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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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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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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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Metabolic reactions in the body produce nonvolatile acids, such as sulfuric acid, which generate an acid load of approximately 1 mEq of H+ per kilogram of body weight daily. Excreting H+ in the urine is essential to balance this acid load.
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Nudges in A Learning Health System: Applications to Cardiovascular-Kidney-Metabolic Care.

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Behavioral nudges, rooted in behavioral economics, enhance healthcare by improving guideline adherence and preventive behaviors. AI-powered nudges promise personalized, adaptive interventions for optimized care delivery and better patient outcomes.

Keywords:
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Area of Science:

  • Behavioral economics and health services research.
  • Application of behavioral science in healthcare settings.

Background:

  • Nudges are subtle behavioral interventions influencing decision-making without restricting choice.
  • They show promise in improving healthcare adherence and promoting preventive behaviors.
  • Learning Health Systems provide infrastructure for large-scale nudge implementation.

Purpose of the Study:

  • To explore the application and potential of nudges in cardiovascular-kidney-metabolic (CKM) care.
  • To highlight frameworks and future directions for nudge interventions in health systems.

Main Methods:

  • Review of nudge interventions in CKM care, targeting patients and providers.
  • Discussion of design frameworks like EAST and MINDSPACE.
  • Exploration of AI-driven adaptive nudges.

Main Results:

  • Nudges, including defaults, reminders, and gamification, have improved prescribing, vaccination, and physical activity in CKM care.
  • Effective nudge design considers timing, audience, and framing.
  • AI-powered nudges offer personalization and adaptability.

Conclusions:

  • Nudges, integrated with health technology, can optimize CKM care delivery.
  • They help reduce care variation and improve patient outcomes.
  • Future AI-driven nudges promise enhanced scalability and sustainability.