The client has had major feelings of not being able to cope with what is happening to him. He has "forgotten" about dialysis appointments and has even avoided doctors' phone calls. I have told him that they way he behaves will have a direct impact on his physical condition. When a kidney patient becomes ambivalent about his diet, forgets to take his medication, or abandons fluid restrictions, all of these things put strain on the patient's body (Stein & Wild 2007: 100). I have reiterated these facts to him and he seems to listen, but there is an overall sense of helplessness coming from him -- as well as a bit of ambivalence.

Client's overall reaction.

The client has the support of his wife and his children (however, they do not live close by) and he does have a good insurance plan so it doesn't seem like he is feeling stressed about…...

mla

References:

Cameron, J. Stewart. (1996). Kidney failure: the facts. Oxford University Press, USA; 1st edition.

Chen, Shuang. (2008). The guide to nutrition and diet for dialysis patients. Metier Books.

Daugirdas, John T., Blake, Peter G., & Ing, Todd S. (2006). Handbook of dialysis.

Lippincott Williams & Wilkins; 4th edition.

I am not different in this regard; witnessing my sister having gone through the psychological and physiological factors associated with her dialysis treatment, and knowing my own risk, has been illuminating and has given me the impetus to learn about how to deal with the condition.
For me, early detection will be key. Patients who have early detection of kidney disease have a better overall prognosis through getting earlier treatment (Black, et al., 2010). Furthermore, knowing what exacerbates the condition in different presentations of kidney disease will modify my life selections; for example, I must be particularly aware of the effects of antibiotics on my kidneys and work with my doctors to select medicines with low impact on the kidneys given my family history for the condition (Loh & Cohen, 2009).

Yet given my family history to development of the condition, I am reassured to some extent that the existence of…...

mla

References

Anees, M., Hameed, F., Mumtaz, a., Ibrahim, M., & MN., S.K. (2011). Dialysis-related factors affecting quality of life in patients on hemodialysis. Iranian Journal of Kidney Disease, 9-14.

Black, C., Sharma, P., Scotland, G., McCullough, K., McGurn, D., Robertson, L., et al. (2010). Early referral strategies for management of people with markers of renal disease: a systematic review of the evidence of clinical effectiveness, cost-effectiveness and economic analysis. Health Technology Assessment, DOI: 10.3310/hta14210.

Ginieri-Coccossis, M., Theofilou, P., Synodinou, C., Tomaras, V., & Soldatos, C. (2008). Quality of life, mental health and health beliefs in haemodialysis and peritoneal dialysis patients: investigating differences in early and later years of current treatment. BMC Nephrology, doi: 10.1186/1471-2369-9-14.

Goldsmith, D., Jayawardene, S., & Ackland, P. (2007). ABC of Kidney Disease. Malden, MA: Blackwell.

Managed Diabetes Still esult in Kidney Failure?
Kidney failure is the final stage of chronic kidney disease, where the body loses its ability to rid itself of waste. When the kidneys fail, dangerous levels of toxins buildup in the body leading to death. Nearly 100,000 people are diagnosed in the United States every year with kidney failure (USDS, 2007). According to the same data, diabetes accounts for a little under half of these new cases. Controlling diabetes is important and doctors are correct to express the importance of controlling diabetes to their patients. However, recent data suggests that even when diabetes is controlled, it can still lead to kidney failure. Nearly 24 million people in the United States have diabetes, and nearly 180,000 are living with kidney failure that is a direct result of diabetes (USDS, 2007). This research will explore the connection between diabetes and kidney failure in connection…...

mla

References

de Boer, I., Rue, T., & Hall, Y et. al. (2009). Temporal trends in the prevalence of diabetic kidney disease in the United States. JAMA. 305(24), 2532-9.

Koro, C., Lee, B., & Bowlin, S.(2009). Antidiabetic medication use and prevalence of chronic kidney disease among patients with type 2 diabetes mellitus in the United States. Clin Ther. (11):2608-17.

Newman, D., Mattock, M,., & Dawnay, A.,et al. (2005) Systematic review on urine albumin testing for early detection of diabetic complications. Health Technol Assess. 9(30):iii-vi, xiii-163.

