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End-Stage Kidney Disease (ESKD)

   

Added on  2021-06-18

4 Pages763 Words76 Views
Running head: NURSING NursingName of the student:Name of the University:Author’s note
End-Stage Kidney Disease (ESKD)_1
1NURSINGEnd-stage kidney disease (ESKD) is the most severe type of kidney disease that requiresdialysis or kidney transplantation for survival of patient. The prevalence of the disease inAustralia is understood from the estimation that prevalence will increase by 60% in the year2020 compared to 2011 (aihw.gov.au., 2017). Diabetes is one of the biggest risk factor fordeveloping ESKD and management of modifiable risk factors such as type 2 diabetes can reducethe progression from chronic renal disease to ESKD. However, I disagree with fact and mypersonal opinion is that early detection and optimal management of renal disease in the earlystage is crucial to prevent the profession from renal disease to ESKD. I will justify my opinionwith the use of evidence based research to support the impact of early screening on improvinghealth of people.I favor management of renal disease in the early stage to prevent ESKD because ofseveral barriers identified in providing optimal care in late-stage of chronic kidney disease foundin recent research evidence. Luckett et al. (2017) discussed that the complexity in ESKD isreflected by high rates of hospitalization, initiation of hemodialysis, transplantation and highhealth care cost. In addition, other barriers to optimal care in late-stage CKD includes delayedreferral to nephrologist, fragmentation of care, inadequate patient education and poorcommunication between staffs. Early referral to nephrologist is essential to optimize medicalmanagement of patient, however due to delayed referral, several other complications are seen inpatient such as bone disease anemia. Limitation is found in preparing unified care plan forpatients with renal disease because of poor coordination between primary care physician andspecialist physician thus increasing the risk for hospitalization. Lack of disease stage educationalso prevents patient to take necessary precaution to prevent progression to ESKD (Fishbane etal., 2014). Hence, continuity of care and increasing early screening and management of renal
End-Stage Kidney Disease (ESKD)_2

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