Kidneys are the most commonly sought after organ and according to the National Kidney Foundation (2015), a majority of the recipients waiting for lifesaving organs, 101,662 are kidney transplant recipients. The United States, reflected in these statistics, helps to put into perspective the need as it is seen on a global scale. The National Kidney Foundation (2015) also notes that in 2014 there were 17,105 transplants in which…
In Rebecca Skloot’s book The Immortal Life of Henrietta Lacks, racial stereotyping against minority patients is predominant in every aspect of health care. Many of these stereotypes in Skloot’s book painted blacks as unintelligent and vulnerable and led to many doctors taking advantage of their patients. Henrietta Lacks was one of these patients and unfortunately doctors made millions off of her cancerous cervix cells without her informed consent. Her cells, named HeLa cells, helped cure the…
at 8 weeks’ gestation. Davison et al. (1980) suggested that renal plasma flow and glomerular filtration rate of pregnant women in the first trimester rapidly increase to about 30-50% above the non-pregnant level; thus, increased blood flow to the kidneys may increase the pressure in the arteries, resulting in aneurysm expansion and rupture. For our case, possible factors may include: fibromuscular dysplasia, kinking, and increased renal plasma flow. RAA associated with fibromuscular dysplasia…
Pathophysiology Room 24, a 79 year-old widowed African American woman, presented September 23, 2016, to Lynchburg General Hospital with a chief complaint of abdominal pain, urinary frequency, burning sensation, and confusion. Upon arrival at the hospital, Room 24 was accompanied by a family member due to her inability to be awarelack of awareness of to her surroundings, as well as the increase in episodes of “wandering and getting lost” as stated by Room 24’s caregiver. She entered the hospital…
Every year in the U.S the number of organs needed, versus those available for transplant rises and thousands are left waiting— and thousands waiting, die. Every ten minutes someone is added to the U.S national organ transplant waiting list and on average 22 people die every day still waiting for a transplant. In 2015, there were 122,071 people waiting for transplant by year’s end("National Data - OPTN," 2016). Only half of viable potential deceased donors actually donate and potential living…
Nephrotoxic Nephropathy Definition: Nephrotoxicity is toxicity in the kidneys. It is a poisonous effect of some substances both toxic chemicals and medications on renal function. There are various forms of nephrotoxicity. Some drugs may affect renal function in more than one way. Additionally, nephrotoxins are substances that display nephrotoxicity. Nephrotoxicity is a significant adverse effect of the calcineurin inhibitors, cyclosporine, and tacrolimus. Nephrotoxicity can be divided into…
As nursing leaders we must empower our staff to improve the quality and safety of patient care. The Management and Leadership track of the American Sentinel MSN program has guided me towards cultivating future nurse leaders to prepare them to create a sense of ownership and commitment to their work and the organization as a whole. The evidenced based practice project proposed to be implemented at the Veterans Administration Medical Center (VAMC) will cultivate the staff to improve the…
Placenta percreta is the most severe and rarest form of placenta accreta, with the chorionic villi invading through the perimetrium. It occurs in 5-7% of women with placenta accreta1 but remains a rare occurrence in women with normal placenta.2 This condition is associated with significant maternal mortality rate of 10% due to excessive blood loss3 and morbidities associated with involvement of surrounding structures. This report outlines a case of placenta percreta with involvement of urinary…
useless after passing away, it seems silly not to give to those in need. Mothers, fathers, children, and friends are all on the list. Organ failure does not discriminate. I have first handedly witnessed someone go through organ failure. My mother’s kidneys began failing in 2011, when I was in eighth grade. It was a shock to everyone, especially me, because my mom was only 34 years old. She seemed perfectly healthy to me. I didn’t quite understand how an organ failed or why it happens to…
Hartmann, 2016; Zimlichman et al, 2013). Catheter-associated urinary tract infections (CAUTIs) is one of the common types of HAIs. Urinary tract infection (UTI) is an infection involving the urinary system, including urethra, bladder, ureters, and kidney (Centers of Disease Control…