Nephrology

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  • Multidisciplinary Team Healthcare Case Study

    Once any treatment plan has been decided the nephrology nurse should be kept up to date. On review of John’s blood results his serum potassium was ≥ 7mmols/l indicating severe hyperkalaemia. Hyperkaleamia is medical condition in which the levels of potassium in the blood have risen to abnormally high levels and without treatment to lower the levels can lead to cardiac arrest (Oxford dictionary of Nursing 2008). Next step in the treatment was for the doctor to repeat the serum potassium and request the nephrology nurse to carry out an electrocardiogram in accordance with GAIN guidelines (2008). John’s ACE inhibitor (ramapril) was with held as this can further increase potassium levels. On further review of John’s blood results and presenting symptoms the doctor decided to insert a temporary line to administer haemodialysis (HDx). The doctor discussed the treatment option with John enabling informed consent (Department of Health 2009). John was feeling apprehensive about the need for dialysis as he perceived it as set…

    Words: 2391 - Pages: 10
  • Peritoneal Dialysis Program Case Study

    were used. Objectives were written and goals put in place. The initial objective was to form a multidisciplinary team of which Ms. Upham took the lead. The team consists of the following: The Nephrologist in charge of the program, the Medical Director, Surgeon, Infection Control Physician and Preventionist, the Nurse Manager, Staff members assisting with the program, Dietician, Social Worker and Ms. Upham. The team met regularly over an 8 month period of time to formulate and develop evidence…

    Words: 1207 - Pages: 5
  • Personal Narrative: My Social Work Interview With Mrs. Nicole Gales

    Nicole Gales on April 7, 2016, I have learned a little more about my major and what I want to really do. First Mrs. Gales and I started off with the basic which was her educational and practice background. Mrs. Gales started by obtaining her bachelor degree in Social Work in 2003, months later she obtained her license to practice Social Work, October 2003 she started working Mississippi Division Human Service, Spring 2008 she started her master’s studies in Social Work, Summer 2010 she graduated…

    Words: 776 - Pages: 4
  • Chronic Kidney Disease

    57). The goal of nutritional support in a patient with CKD and on dialysis is to "control the intake of some nutrients (phosphorus and Potassium) and reduce the accumulation of metabolic wastes (urea)" (Pasticci et al., 2012, p. 51). It is a constant balancing act and takes the whole nephrology teams collaboration to maintain proper nutrition in a patient with CKD. Any individual with CKD stage 4-5 should have regular screenings by a dietician. A basic nutritional assessment should include; body…

    Words: 1562 - Pages: 6
  • The Importance Of Evidenced Based Practice Change Project

    improve outcomes and facilitate more of a rapid access to a multidisciplinary care team for intervention(Valabhji, 2010). According to Crozier, (2014) patients on hemodialysis have a high prevalence of foot related issues resulting in an increased number of hospitalizations, often resulting in amputations which can be serious and even life threatening. Amputations can be avoided with adequate education and thorough evaluations which promotes early detection and referrals…

    Words: 1107 - Pages: 5
  • Chronic Kidney Disease Case Study

    phagocytosis placing ESRD patients at high risk for infections and carcinoma (McCance & Huether, 2014). The genitourinary system is troubled by neuropathies and with dysfunctional ovaries and testes can lead to menorrhagia and amenorrhea for women; infertility and decreased libido in both men and women; decreased testosterone in men; and polyuria and nocturia and eventually with further decline, oliguria and anuria (Lewis et al., 2010). Progression Trajectory For CKD patients who are still…

    Words: 1368 - Pages: 5
  • Nephrology Clinic Case Summary

    Background Statement This case study involves an office manager of a nephrology clinic and the Chief Medical Officer. The Chief Medical Officer, Dr. Rosenberg, established a scheduling policy, stating doctors are not to cancel their appointments unless there is a family emergency, and the cancellation needs to be approved. In this case, the office manager, Sandra, allowed one of the doctors of the practice, Dr. Griffith, to cancel his afternoon appointments so that he could go golfing. Sandra…

    Words: 859 - Pages: 4
  • Narrative Essay On A Doctor's Failure

    A Doctor 's Mistake It started off as a normal year, I had just finished my residency and now I could practice medicine on my own without someone looking over my shoulder at all times. Everything was completely normal until she was carted into the ER room with a low heart and respiratory rate. I didn 't know it at the time, but I was about to have the year of my life. I knew she was trouble from the moment I saw her carted through the door; however, she needed my help, and I was bound by law to…

    Words: 1039 - Pages: 5
  • Function Of Kidney Essay

    Functions of the Kidneys The kidneys assist in the internal regulation of the body by performing the following function- * Filtration - The kidneys remove the end products of metabolism and substances that have accumulated in the blood in undesirable amounts during the filtration process. Substances removed from the blood include urea, creatinine, uric acid and urates. Undesirable amounts of chloride, potassium, sodium, and hydrogen ions are also filtered from the blood. The glomerular…

    Words: 2082 - Pages: 9
  • Berger's Disease Research Paper

    IgA nephropathy or Berger’s Disease, is a kidney disorder that arises when IgA settles in the kidneys. More specifically, when the IgA protein accumulates or clumps in the small blood vessels of the kidney, triggering inflammation which damages the glomeruli tissue (Mayo Clinic). Your kidneys are two bean-shaped organs located on the posterior abdominal wall. One of the kidneys main functions is to filter toxic waste from the blood; the glomeruli play an important role in this process. The more…

    Words: 1315 - Pages: 6
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