United States Renal Data System. USRDS 2007 Annual Data Report. Bethesda, MD: National

Sudden Infection of the Kidney
A young individual had an infection and within four day, his kidneys are not functioning, which has contributed to the need for kidney transplant for the individual who is currently on dialysis. This situation generates concern on whether a kidney infection can take place this first. Moreover, it is important to determine that caused the infection and rapid damage on the individual's kidneys. The identification of these various aspects would help in development of effective prevention and treatment measures for kidney failure.

Generally, there are several types of kidney infections and failures that are caused by various factors, which imply that it is possible for a kidney infection to cause rapid damage within a short period of time. A sudden and severe kidney infection that is characterized by significant damage within a short time period is known as acute pyelonephritis. Acute pyelonephritis usually causes the kidneys to…...

Chronic Kidney Disease Chronic kidney disease commonly develops alongside diabetes and/or high blood pressures. Patients who suffer from either are at risk of also developing chronic kidney disease. This is because high blood sugar can cause damage to the kidneys in the same way that a car exposed to wintery weather conditions is impacted by the salt that the city will dump on the road to control for ice. The car will be ruined if not properly cleaned and maintained—and the same goes for the body’s kidneys. To prevent chronic kidney disease the patient must first address the issues of diabetes and/or high blood pressure. Obesity is also a factor in the progression of kidney disease. Additionally, chronic kidney disease can lead to hypertension if this is not already a factor. The reality is that an individual who suffers from chronic kidney disease is likely to suffer from stress, poor diet,…...

However, Harvard Medical School (HMS) reports that in that study of 1,400 patients, 222 "composite events occurred." Those "events" included 65 deaths, 101 "hospitalizations for congestive heart failure, 25 myocardial infarctions and 23 strokes."
In an understatement, the HMS report - written by Dr. Singh - concluded that while improving the lives of patients with CKD is "of paramount importance," this particular study reveals, "...Aiming for a complete correction of anemia is associated with increased risk, increased cost and no quality of life benefits." The study was published in the November 16, 2006 issue of the New England Journal of Medicine.

Meantime, the National Institutes of Health / Medline Plus (www.nim.nih.gov) explains that epoetin alfa is also used with people who have HIV, it is used prior to surgery and after surgery "to decrease the number of blood transfusions needed" in the predicable loss of blood during surgery. It is also…...

mla

Works Cited

Harvard Medical School. (2005). Blood test can accurately diagnose heart failure in patients

With kidney dysfunction. Retrieved February 10, 2008, at  http://www.hms.harvard.edu .

Harvard Medical School. (2006). Higher Doses of Anemia Drug for Chronic Kidney Disease

Does Not Improve Quality of Life and Increases Risk for Cardiovascular Events. Retrieved February 9, 2008, at

Orthostatic Hypotension Blood pressure is the strength of blood pushing against arteries’ walls as the heart beats. Adults have a 120/80 mmHg e normal blood pressure. The numerator represents the systolic pressure which is the measure of blood pressure during active heart beats while the denominator represents the diastolic pressure, which is the blood pressure during passive heart beats (Low & Tomalia, 2015).
Consistent rise of blood pressure to over 140/90 mmHg results to high blood pressure, medically referred as hypertension which puts an individual on risk of stroke. On the other hand, low blood pressure medically referred to as hypotension occurs when the blood pressure is below 90/60. On the contrary, a drop in blood pressure to below 90/60 results to an inadequate brain air supply which results in light-headedness or dizziness and fainting. Once the body’s is unable to rapidly bring blood pressure back to normal one suffers from hypotension.…...

Acute renal failure is a serious medical condition. The gravity of the condition is manifested itself in the fact that the survival rate for renal failure has not improved for more than forty years. It occurs in 5% of all hospitalized patients and dialysis treatment is required in approximately .5 of cases. Dialysis is required to sustain "fluid and electrolyte balances, minimize nitrogenous waste production and sustain nutrition Infection accounts for 75% of deaths in patients with acute renal failure, and cardiorespiratory complications are the second most common cause of death" (Agrawal & Swartz 2000). Pathophysiology can vary depending upon the type: "patients who develop AKI can be oliguric or nonoliguric, have a rapid or slow rise in creatinine levels, and may have qualitative differences in urine solute concentrations and cellular content.... Oliguria is defined as a daily urine volume of less than 400 mL/d and has a worse prognosis,…...

mla

References

Epstein, Murray. (1997). Alcohol's impact on kidney function. Alcohol Research and Health21. 1 (1997): 84-91.

