Nursing Reflective Activity: Chronic Kidney Disease Essay


Discuss about the Nursing Reflective Activity for Chronic Kidney Disease.


The report reflects on Betty’s medical situation and will give the information about the patient necessary for her visit to the Kidney clinic.

Needs and concerns

Stage 3 Chronic Kidney disease does not have a cure, but its rate of damage can be slowed down and even stop its progress. The patient is a 70-year-old woman, and her family is available to assist in self-management of her issue. The correct treatment and changes in lifestyles will help to keep Mrs. Betty and the kidneys healthier for a longer period. The patient, Mrs. Betty is required to have regular exercise to enhance metabolism processes and prolong the health of the kidneys. She should take the prescribed medicine and avoid contact with tobacco smoke. The patient glucose levels must be put in control to maintain a healthy blood pressure and consequently preserve the functioning of her kidneys. Waste products built up in the blood bringing about uremia (Alan, 2004). High blood pressure was subsequently reported because of the chronic kidney disease at stage 3. Anemia and early bone disease resulted from a reduced count of red blood cells.

Diet is an important part of her treatment, and Mrs. Betty requires healthy nutrition consisting of the following (Levin, 2008).

  • Eating of food with proteins of high quality to meet her everyday protein needs.
  • Controlling of sources of potassium by limiting when her blood level is high and above the regular and increasing potassium sources when blood levels are low below the standard level.
  • She should take a variety of healthy food substances like legumes, whole grains, vegetables, and fruits.
  • Limiting the amounts of processed foods containing phosphorous to help in preventing bone diseases and preserve her kidney functions.
  • Balancing of carbohydrates to sustain her diabetic situation.
  • Decreasing her intake of saturated fats will help to manage the level of cholesterol.
  • Reducing her intake of sodium because she has high blood pressure and the condition of fluid retention.
  • Limiting the levels of calcium intake because of the high blood-level situation.
  • Taking diets with water-soluble vitamins like B complex and C.
  • Avoiding unapproved dietary supplements.
  • Phosphate binder is prescribed to with foods that contain the mineral in high levels. Binder will bind phosphate preventing absorption in the gut maintaining normal levels.

Care planning

The nephrologist Performed tests to gather information about her condition and give the appropriate advice for treatment. The possible symptoms revealed on the patient are fatigue, the pain felt on her back, restless legs and muscle cramps causing sleep problems and changes in urination causing foamy urine that may be brown, dark orange, tea-colored, red and urinating less or more than normal. Fluid retention frequently causes swelling of extremities and sometimes leads to shortness of breath. The patient and Alan should be offered with information about her medical situation (Crowe, et al. 2008).


Palliative care will help Mrs. Betty not to fall to sudden death. The chronic kidney condition combined with her age will require a trajectory to reduce the chances of heart failure and acute deterioration of her situation. Professional support will help her to overcome depression caused by the dynamics of kidney failure in a means to cope. Cognitive trajectories will help the kidney clinic to handle the social, spiritual, psychological and physical needs appropriately.

Specific strategies

The patient should be prescribed with the appropriate high blood pressure medication that contains enzyme inhibitors and receptor blockers because of the high blood pressure condition. The treatment will slow the progression of Stage 3 Chronic Kidney disease. The dietitian will be reviewing Mrs. Betty laboratory work results and recommend her individualized meal plan. Maintaining a proper will help to preserve the kidney function and her overall health (Levin, 2013).


Chronic kidney disease is a complex condition that is long-term and irreversible. Active management will involve fluid and dietary restrictions and medication after dialysis. The choices of self-management and treatment demand commitment and therefore necessitates her involvement. She also needs psychological and social support to counter the depression coming recently with the new situation.


Alan, G. (2004). Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. New England Journal of Medicine, 1296-1305.

Emily Crowe, David Halpin, Paul Stevens. (008). Guidelines: early identification and management of chronic kidney disease: summary of NICE guidance. British Medical Journal, 812-815.

Levin, A. (2008). Guidelines for the management of chronic kidney disease. Canadian Medical Association Journal, 1154-1162.

Levin, A. (2013). Evaluation and management of chronic kidney disease: a synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline. Annals of internal medicine, 825-830.

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