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Related Concept Videos

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

Chronic Kidney Disease IV: Nursing Management

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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 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

110
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...
110
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

52
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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Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

71
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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5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
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Rethinking Models of Chronic Kidney Disease Care: A Narrative Review.

Hannah Wallace1,2,3, J Oliver Daly4, Min Jun3,5

  • 1Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.

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Chronic kidney disease (CKD) affects millions globally. This review examines CKD care models and identifies gaps, exploring new strategies like nurse-led or digital interventions for early detection and management.

Keywords:
Chronic kidney diseaseHealth systemsImplementationModels of care

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Area of Science:

  • Nephrology
  • Public Health
  • Health Systems Research

Background:

  • Chronic kidney disease (CKD) is a global health crisis affecting over 850 million people.
  • CKD is linked to substantial morbidity, mortality, and increased cardiovascular risk.
  • New therapeutic options exist to slow CKD progression, necessitating improved clinical practice integration.

Purpose of the Study:

  • To review current chronic kidney disease (CKD) care models and identify existing care gaps.
  • To explore alternative CKD management strategies from existing literature.
  • To focus on early detection and proactive management of CKD.

Main Methods:

  • Literature review of proposed and implemented CKD care models.
  • Analysis of studies evaluating nurse-led, pharmacy-led, integrated, and digital interventions.
  • Assessment of care gaps in current CKD management.

Main Results:

  • Several alternative care models have been proposed for CKD management.
  • Interventions include nurse-led, pharmacy-led, integrated care, and digital health solutions.
  • The effectiveness of these models has shown mixed results.

Conclusions:

  • Current CKD care models have documented gaps in implementation and effectiveness.
  • Alternative models show promise but require further validation.
  • Ongoing health systems and implementation research is crucial for translating evidence into practice for better CKD management.