Case Study
Through analysis of the signs and symptoms provided in the case study it can be concluded that the patient is likely to have stage 5 Chronic Kidney Disease (CKD) also known as end stage renal failure (ESRF). During the patient’s initial medical examination she had severe hypertension as her blood pressure (BP) was 190/100 mmHg imposing a great risk to health. On examination a few weeks later the patients’ BP was still significantly raised at 185/95 mmHg. In accordance with NICE guidelines, the patient is classified as having stage 2 hypertension (NICE 2011). As the patient has persistently high BP the likely cause of the disease is essential hypertension.
As the patient was referred to a renal clinic kidney function should be
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KUMAR, P., and CLARK, M. L., 2012. Clinical Medicine. 8th ed. Edinburgh:
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4. Right Ventricular hypertrophy (RVH) – In a normal heart, the left ventricle has a rather thicker wall than the right due to the fact that it has to pump oxygenated blood to the body as opposed to the right ventricle which only needs to pump deoxygenated blood to the lungs. However, Tetralogy of Fallot causes an enlargement of the right ventricular muscle due to the pulmonary stenosis in the pulmonary
Kidney Care is comprised of U.S. dialysis and related lab services, ancillary services and strategic initiatives, including international operations and corporate administrative support. The U.S. dialysis and related lab services business is the largest line of business, which is a leading provider of kidney dialysis services in the U.S. for patients suffering from chronic kidney failure, also known as end stage renal disease (ESRD). The HCP division is a patient- and physician-focused integrated healthcare delivery and management company with over two decades of providing coordinated, outcomes-based medical care in a cost-effective manner ("DaVita Healthcare Partners 10-K Annual Report" 2015). STp(c) Segmentation, targeting, and positioning together comprise a three stage process.
Mcgrogan, A., Franssen, C. F. and De Vries, C. S. 2011. The incidence of primary glomerulonephritis worldwide: a systematic review of the literature. Nephrology Dialysis Transplantation, 26 (2), pp. 414-430.
“We never stand still; we are never satisfied. Individually, and as teams, we constantly look at what we do, and ask, “How can we do this better?” Then, we use a systematic approach to take action.” (About DaVita Kidney Care)
The causes of hypertension are unknown. However; hypertension can be classified into two categories primary and secondary. Primary (essential) hypertension is increas...
Stumpers S, Thomson N (2013) Review of kidney disease among Indigenous people, Australian Indigenous Health Info Net Viewed 14 may 2014, .
Currently there are two types of renal replacement therapy. The original dialysis which we called it hemodialysis used for patients with chronic renal failure, needs the patients to come to hospital 2-3 times per week. This type of dialysis called the intermittent hemodialysis .However the intermittent hemodialysis is difficult to do it in the intensive care population with acute renal failure because of the hemodynamic instability and those type of patients usually are the most sick and critically ill patients within the intensive care units and have multiorgan dysfunctions, so medically is too difficult to do for them intermittent hemodialysis. In addition intermittent hemodialysis will increase the mortality and morbidity among them. Within the modern intensive care units new way of dialysis has been developed 30 years ago called continuous renal replacement therapy (CRRT).The definition of (CRRT) is any extracorporeal blood purification therapy intended to substitute for impaired renal function over an extended period of time and applied for or aimed at being applied for 24 hours/day, Bellomo R., Ronco., Mehata R. The CRRT was found because the traditional way of ...
The article has been well organized and written. Mackay clearly states her rationale for writing the article and provides a valid reason to hold up her article with sources. Within the introduction section, the authors present worrying statistics of Americans affected by kidney disorders. Moreover, the author provides the disadvantages of dialysis with only Kidney transplantation being the only option. The author relates the topic to the readers...
To the majority of Americans, dialysis is a confusing process that they will hopefully never have endure, but for hundreds of thousands people, it is a daily fact of life. According to US News and World Report, “In the United States, almost 400,000 people undergo dialysis every year.” (Gordon, 2012, para. 4) Their lives revolve around receiving dialysis three days a week for three to four hours per treatment, usually at an outpatient clinic. While dialysis can prolong the end stage renal disease (ESRD) patients’ life, the three day a week trudge to this clinic can feel like and endless cycle of discomfort and inconvenience. Fortunately the ESRD patient has more than one option, namely, peritoneal dialysis.
The case narrative that is being discussed is a patient with a PMH of chronic kidney disease (CKD) who presents to the hospital with acute kidney injury (AKI). Nephrology was consulted for evaluation and management. This case was interesting to me because of the unique cause of Nephrotic syndrome called Minimal Change Disease (MCD). MCD is a kidney disease in which large amounts of protein are lost in the urine the podcytes that are part of the glomerular filter become effaced (Up-to-date, 2017). MCD is a major cause of nephrotic syndrome in both children in and adults, in children it is often linked to a genetic defect (Up-to-date, 2017). However, in adults MCD occurs as an idiopathic or secondary condition cause by an overuse of non-steroidal anti-inflammatory drugs (NSAIDS) and selective COX-2 inhibitors (Up-to-date, 2017). It is important for primary care providers to be aware of this MCD, so that
DaVita is a for profit acute and chronic hemodialysis, peritoneal, and home hemodialysis provider operating internationally. Acute renal failure and chronic kidney disease affects millions of persons, with new diagnoses occurring each and every day. These diagnoses are typically exacerbated from the number one and number two causes of renal disease, which are diabetes and hypertension. Renal disease management requires a collaborative approach between healthcare providers, patients, and families. Outcomes are directly related to the decisions patients make outside of the healthcare setting. As healthcare professionals, it is imperative that patients and families are educated regarding the acute and chronic kidney disease, making healthy
The need for kidney donations is very high, there are more than 0ne-hundred thousand patients on waiting lists. Out of this figure, at least five thousand people die waiting each year. For the patients that are fortunate to receive a kidney there wait time was anywhere between two to four and one-half years. During this wait period they suffer through dialysis treatments to stay alive. The traditional understanding was to only use a healthy kidney for transplants. With the need being so great a study team was formed at Yale to investigate the possibility of using a less healthy kidney; technical term, Acute Kidney Injury (AKI). For the study The Program of Applied Translational
The purpose of this paper is to take an in depth look at a renal diet which is designed for people suffering from certain kidney conditions. A renal diet can be described as a nutritional regime which is: “low in sodium, phosphorous and protein... [It] also promotes the importance of consuming high-quality protein and usually limits fluids. Some patients may also need to limit potassium and even calcium” (Nephcure). Throughout the course of this paper various aspects are addressed. these include: the role of the kidneys, the importance of professional guidance, the reasons why people follow a renal diet, monitoring sodium intake, monitoring potassium intake, monitoring phosphorus intake, protein consumption, and fluid control.
Chronic kidney disease is gradual loss of kidney function. Kidney disease is the 9th leading cause of death in the United States. An estimated 31 million people in the United States which is approximately 10% of the adult population have chronic kidney disease. Dietary fiber is the parts of plant foods your body can't digest or absorb. Dietary fiber has been shown to improve symptoms and laboratory values in people with chronic kidney disease.
Chronic Kidney Disease. Mayo Foundation for Medical Education and Research, 2014. Web. 20 May 2014.