Nursing Report: Chronic Kidney Disease and Diabetes Management

This report focuses on chronic kidney disease (CKD) and its management within the nursing profession. It highlights the critical role nurses play in caring for patients with CKD, particularly in primary care settings. The report emphasizes the significance of diabetes mellitus as a major risk factor for CKD, detailing how damage to blood vessels and nerve damage associated with diabetes can lead to kidney failure. It also explores the importance of glycemic control and nursing interventions in slowing the progression of CKD and improving the quality of life for patients. The report references key studies that support the discussed points, providing a comprehensive overview of the subject matter. Nurses are crucial in the regular monitoring of blood glucose levels and administering interventions for optimal glycemic control. The report concludes by reinforcing the need for effective diabetes management to mitigate CKD progression.

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Chronic kidney disease (CKD) is a growing health concern at present times, and the
majority of the patient group are cared for in primary care wherein nurses have a key role.
Though the disease is irreversible in nature, management and treatment options are to be
carefully considered be nurses for maintaining the quality of life (Jha et al., 2013).
One key point that is significant to the practice of a nurse practitioner is that diabetes
mellitus is the most noteworthy risk factor for chronic kidney disease, entailing the proper
management of this disorder. For a patient suffering from diabetes, the injury is suffered to
the small blood vessels of the body. In a condition where blood vessels of the kidneys suffer
injury, the kidneys are not able to purify blood adequately. The result is retention of water
and body swelling. Further, diabetes is the cause of nerve damage in the body. When an
individual suffers difficulty in emptying the bladder, the pressure arising due to this
complication injures the kidneys. Around 30% of Type 1diabetes patients and 40% of Type 2
diabetes patients suffer from kidney failure (Lamine et al. 2016).
Research indicates that CKD, if not managed properly, becomes progressive. Nurse,
as primary care workers, have the pivotal role in managing patients with CKD through
maintaining a good glycaemic control. Nurses are to monitor blood glucose level in a regular
manner and administer interventions that help in keeping glycemic level under control.
Suitable management of diabetes can realistically slower the progression of CKD, thereby
enhancing the quality of life of patients.

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References
Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., Saran, R., Wang,
A.Y.M. and Yang, C.W., 2013. Chronic kidney disease: global dimension and
perspectives. The Lancet, 382(9888), pp.260-272.
Lamine, F., Lalubin, F., Pitteloud, N., Burnier, M. and Zanchi, A., 2016. Chronic kidney
disease in type 2 diabetic patients followed-up by primary care physicians in Switzerland:
prevalence and prescription of antidiabetic drugs. Swiss Med Wkly, 146, p.w14282.