area of Science:

  • Nephrology
  • Symptom Management
  • Patient-Centered Care

Background:

  • Chronic kidney disease (CKD) presents a significant symptom burden, often underrecognized and undertreated.
  • Symptoms like pruritus and psychological distress frequently cluster, suggesting interconnectedness.
  • Effective symptom management is crucial for conservative care and delaying dialysis.

Purpose of the Study:

  • To discuss the impact of CKD symptoms on patient health and well-being.
  • To identify strategies for optimal symptom management in CKD.
  • To promote person-centered approaches in CKD care and decision-making.

Main Methods:

  • Convened a global consensus conference with health experts and patient advocates.
  • Discussed the effects of CKD-associated symptoms.
  • Considered strategies for symptom management and patient engagement.

Main Results:

  • Optimizing symptom management is key to conservative and preservative CKD care.
  • Proposed 'kidney dysfunction requiring dialysis' (KDRD) as a preferred term over 'kidney failure'.
  • Emphasized the importance of patient values, needs, and shared decision-making.

Conclusions:

  • Person-centered communication and care are essential for diversity, equity, and inclusion in CKD management.
  • Education and shared decision-making enhance patient participation in CKD and KDRD.
  • Centering patient needs, including symptom management, leads to optimal CKD treatment aligned with patient goals.