Case Study on Nursing Paper 2022

Running head: NURSING CASE STUDY
CASE STUDY
Student Name
University Name
Author Note

1NURSING
Introduction
When kidneys fail to function properly, it is termed as chronic kidney disease. It is a
very progressive and slow disease, which takes place over several years. People think that
this disease is uncommon but it is more extensive than estimatedby often going undiagnosed
in initial stages. When the kidneys stop functioning to their full capacity, there is an immense
build-up of waste and accumulation of fluid in the body but reduces with proper medications.
There is no specific treatment that can be provided to the patients.Glenda is a 56-year-old
aboriginal woman who arrives at her local health clinic to visit a doctor. Glenda complained
of an itchy face and is visibly tired. The registered nurse tabulated the orthostatic parameters
and some laboratory tests were recommended to understand her condition better. This paper
gives a clear understanding of the current health condition of Glenda by focusing on the
pathophysiology and the underlying clinical complications of chronic kidney disease. The
paper also talks about the nursing intervention strategies that should be implemented for the
management of kidney failure and promote the overall health of Glenda and people from her
community.
Description of the Case Study
Glenda Kerinaiau, a 56-year-old female had arrived at her local health clinic in
Wurrumiyanga with complaints of an itchy face, vomiting and feeling anorexic. Laboratory
tests like urea level, creatinine clearance rate and its level, sodium, potassium levels were
suggested to her by the doctor on the phone. Upon analysis of her vital parameters, her
respiratory rate was observed to be around 20 breaths per minute, blood pressure to be around
156/97 mm Hg, pulse rate was 89 beats per minute and the oxygen saturation level to be 96%
at room air. The laboratory tests conducted on Glenda revealed her creatinine clearance rate

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to be 8.2 mL/min, creatinine level was 1132 umol/L, urea level was 45 mmol/L, sodium and
potassium levels to be around 128 and 6 mmol/L.
On 12 August, she arrived at the clinic complaining of swollen eyelids with a
generalized feeling of sickness. She was physically examined which revealed her to be
swelled in the face, ankles, feet and hands. She has had a history of smoking twenty
cigarettes a day with binge drinking every two weeks. Upon questioning by the nurse, she
revealed her diet to include mostly seafood with fruits and vegetables with a 500 mL Coca
Cola every day. The pulse rate measured was 98 beats per minute; blood pressure was
180/100 mm Hg and her oxygen saturation level was 96% at room air. In addition to this,
urine analysis was carried out which came out positive for the presence of protein and blood.
She was admitted to the hospital in the emergency ward.
On the next day, the administration prepared for a transfer to the Royal Darwin
Hospital’s renal ward for ECG and EUC tests. The results of the tests revealed her to be
suffering from Post Streptococcal Glomerulonephritis. It is, for this reason, she is
immediately shifted to the haemodialysis unit for haemodialysis. Later on, she was
transferred back to the Tiwi Islands. During the discharge process, a nursing summary was
provided to Glenda with a monthly check-up of her blood pressure and urine analysis.
Discussion
In the case of Glenda, the doctor had recommended on her first visit for tests that
would measure the creatinine level and its filtration level in the serum. These are very
common tests that are conducted on patients with slight symptoms of kidney disease (Voors
et al., 2016). In addition to the tests, which are already mentioned in the case study, renal
ultrasound and renal scan should be utilized in this case, study to enhance the diagnosis
process of Glenda (Dalal & Sehdev, 2019). Smoking and drinking alleviate the suffering for