Glenda Chronic Kidney Disease Assessment 2022

Running Head: GLENDA CHRONIC KIDNEY DISEASE
Glenda Chronic kidney disease
Student Name
Tutor
Date

GLENDA CHRONIC KIDNEY DISEASE
Task 1)
Nursing handover for Glenda to transfer her care from Royal Darwin Hospital to Tiwi island-
Wurrumiyang Clinic:
Introduction
Name: John Paul
Position: Nurse at Royal Darwin Hospital
Location: Darwin
Patient Name: Glenda
Age: 56-year-old
Sex: female
Residence: Tiwi islands.
Situation
Glenda has been undergoing hemodialysis at Royal Darwin Hospital for the past twelve
months. However, through her daughter, Glenda requested for a hospital transfer from Darwin to
Wurrumiyang Clinic at Tiwi Islands. Due to this, Glenda’s dialysis method was swapped to
peritoneal dialysis. She has been on twelve weeks training on how to conduct peritoneal dialysis
on her own.
Background

GLENDA CHRONIC KIDNEY DISEASE
Glenda was admitted at Darwin hospital after developing chronic Kidney Disease
where she was subjected to hemodialysis. Her hemodialysis was done three times a week
on different days. While in Darwin, Glenda has been under the care of her daughter who
lives at Darwin. Following Glenda’s request to go home, the renal team involved
resolved on transforming her style of dialysis to peritoneal dialysis. One of the
requirements of peritoneal dialysis is catheter, hence Glenda was admitted at Royal
Darwin Hospital for its insertion. This was followed by a thorough training on self-
centred peritoneal dialysis which she will be doing when she goes back to Tiwi islands.
Assessment
Glenda’s condition is good for a home based peritoneal dialysis. However, she
will be needed to visit Wurrumiyang Clinic Renal Dialysis Unit for dialysis exchanges.
Recommendation
No new treatment that is needed. However, I need you to be doing dialysis
exchange for her. Also educating the patient and the family on how to manage the
sickness including particular nutrition plans as well as health conditions.
Task 2)
Personal response on the renal team decision of transferring Glenda’s care to Wurrumiyang
Clinic
Introduction

GLENDA CHRONIC KIDNEY DISEASE
Kidneys are among the most important organs in the human body. They are responsible
of excretion and homeostasis processes in our bodies. A malfunctioning kidney means a
malfunctioning body, which can lead to death. Glenda life back in the Tiwi Islands was good
with functioning kidneys. After developing the chronic kidney disease, she left for Darwin for
treatments. According Mayo Foundation for Medical Education and Research, “chronic kidney
disease or chronic kidney failure is the term used to define the steady damage of one’s kidney”.
This condition remains dangerous at advanced stage and as with Glenda’s case immediate
treatment is required (“Mayo clinic staff”, 2019). This treatment for unending kidney failure
aims at decelerating the rate at which kidney damage is happening mostly by managing its
causative agent. At its advanced stage, Chronic kidney disease is treated by use of an artificial
filter (dialysis) of the waste products in the body (Omar, 2014). Dialysis can be hemodialysis as
with Glenda’s prior case or peritoneal dialysis the type that Glenda was needed to use back in the
Tiwi Islands. The social, economic, emotional and spiritual wellbeing of a patient are the main
aspects that needs to be considered in any of the dialysis. Considering the universal care
principle and both the temporary and permanent threats to Glenda’s welfare, I think it was right
for her to be transferred from Darwin to Tiwi islands.
The case-study reveals that Glenda was happy because of the decision that was made by
the renal team. This shows that, she needed to go back home and spend time with her family
members and the entire community. From my standpoint, the culture, the home country and the
societal connection of Glenda was risked by the twelve months that she spent at Darwin and thus
going back home was the only option. Culture in Tiwi Island is emphasised right from the music
and arts (Gorman et al., 2015). For Glenda, staying in Darwin would mean staying away from
her own culture, which is important in her holistic care. Basing my opinion on this, I think that