Using the information from the interview you conducted in Week 2, list in descending order the support needs of your participant. Also discuss how to implement objectives of Healthy People 2020 to increase wellness. Give examples of appropriate interventions of the professional caregiver, for example, the nurse.
Submit your findings in a 4- to 5-page Microsoft Word document.
Support your responses with examples.
On a separate references page, cite all sources using APA format.
Running head: IMPACTS OF RENAL DISEASES
Norys Gil
Impacts of Renal diseases
Case study
This research collected information from my neighbor, a 44-year-old woman. The patient has been complaining about the worsen kidney complication. Her complications developed five years ago. The patient would frequently complain about high blood pressure, nausea, foamy and dark colored urine, loss of appetite, general body weakness and loin pain. It was important therefore to check if the patient understood her condition in terms of associated health risks, care and medication schemes, and her perception towards the complication (Franczy, et al., 2016, p. 260).
The patient confirmed that she is overwhelmed by the medical complications and she would like to understand a proper course of action to follow in managing the disease. The patient explains that her condition started when she first experienced knee pain. Since she was an active smoker and obese, she was advised to quit the menace and reduce body weight by her family doctor. In the initial stages of complications, the mediations such as ibuprofen, that were prescribed by the physician seemed helpful. However, after one year, she developed further complications which led her to visit other doctors. One of the doctors determined that she had a stage 3 chronic kidney three after conducting blood tests. The doctor did not prescribe medication or any programs for managing the condition. The following involves the responses from the patient in a questionnaire.
The questionnaire and responses
Initials Mrs. First Name: …………………… Last Name: ………………………….
Telephone:…… ………………. Email address: ………………………………………..
Thank you for participating in this study. Filling in this questionnaire will enable you to have insightful ideas as well as enabling the researcher to understand the community’s perception and knowledge regarding kidney complications.
1) Are you aware of treatment plans for your health conditions?
The physician prescribed a medication scheme consisting of diuretic, calcium reduction, stimulation of bone marrow, and some diet supplements. I was advised to quit smoking and consume low proteins.
2) Do you experience challenges in managing chronic kidney disease?
Quitting smoking is challenging as well as keeping a healthy diet.
3) Do you have any health primary concerns? What are they?
My only health concern is wondering whether or not I will long enough to see my grandchildren.
4) Are there any measures you can do to improve your current health status?
I would like to follow all medical plans prescribed by the doctor such as to quit smoking, reducing body weight and having a healthy diet.
5) Do you experience financial challenges in meeting your medical requirements?
I have not experienced any financial challenges in meeting my medical bills.
6) What do you understand with regards to obesity, smoking, and a healthy lifestyle?
I have learned from the physician that smoking, obesity and lack of enough physical activities or exercises are predisposing to chronic kidney complications.
7) Do you understand the complications and risks associated with chronic kidney diseases?
Initially, I thought that my deteriorating health status will cause my death soon enough. Recently, after learning from my physician, I understand that when toxins accumulate in the body due to failed kidneys, I could develop, more complications and diseases such as heart diseases, anemia, bone complications, and buildup of fluids in the body.
8) Are there signs of hyperglycemia that you are aware of?
Yes, conditions such as blurred vision, frequent urination, and feet numbness can be an indication of hyperglycemia.
9) Do you know the causes of hyperglycemia?
Low levels of insulin and insulin resistance are the likely causes of hyperglycemia especially in patients suffering from diabetes according to my physician.
10) Do you experience challenges when performing tests such as blood sugar and urine test?
I do not; I am ready to take any necessary tests to receive an accurate diagnosis for reliable medical plans.
11) Do you understand various prescribed medications?
Can you administer insulin correctly when it is prescribed?
I do not understand various prescribed medications. Equally, I am unable to draw up and administer insulin when it is prescribed because I failed to meet any physician when I went for further tests in the health center for initiating the care plan.
12) Are there helpful and unhelpful medication prescription?
Ibuprofen is essential in managing body pain. The last doctor I visited explained that there are various treatment schemes for the disease, however, he failed to prescribe any medications because he wanted to perform more tests to determine a proper medical plan.
13) Is there any complication due to the side effects of certain medications that you recurrently experience?
I am yet to undergo care plans and thus I have not experienced any difficulties and side effects from medication.
14) Is there an additional medication that you are currently taking and have not been mentioned?
I have been taking propranolol and diazepam for managing stress levels and antihistamines for itches.
15) What is your general feeling about chronic kidney diseases? Has the complication changed your lifestyle?
Managing the disease is my primary concern because I feel it can claim my life if it is not adequately managed. Changing eating habits, quitting smoking and starting physical exercise have significantly changed my lifestyle.
Discussion and Analysis
The responses collected by the questionnaire from the patient indicate that she is having challenges to cope up with her health condition. Her condition I likely to deteriorate despite that she has undertaken several tests. This is due to various reasons such as lack of reliable and effective care plans, failing to quit smoking and consumption of food rich in fats. The care plans should, therefore, constitute isotonic fluids for controlling body fluid levels, controlling of hyperkalemia by the use of insulin, and salbutamol (Gluba-Brzozka, Franczyk, & Rysz, 2019).
Healthy diets and healthy lifestyle practices, for example, quitting smoking and having at least one-hour sessions of exercise per day in three days of the week can increase the chances of survival and lifespan of patients who are already experiencing kidney complications and renal diseases. The patient under study has also indicated that she has not received proper medication or care plans to manage her condition (Rysz, et al., 2017).
Management of renal diseases and associated complications
The patient under study could suffer from both hypertension and diabetes. These two conditions are risk factors for renal diseases. Therefore, care programs should consider other measures such as reduction of body weight and controlling of blood sugar levels. It is therefore important to roll out changes immediately to prevent the condition from progressing to complex stages such as kidney failure. Frequent dialysis and kidney transplant are also potential remedies for renal diseases. Change of lifestyle in terms of healthy eating habits, regular exercise and avoiding smoking are essential schemes for managing the condition at its early stages. Proper medications prescribed by a physician are essential for managing conditions such as stress and blood sugar levels (Gluba-Brzózka, et al., 2018).
References
Franczyk, B., Gluba-Brzózka, A., Cia|kowska-Rysz, A., Banach, M., & Rysz, J. (2016). The Problem of Atrial Fibrillation in Patients with Chronic Kidney Disease. Current Vascular Pharmacology, 14(3), 260-265. doi:10.2174/1570161114666160115130836
Gluba-Brzozka, A., Franczyk, B., & Rysz, J. (2019). Cholesterol Disturbances and the Role of Proper Nutrition in CKD Patients. Nutrients, 11(11), 2820. doi:10.3390/nu11112820
Gluba-Brzózka, A., Franczyk, B., Ciałkowska-Rysz, A., Olszewski, R., & Rysz, J. (2018). Impact of Vitamin D on the Cardiovascular System in Advanced Chronic Kidney Disease (CKD) and Dialysis Patients. Nutrients, 10(6), 709. doi:10.3390/nu10060709
Rysz, J., Franczyk, B., Ciałkowska-Rysz, A., & Gluba-Brzózka, A. (2017). The Effect of Diet on the Survival of Patients with Chronic Kidney Disease. Nutrients, 9(5), 495. doi:10.3390/nu9050495
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