Caring For an Aboriginal Patient with Chronic Renal Failure

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There's someone's first name in there ********************************************************************************************** Blood and urine studies which are taken from individuals experiencing renal failure manifest deviation in the result and show symptoms such as nausea, vomiting, fatigue, impaired thought processes, lethargy and headaches. This is due to the decrease in function of the glomerulus causing their inability to filter urea and creatinine in the blood and excrete waste products from the Central Nervous and Gastrointestinal systems (Mathers and Bonner, 2008, p.1295). In the assessment, she presented with an itchy face (pruritus) as a result of dry skin, calcium phosphate deposition in the skin and sensory neuropathy (Mathers and Bonner, 2008, p. 1298). The client is also experiencing anorexia, nausea and vomiting caused by irritation of the GI tract by waste products which contribute to weight loss and malnutrition (Mathers and Bonner, 2008, p. 1297). Glenda’s feeling of lethargy and confusion may be attributed to increase nitrogenous waste products, electrolyte imbalances, metabolic acidosis and demyelination of nerve fibers (Mathers and Bonner, 2008, p. 1298). Glenda’s laboratory findings was found to have high levels of serum creatinine with 1132 umoL/L and urea level with 45 mmol/L, that is normally 60-130 ummoL/L and 3-8 mmol/L, respectively (Callaghan, 2009, Appendix). This finding may suggest a decrease in glomerular and tubular function in the kidney, when in normal conditions, serve to filter and secre... ... middle of paper ... LaCharity, L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative Care. Missouri (United States). Saunders. Mathers, T. & Bonner, A., (2008). Acute Renal Failure and Chronic Kidney Disease. In Brown, D. & Edwards, H. Lewis’s Medical- Surgical Nursing Assessment and Management of Clinical Problems. Australia. Elsevier. Stanley, D. (2012). Health, Wellness and Illness. In A. Berman & S. Snyder (Eds). Kozier and Erb Fundamentals of Nursing. French Forest. Pearson Australia. Staunton, P. & Chiarella, M. (2013). Law Nurses and Midwives. Victoria (Australia). Elsevier. Thackrah, R., & Scott, K. (2010). Indigenous Australian Health and Cultures. Australia. Pearson. Thomson, N. (2009). The Health of Indigenous Australians. Victoria, Australia. Oxford University Press.

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