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Caring For An Aboriginal Patient With Chronic Renal Failure

2832 words - 11 pages

There's someone's first name in there **********************************************************************************************
Blood and urine studies which are taken from individuals experiencing renal failure manifest deviation in the result and show symptoms such as nausea, vomiting, fatigue, impaired thought processes, lethargy and headaches. This is due to the decrease in function of the glomerulus causing their inability to filter urea and creatinine in the blood and excrete waste products from the Central Nervous and Gastrointestinal systems (Mathers and Bonner, 2008, p.1295).
In the assessment, she presented with an itchy face (pruritus) as a result of dry skin, calcium phosphate deposition in the skin and sensory neuropathy (Mathers and Bonner, 2008, p. 1298). The client is also experiencing anorexia, nausea and vomiting caused by irritation of the GI tract by waste products which contribute to weight loss and malnutrition (Mathers and Bonner, 2008, p. 1297). Glenda’s feeling of lethargy and confusion may be attributed to increase nitrogenous waste products, electrolyte imbalances, metabolic acidosis and demyelination of nerve fibers (Mathers and Bonner, 2008, p. 1298).
Glenda’s laboratory findings was found to have high levels of serum creatinine with 1132 umoL/L and urea level with 45 mmol/L, that is normally 60-130 ummoL/L and 3-8 mmol/L, respectively (Callaghan, 2009, Appendix). This finding may suggest a decrease in glomerular and tubular function in the kidney, when in normal conditions, serve to filter and secrete creatinine and urea (Johnson, 2008, p. 1222- 1223). Furthermore, protein molecules are too large to escape glomerular capillaries, where in this situation, urine analysis was found to have positive trace of protein.
It is apparent in both subjective and objective data that this is a case of Renal Failure.

Further investigation and nursing assessment
Looking at Glenda’s case, a complete past health history and nursing assessment should be done in order to uncover relevant information about her situation. Nurses need to look into her family history for the reason that there have been evidences wherein CKD is hereditary (Mathers and Bonner, 2008, p. 1303). Also, a history of genetic conditions, specifically single gene, chromosomal and multifactorial gene disorders, are linked to be causing CKD. Nurses also need to consider the client’s current and past drug use including herbal medications as these are potentially toxic to the kidneys (Mathers and Bonner, 2008, p. 1303).
Furthermore, nurses have to identify Glenda’s Glomerular Function Rate (GFR) to get an estimate of her kidney function. According to Kidney Health Australia, the best measure of kidney function is determining the individual’s GFR and is...

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