Spoke with a 63 year old female who has end-stage renal disease (ESRD) and has currently been on dialysis for the past two years. However, ESRD is not a diagnosis but a name of a Medicare program (Porth & Matfin, 2009) The definition of chronic kidney disease (CKD) for a patient is irreversible kidney damage and/or glomerular filtration rate (GFR) less than 60 ml/min/1.73 m^2 for a minimal three months (Porth & Matfin, 2009). Those patient with kidney failure has either GFR less than 15 ml/min/1.73 m^2, signs and symptoms of uremia, and needs dialysis and/or transplantation (Porth & Matfin, 2009). Therefore, this 63 year old suffers from kidney failure. Diabetes, hypertension (HTN), glomerulonephritis, lupus, and polycystic kidney disease
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Her husband who is retired does the cooking, laundry, grocery shopping, etc., unable to keep her small grandchildren for long period of time due to fatigue, when planning a vacation, she has to also find a place to have her dialysis, if she needs to be admitted to a hospital, she is unable to stay at the local facility because they don’t offer dialysis. On the days of dialysis, there is the possibility that her fistula will not work and she would have to go to the doctor’s office and then have dialysis. She has developed anxiety and depression since being diagnosed with kidney failure. Another change is her diet and limited fluid intake. She suffers from pruritus and a couple fractures in her feet. Complications can be fluid retention, electrolyte imbalance (especially potassium), muscle deterioration and anemia (Porth & Matfin, 2009). Since our community is small, there are little resources available. Located in our county hospital is the Senior Renewal Center. The Senior Renewal Center aim is for patients to re-define who they are and their needs. They are committed to provide excellent treatment, continuous care and support. To become enrolled an individual has to make a phone call or come to the center and ask for help. They offer complimentary visit whether it is at the facility or in the patient’s home. The Senior Renewal visit is covered by Medicare, …show more content…
She stated, “she does not feel well enough to attend.” Her insurance would cover the Senior Renewal Center and the YMCA. This patient most likely would benefit from all three resources. They possible would help with depression, she would be out in the public instead of staying home. At the Senior Renewal Center she could speak with doctors and nurses about her depression. By going to the YMCA she could walk and they she could attend the Senior Citizen Center and take part in the activities there and have more social interaction. Patients with CKD have difficulty exercising to their health problems (Bronas, 2012). However, it would be beneficial for CKD patients to find a form of exercise that they could routinely perform (Bronas, 2012). At the YMCA they could walk on a treadmill stationary bike, and have social interventions. The YMCA also offers low-intensity aerobic exercise. Muscle deterioration is common in patients who suffer from CKD. This article found that CKD patients that participate with low-intensity aerobic exercise preserved or improved their quality physical activity (Bae, Y, Lee, S., Jo, J.
Her husband who is retired does the cooking, laundry, grocery shopping, etc., unable to keep her small grandchildren for long period of time due to fatigue, when planning a vacation, she has to also find a place to have her dialysis, if she needs to be admitted to a hospital, she is unable to stay at the local facility because they don’t offer dialysis. On the days of dialysis, there is the possibility that her fistula will not work and she would have to go to the doctor’s office and then have dialysis. She has developed anxiety and depression since being diagnosed with kidney failure. Another change is her diet and limited fluid intake. She suffers from pruritus and a couple fractures in her feet. Complications can be fluid retention, electrolyte imbalance (especially potassium), muscle deterioration and anemia (Porth & Matfin, 2009). Since our community is small, there are little resources available. Located in our county hospital is the Senior Renewal Center. The Senior Renewal Center aim is for patients to re-define who they are and their needs. They are committed to provide excellent treatment, continuous care and support. To become enrolled an individual has to make a phone call or come to the center and ask for help. They offer complimentary visit whether it is at the facility or in the patient’s home. The Senior Renewal visit is covered by Medicare, …show more content…
She stated, “she does not feel well enough to attend.” Her insurance would cover the Senior Renewal Center and the YMCA. This patient most likely would benefit from all three resources. They possible would help with depression, she would be out in the public instead of staying home. At the Senior Renewal Center she could speak with doctors and nurses about her depression. By going to the YMCA she could walk and they she could attend the Senior Citizen Center and take part in the activities there and have more social interaction. Patients with CKD have difficulty exercising to their health problems (Bronas, 2012). However, it would be beneficial for CKD patients to find a form of exercise that they could routinely perform (Bronas, 2012). At the YMCA they could walk on a treadmill stationary bike, and have social interventions. The YMCA also offers low-intensity aerobic exercise. Muscle deterioration is common in patients who suffer from CKD. This article found that CKD patients that participate with low-intensity aerobic exercise preserved or improved their quality physical activity (Bae, Y, Lee, S., Jo, J.