ipl-logo

Chronic Kidney Disease Lab Report

2335 Words10 Pages

Chronic kidney disease (CKD) is defined as the irreversible loss of kidney function. Kidney disease is not recognized until there is a significant loss of nephrons. The loss of nephrons results in a decrease in renal function. When the patient’s renal function is decreased the body is unable to maintain a balance between the patient’s fluid and electrolyte. A patient will not be able to dilute his or her urine due the decrease in renal function. There is a decrease in the excretion of phosphate acid, potassium and waste. The increase of phosphates can lead to secondary hyperparathyroidism. Due to the impairment with phosphate and Calcium the patient will have renal osteodystrophy. An increase in the patient’s electrolytes can cause …show more content…

This test was done to determine if the patient had diabetes. There is no trend but the patient does have a history of diabetes but is not getting treated for it. The blood urea nitrogen (BUN) is normal at 16, when the patient first arrived her BUN was 95 mg/dL. The BUN test was done to determine the kidney function of this patient. I expected this lab value based on the patient’s medical diagnosis of chronic kidney disease and end stage renal failure. Also the blood urea nitrogen can be increased due to dehydration. The physician suggest to constantly encourage the patient fluids. Since renal dysfunction was diagnosed the physician placed the patient on a renal carbohydrate diet. This is appropriate because the kidneys excrete sodium and potassium. Sodium may need to be restricted and potassium may need to be …show more content…

I also see the patient being discharged when she show signs that her acute kidney failure is stabilizing. An immense part of rehabilitation is being able to walk and with M.S.’s case being able to ambulate with assistive devices. I foresee M.S. on dialysis three times a week once discharged. M.S. will not be discharged until there are dialysis appointments in place. Since her family is busy, she will need a ride from the rehabilitation center to the dialysis treatment center. There will be a cost for a van to transport her. Before discharge the family will have to consult and facilitate proper transportation for this patient. I also see the patient being on a low fat and low sodium diet. She will need to understand the impact all of her other illnesses have on her kidneys such as diabetes, high blood pressure, and heart

Show More
Related

Rosa Naremore Case Study

213 Words | 1 Pages

Some of the requirements include Ms. Mullins would only be allowed to drink a certain water and a tube placed in Ms. Mullins stomach would require draining 5-6 times a day. Also home dialysis is usually

Read More

Handi Ride Case Study

104 Words | 1 Pages

The patient met with Dr. Katoch and was referred to the social worker by medical assistant to assist with Handi ride application. Patient is a single woman who expressed the need for Handi ride because she stated that she cannot walk more than 200 feet without pain and she has to cross a very busy street to get to the shuttle. Social worker assisted patient with the Handi Ride application and assessed that patient has a low comprehension level and could not understand all the questions asked, but did not appear to qualify for Handi Ride serves based on her responses to their

Read More

Change Model Overview: The ACE Star Model Of Knowledge

1382 Words | 6 Pages

After a lengthy search performed by two reviewers, results yielded 1,736 participants that fit the characteristics of an older adult facing an acute illness or injury, admitted to one of many units, and presented with co-morbidities. In these studies, early discharge planning was done most frequently by nurses within 24- 48 hours after the patient was admitted. The interventions suggested to improve patient outcomes were outline in the details of the early discharge planning process. This included the patients functional needs being assessed to prepare for transition back home, providing education to the patient and caregiver, going over and fine-tuning medications, communicating and coordinating interventions with in-hospital healthcare providers, and following up with the patient via home visits and telephone calls after the patient has been

Read More

Medicare Policy Summary

1033 Words | 5 Pages

A therapist may do this once again in order to continue to receive reimbursement from Medicare for their services in order to generate more revenue for the clinic. Prior to the Jimmo versus Sebelius case in 2013, Medicare would deny coverage to patients receiving maintenance care for their condition due to their inability to demonstrate improvement from the skilled therapy services that they received (“Jimmo v Sebelius Settlement Agreement Factsheet,” 2013). However after the Jimmo versus Sebelius case, the Centers for Medicare & Medicaid Services revised portions of the manual which now states that coverage “does not turn on the presence or absence of a beneficiary’s potential for improvement, but rather on the beneficiary’s need for skilled care” (“CMS Manual System,” 2014). The correct action for the therapist to take in order to be in compliance with the rules is to provide adequate documentation as to why the patient would need and benefit from maintenance care services in order to prevent or slow the deterioration of their condition. An alternative would be to discharge the patient if they no longer require skilled and medically necessary services (“Jimmo v Sebelius Settlement Agreement Factsheet,” 2013) (“CMS Manual System,”

Read More

Hematocrit Case Study Answers

1232 Words | 5 Pages

Deficiencies are typically seen with: • Low dietary intake (seen in the elderly, malnourished, and with alcoholism) • Gastrointestinal disorders (such as Crohn's disease) • Uncontrolled diabetes • Hypoparathyroidism • Long-term diuretic use • Prolonged diarrhea • Post surgery • Severe burns • Toxemia of pregnancy • Drugs that can decrease magnesium levels include digoxin, cyclosporine, diuretics, insulin, some antibiotics, laxatives, and phenytoin. High - Increased blood levels of magnesium are rarely due to dietary sources but are usually the result of an excretion problem or excessive supplementation. Increased levels are seen in: • Kidney failure • Hyperparathyroidism • Hypothyroidism • Dehydration • Diabetic acidosis (when first seen) • Addison disease • Rich magnesium sources include: spinach, nuts, seeds, beans • Tap water may also contain magnesium. • Use of magnesium-containing antacids or laxatives • Drugs that can increase magnesium levels include lithium, aspirin, thyroid medication, some antibiotics, and products that contain

Read More

Patient/Family Medication Teaching Plan

904 Words | 4 Pages

Patient/Family Medication Teaching Plan Today a 19-year-old patient named Matt presented to the ER with lethargy, excessive thirst, recent unexpected weight loss, fever, and complaints of frequent urination. Upon arrival the patient’s vitals were taken and documented as temperature 101.6, heart rate 99, respiratory 22, blood pressure 119/76 and blood oxygen levels were at 99%. Matt is a healthy young male who is an active athlete on his schools cross-country team. Being a college student he eats the typical college diet of premade food and claims he has a handful of beers each week. After assessing and observing the patient it is documented that the patient is diagnosed with type 1 diabetes and urinary tract infection.

