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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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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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Nephrotic Syndrome III : Nursing Management01:24

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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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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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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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Updated: Jan 16, 2026

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Optimizing symptom management in people with kidney failure.

Dharshana Sabanayagam1, Chandana Guha2, Nicole Scholes-Robertson2

  • 1Sydney School of Public Health, University of Sydney, Sydney, Australia; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia; Department of Renal and Transplantation Medicine, Westmead Hospital, New South Wales, Australia.

Kidney International
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PubMed
Summary

Kidney failure patients face severe symptoms impacting quality of life and survival. This review guides symptom assessment and management strategies for better patient care.

Keywords:
hemodialysiskidney failure careperitoneal dialysis

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Area of Science:

  • Nephrology
  • Palliative Care
  • Symptom Science

Background:

  • Kidney failure causes significant symptom burden, increasing mortality and morbidity.
  • Symptoms in kidney failure are severe, persistent, multifactorial, and poorly understood.
  • Managing these symptoms is complex due to limited validated measures and interventions.

Purpose of the Study:

  • To review the epidemiology and impact of symptoms in kidney failure.
  • To provide guidance on selecting symptom measures and interventions.
  • To promote integrated, multidisciplinary symptom management strategies.

Main Methods:

  • Literature review on symptom burden in kidney failure.
  • Analysis of current practices in symptom assessment and management.
  • Synthesis of evidence for symptom-targeted interventions.

Main Results:

  • High symptom burden negatively impacts quality of life and survival in kidney failure.
  • Current management faces challenges with validated outcome measures and intervention evidence.
  • Multidisciplinary care is essential for effective symptom management.

Conclusions:

  • Effective symptom management requires validated tools and evidence-based interventions.
  • Integrating nephrology with palliative care and allied health is crucial.
  • Further research into symptom-targeted interventions is needed for kidney failure patients.