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Related Concept Videos

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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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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 (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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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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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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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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Building Capacity for Community-Based Kidney Health Screening: A Multi-Site Quality Improvement Initiative through

Amber B Paulus1,2,3, Imani Smith4, Angie Kurosaka5,6,7

  • 1Associate Chief Nephrology Research & Data Analytics and Assistant Professor, Department of Internal Medicine, Division of Nephrology, School of Medicine, Virginia Commonwealth University, Richmond, VA.

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PubMed
Summary

Community kidney health screenings led by registered nurses (RNs) and nurse practitioners (NPs) are feasible and scalable in underserved areas. These nurse-led initiatives show strong engagement and potential for expanding kidney disease prevention.

Keywords:
access to carechronic kidney diseasecommunity-based researchpopulation healthpreventative screeningsocial determinants of health

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Area of Science:

  • Nephrology
  • Public Health
  • Nursing

Background:

  • Chronic kidney disease (CKD) disproportionately impacts underserved communities lacking access to screening and preventive care.
  • Existing community-based kidney health programs highlight feasibility, yet a gap exists in nurse-led models integrating quality improvement principles.
  • Registered nurses (RNs) and nurse practitioners (NPs) possess expertise crucial for addressing this gap.

Purpose of the Study:

  • To evaluate the feasibility and scalability of American Nephrology Nurses Association (ANNA)-led kidney health screenings within structurally disadvantaged communities.
  • To assess the effectiveness of a nurse-led model in identifying at-risk individuals for kidney disease.
  • To determine the community engagement and operational viability of such initiatives.

Main Methods:

  • The Community Kidney Health Network (CKHN) pilot involved three ANNA chapters conducting screenings in partnership with local organizations.
  • Participants underwent point-of-care testing (HbA1C, creatinine/eGFR, ACR) and assessments (BP, BMI, waist circumference).
  • A Kidney Health Score (KHS) was used to categorize risk based on six factors.

Main Results:

  • Nearly all 51 adult participants were identified as 'At-Risk' or higher for kidney disease.
  • Elevated blood pressure and body mass index (BMI) were the most prevalent risk factors.
  • The average supply cost per participant was $30.76, with sites reporting strong engagement and feasibility.

Conclusions:

  • RN/NP-led kidney health screenings are acceptable and scalable in community settings.
  • These initiatives demonstrate significant potential for community health leadership in kidney disease prevention.
  • The ANNA-led model offers a viable approach to address disparities in CKD screening and care.