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Chronic kidney disease education

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Daniel V.
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  1. Introduction
  2. Chronic kidney disease
  3. Patient education
  4. Pre dialysis education
  5. Uninformed patients
  6. Conclusion

Chronic kidney disease is a health condition that is characterized by progressive loss in renal function over time. The disease is detected during screening people known to be most likely to be at risk of kidney problems, for example, hypertensive people and diabetics. The difference to acute kidney disease is that the reduction in kidney function has to have been present for a period lasting longer than three months (Daugirdas, 2012, p.20). The identification of chronic kidney failure in the laboratory is through a blood test for creatinine. Creatinine levels determine the glomerular filtration rate in the kidneys. This in turn impedes on the kidneys' ability excessive water and wastes from the blood stream.

Dialysis is a medical process entailing the removal of waste and glut water from the blood. Dialysis is used principally as a substitute for lost kidney function in individuals going through renal failure. The treatment can be used while varying stages of kidney diseases such as acute kidney injury through to chronic kidney disease (Daugirdas & Ing, 2012, p. 34).

Patient education includes organized awareness, knowledge, self care education and psychosocial support regarding the disease, prescribed treatment, care and other health care settings, organizational data and behavior related to health and illness.

[...] Cardiac arrhythmia and risk of sudden death are a key fatal outcome in patients. The longer interdialytic interval in three times weekly dialysis programs has been linked to an increased risk of cardiac arrest in patients. One of the important factors associated with better survival in patients is the maintenance of residual renal function. In the dialysis, however, there is an acceleration in the residual renal function. Consequently, there is a reduction in urine volume and a broad-spectrum reduction in the level of clearance of uremic toxins (H.W. [...]


[...] doi: 10.1038 /ki Pugh-Clarke, K. (2011). Handbook of Chronic Kidney Disease Management by John.T. Daugirdas. Journal of Renal Care, 123?123. doi: 10.1111 /j.1755- 6686.2011 .00239.x Daugirdas, J. T., Blake, P. G., & Ing, T. S. (2012). Handbook of dialysis. : Lippincott Williams & Wilkins Hörl, W. [...]


[...] In patient care, which is characteristic of dialysis treatment is associated with a hoard of dangers in relation to exposure to hospital acquired infection. It is this increased risk of patient infection during treatment that further encourages the need to postpone dialysis so as to put the risks of infection at bay and as such prolonging life of the patient in comparison to a similar patient who would have opted for immediate dialysis. Early dialysis has been attributed with exacerbation of malnutrition, hypostatic pneumonia and thromboembolism risks (Lameire & Mehta p. 50). [...]


[...] The core question in this case is as to when the best time to commence treatment, in populations and individuals. There are minimal studies conducted towards this cause. Most investigations have primarily relied on demonstrative interrogations of registry and their observational data set. These studies have depended on statistical manipulations to adjust for case mix and co morbidity burden. However, recent iterations have continually identified earlier initiation of dialysis as being in relation to poorer outcomes in all populations. In previous studies, co morbidity has been regarded to be a vital factor. [...]


[...] The disadvantages of dialysis have to be considered when an individual wants to make the decision to undergo the treatment or not. Information provided on the shortcomings of haemodialysis is critical in aiding the patient with the ability to make a choice regarding whether he/she wants to go on to pursue that option of treatment. Especially bearing in mind that haemodialysis is particularly restrictive and restricts the patient to the hospital bed; the regularity of the dialysis sessions also mean that the patient has to plan his/ her life around their sessions. [...]

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