Read More

Alcoholic Cardiomyopathy: Case Study

1016 Words | 5 Pages

Kristen explained, “As the patient’s condition improves education becomes an essential part along with referrals to community agencies, and ideally involving the family in the release process.” A variety of services are available depending on the patient’s needs to assist with their success after their release from the hospital. For example, if the patient has suicidal ideation or any other psychological disorders the hospital will perform a psychological evaluation and begin the patient’s treatment plan before their release. There are several educational objectives that need to be covered with the patient before his discharge in order to assist the overall management of their conditions. These include; recognizing signs and symptoms of heart failure, managing those symptoms, management of medications, smoking cessation, and abstaining from

Read More

Transition Skills Therapy Paper

2221 Words | 9 Pages

Agencies have been able to identify patient characteristics associated with rehospitalizations unique to specific patient populations. High-risk patients, specifically those that are discharging from long term care facilities, require specialized interventions beyond the traditional scope of typical health care services. Targeted interventions using process-of-care analysis may result in fewer unplanned hospital admissions for transitional living patients. This immersion defines care transitions, describes health reform initiatives to systemize care transitions, explores various evidence-based care transition models, and offers practice and policy recommendations for improving care transitions. Several care transition models are considered to be evidence-based (they apply the best available research findings); however, most of these models are designed for targeted populations moving from one specific setting to another.

Read More

Acute Exacerbation Case Study Nursing

729 Words | 3 Pages

As the patient Mr McDonald becomes closer to his expected discharge date, it is important to arrange all home care considerations before departure from the hospital. Patients who are beginning self-management at home for discharge are to be given a written plan of action, prescription medication for self-initiating in case of an acute exacerbation. The nurse should offer both written down and verbal information regarding COPD and the therapeutic recommendations that have been made by healthcare professionals. It is also important that they are in contact with their case manager for any support and to have continual monthly check ups by telephone (Sedeno, Nault, Hamd, & Bourbeau, 2009). The nurse should ensure and arrange that the supplier of the oxygen equipment regularly visit and stock up as needed.

Read More

Pain Management Case Study In Nursing

2189 Words | 9 Pages

If possible, the patient’s medical social worker or the discharge liaison officer should make a follow-up call to enquire on the recommended modification and to find out how patient is coping at home

Read More

Hospital Readmissions

393 Words | 2 Pages

The importance of preventing and managing chronic diseases, which include renal failure and cardiovascular diseases, along with their risk factors are emphasized by the Department of Chronic Disease and Health Promotion of the World Health Organization (Desroches, Lapointe, Ratté, Gravel, Légaré, & Turcotte, 2013). However, there is evidence in literature showing a gap of knowledge in the kinds of educational interventions being considered as most effective in compliance to dietary regimen. The study by Desroches et al., 2013 states that there are limitations to their study including that being a short duration, low quality and adherence measures varied widely (Desroches et al., 2013) Hence, these limitations assisted in the generation of research questions, which are: 1) Which educational interventions being used show reliability in compliance or adherence to dietary regimen; 2) What are the detrimental factors contributing to low compliance to dietary regimen among patients with ESRD and CHF; and 3) Can a study performed in a longer length of time produce a higher rate of compliance to dietary regimen among patients with ESRD and

Read More

Cer 3C Part A: The Kidney And Homeostasis

132 Words | 1 Pages

Based on the data given, it could be concluded that when unfiltered blood enters the kidney, it is being rid of its waste, essentially filtering it. The blood travels through the nephron, which then sends the filters blood out of the kidney,

Read More

Psychiatric Cost Of Care: A Case Study

1522 Words | 7 Pages

Each case entails careful interviewing, accurate patient history, interprofessional cooperation, and compassion and patience to stabilize patients. With patient WW, the complicated social history and suicidal episode accounted for a longer stay than average and even after discharge, the patient still may not be able to return to completely normal functioning. Cost of care is substantial and reimbursement for services and resources can be tricky. Each case has to adhere to specific guidelines for reimbursement related to

Read More

Addiction Treatment

583 Words | 3 Pages

With that said, some patients need continuing access to their lives for a variety of reasons. If ongoing employment is at risk, an outpatient treatment program could be used to allow the patient to handle work matters. If the patient lacks the resources for childcare, it could be necessary to allow for outpatient care for the sake of the family unit. At all times, the decision-making process related to which type of treatment methodology will be best should rest with professional counselors and clinicians. They are better prepared to assess the situation and determine whether a patient can handle the responsibility of committing to an outpatient treatment

Read More

Essay On Hospital Readmission

441 Words | 2 Pages

Reducing readmission has become a high priority for government and a healthcare system (2). The cost of readmission is very important, in US, accounting for an estimated $17.4 billion in spending annually by the only healthcare system(1).

Read More

More about Chronic Kidney Disease Lab Report

Related Topics

Open Document