Malay, Agrawal & Richard Swartz. (2000). Acute Renal Failure. American Family

Physician. Retrieved October 29, 2011 at  http://www.aafp.org/afp/20000401/2077.html 

Page, Timothy F. & Robert S. Woodward. (2009). Cost-effectiveness of Medicare's coverage of immunosuppression medications for kidney transplant recipients.

Renal Failure
Main Functions of the Kidneys

The kidneys are bean-shaped organs, 12 centimeters long, which lie at the sides of the spinal column behind the abdominal cavity (Merck 2010). Their main function is to maintain the proper balance of water and minerals in the body. Their other major functions include filtration and elimination of wastes and toxins, regulation of blood pressure and secretion of some hormones. The amount of water taken into the body must match the amount being eliminated. If the balance is not maintained, water will accumulate fast and illness or death may occur. Excess water will dilute the body's electrolyte and inadequate amount will concentrate electrolytes. The kidneys regulate and help maintain the precise concentrations (Merck).

The kidneys' second major function consists of filtration and excretion (Merck 2010). They pass out urea, a main waste product from protein metabolism. Urea moves through the glomerulus and into the tubuluar fluid…...

mla

BIBLIOGRAPHY

DHS 2008, 'Developmental disabilities nursing,' Department of Human Services

[Online] Available at  http://www.oregon.gov/DHS/spd/provtools/nursing/ddmanuel/companion.pdf ?

Franz 2009, 'Nursing care plan -- renal failure,' Nursing Crib [Online] Available at  http://nursingcrib.com/nursing-care-plan/nursing-care-plan-renal-failure 

Hudson, K 2007, 'Acute renal failure -- nursing CEs,' Dynamic Nursing Education

Renal failure, or commonly referred to as kidney failure, is a condition in which the kidneys do not sufficiently filter out the toxins and waste products that are transported in the body's blood stream. There are two basic forms of renal failure. The first is when there is an acute injury prevents the kidneys from functioning properly. The next is a more serious condition in which the kidneys are chronically inflicted. Chronic kidney disease has the potential to be irreversible and requires immediate medical attention. Some of the symptoms of renal failure include (Lin, 2011):
Appetite loss

General ill feeling and fatigue

Headaches

Itching (pruritus) and dry skin

Nausea

eight loss without trying to lose weight

Other symptoms that may develop, especially when kidney function has gotten worse, include:

Abnormally dark or light skin

Bone pain

Brain and nervous system symptoms:

Drowsiness and confusion

Problems concentrating or thinking

Numbness in the hands, feet, or other areas

Muscle twitching or cramps

Breath odor

Easy bruising, bleeding, or…...

mla

Works Cited

Lin, H. (2011, September 21). Medline Plus. Retrieved from Chronic Kidney Disease:  http://www.nlm.nih.gov/medlineplus/ency/article/000471.htm 

MedlinePlus. (2011, September 21). Chronic Kidney Disease. Retrieved from MedlinePlus:

Polycystic Kidney DiseaseIntroductionPolycystic Kidney Disease (PKD) is a genetic disorder characterized by the growth of numerous cysts in the kidneys. These cysts are filled with fluid and can cause the kidneys to become enlarged and dysfunctional. PKD can cause a wide range of symptoms, including pain, hypertension, kidney failure, and an increased risk of urinary tract infections. PKD is not a disease that can be readily cured, but there are available treatments that can help to control the symptoms and slow the progression of the disease. Early diagnosis and treatment are essential for maximizing the chances of a good outcome.CriteriaPKD is diagnosed using a combination of clinical criteria and imaging tests. The clinical criteria for diagnosing PKD include the presence of two or more cysts in each kidney, renal cysts in a first-degree relative, and/or renal impairment due to PKD. Imaging tests such as ultrasounds, CT scans, and MI scans…...

mla

ReferencesHalvorson, C. R., Bremmer, M. S., & Jacobs, S. C. (2010). Polycystic kidney disease: inheritance, pathophysiology, prognosis, and treatment. International journal of nephrology and renovascular disease, 3, 69.Patel, V., Chowdhury, R., & Igarashi, P. (2009). Advances in the pathogenesis and treatment of polycystic kidney disease. Current opinion in nephrology and hypertension, 18(2), 99.Wallace, M. A. (1998). Anatomy and physiology of the kidney. AORN journal, 68(5), 799-820.

blood ion levels, particularly sodium, potassium, and calcium levels, if there is a decrease in overall blood flow to the kidneys. A full credit answer will discuss the mechanisms at the cellular and chemical level.
Kidney failure: What occurs when there is a decrease in blood flow to the kidneys?

