Renal assignment

Task: The objective of the clinical case study report is to gain comprehensive knowledge about kidney disease and its management.

In this case study report you will focus on the stages of chronic kidney disease (early detection to end stage kidney diseases) and the assessment and management of each stage. The cases study is based on the HSNS265 case "Glenda

Your assignment needs to be structured according to the conventions of academic writing following American Psychological Association (APA) - 6th Edition - commonly referred to as APA 6 and include an introduction, an integrated conclusion and subheadings as required. You must write in essay style: do not use dot point format.

Your response needs to be supported by recent evidence based resources. This could include information from your texts or from other peer reviewed sources.

In this case study report you will present the clinical case of Glenda and discuss her kidney disease and management at each stage of her chronic kidney disease; this will include:

• The assessment and management of each of the stages of Glenda's chronic kidney disease.

• Consider for each stage of her kidney disease;

• the pathophysiology,

• health priorities,

• interdisciplinary team approaches,

• health promotion strategies,

health concerns and communication strategies that you would apply to Glenda, her family and wider community.

Glenda case study detail.

Life on Bathurst Island...

Glenda comes to the clinic

Glenda is a 56 year old Aboriginal woman who presents to her local health clinic at Wurrumiyanga, to see the doctor. Glenda is complaining of an itchy face.

The doctor is currently at Milikapiti on Melville Island providing a morning clinic and is available by phone. He will return later that day. On request from the doctor you take blood so that it can be transported to the Darwin pathologist on the morning plane.

Results will then be available in the evening.

Review

Subjective data

• Glenda does not feel like eating and has not eaten for a week (anorexia)

• Complains that she has been vomiting (nausea)

• Feels a little bit confused

• Itchy face (pruritus)

• Tired

Objective data

• Temperature - 36.5

• Pulse rate - 89 beats per minute

• Respiratory rate - 20 resp per minute

• Blood pressure - 156/ 97 mmHg

• Oxygen saturation level - 96% at room air

• Blood glucose level - 6

• Urine analysis - positive protein trace

Laboratory data

• Creatinine clearance rate: 8.2 mL/min

• Serum creatinine level: 1132/umol/L

• Urea level: 45 mmol/L

• Sodium 128

• Potassium level: 6 mmol/L

• Haematocrit: 0.20

• Bicarb 11.5

• Anion Gap:20

• Ca 1.98

• P04 5.4

• PH - 6.1

Pose real questions

Understanding clinical signs and symptoms

What are the relationships between Glenda's symptoms and the other data on the previous page?

Find resources & interpret information to answer these questions

• Critically analyse the diagnostics results to explain why Glenda has developed each of her clinical manifestations.

• What further investigations and nursing assessment are required based on the findings?