A decrease in blood flow to the kidneys can lead to complete organ failure at worst or at minimum severely disrupt the body's state of homeostasis. The kidneys play a critical role in the regulation of electrolytes, particularly sodium, potassium, and calcium. As their name suggests electrolytes, or ions, "are the charged particles in body fluids that help transmit electrical impulses for proper nerve, heart, and muscle function" (Astle 2005). In a healthy organism, positive and negative ions are in a state of equal balance. Decrease in blood flow to the kidneys severely disrupts the body's ability to not only regulate…...

mla

References

Astle, S. (2005). Restoring electrolyte balance. Modern Medicine. Retrieved:

http://www.modernmedicine.com/modern-medicine/news/restoring-electrolyte-balance

Fluid and electrolyte balance. (n.d). Berkeley. Retrieved:

 http://mcb.berkeley.edu/courses/mcb135e/kidneyfluid.html

These clinics will have to be set up over a number of years as funding becomes available for each. It is envisioned that the combination of clinics and learning programs will help the community to achieve better overall health. Indeed, clinics that focus on the specific health issues faced by the Hispanic community will remove some of the burden from general-purpose clinics and hospitals.
Conclusion

In conclusion, it is projected that the above-outlined prevention strategies can go a long way towards significant improvements in the health of the Hispanic community. In addition to addressing specific renal failure problems, prevention measures and better access to clinics can also result in a better overall health and lifestyle experience for the Hispanic community. It is therefore proposed that these measures be implemented and thoroughly researched for both short- and long-term effectiveness.

eferences

Bibby, M. (2009). Advocacy strategies for government sponsored public health agencies: The BCCDC a…...

mla

References

Bibby, M. (2009). Advocacy strategies for government sponsored public health agencies: The BCCDC a case study. Simon Frasier University. Retrieved from:

 http://summit.sfu.ca/system/files/iritems1/9582/ETD4602.pdf ?

DaVita Healthcare (2014). Risks for CKD in Hispanic-Americans. Retrieved from:

  -- hispanic-americans&articleID=5009http://www.davita.com/education/article.cfm?educationMainFolder=causes-of-kidney-disease&category=assessing-your-risk&articleTitle=risks-for-ckd-in 

¶ … kidney donation and renal availability: A utilization of literature review in nursing research
Living donors are clearly superior and more desirable for kidney transplantation for a variety of reasons, and though there are some medical and ethical concerns with living donor renal transplantation new innovations can greatly reduce risks to living donors (Nakamura et al. 2008; Testa et al. 2009). There have also been enormous gains in the rates of living donors worldwide, largely as a response to educational campaigns aimed at informing the public of the need for donation and the increasing ease of the surgery on donors (Mayor 2009; Horvat et al. 2009).

This easement on post-surgery recovery and life for living kidney donors is the result of several new techniques and schemas, including newer minimally invasive procedures and methods for kidney removal during other surgical procedures (Nakamura et al. 2008; Testa et al. 2009). Both of these…...

Title: The Impact of Steroid Laws on Public Health and Safety

Introduction:
Steroid laws have been implemented worldwide to regulate the use and distribution of anabolic-androgenic steroids (AAS). These laws aim to protect public health and safety by preventing the misuse of steroids, which can lead to severe health consequences. This essay explores the impact of steroid laws on public health and safety, examining both the positive and negative implications of these regulations.

Body:

1. Prevention of Health Risks:
Steroid laws effectively reduce the accessibility of AAS, making it more challenging for individuals to obtain and use them. This restriction helps prevent the serious health....

The Role of the National Health Insurance Scheme in Promoting Social Health Equity in Ghana

Introduction

Social health equity refers to the fair and just distribution of health across different population groups. It is a critical component of public health, as it ensures that everyone has equal access to quality healthcare, regardless of their socioeconomic status, ethnicity, or other factors. In Ghana, the National Health Insurance Scheme (NHIS) plays a significant role in promoting social health equity.

Background of the NHIS

The NHIS was established in 2003 with the aim of providing access to affordable healthcare for all Ghanaians. It is a social health....