Nursing Care Plan and Policy Analysis: Zhang Family Case Study

This case study focuses on the Zhang family, where a community health nurse assesses and provides care for a family dealing with health issues, including chronic kidney disease, diabetes, and hypertension. The assignment requires the application of the nursing process to develop a care plan, addressing the patient's condition, potential complications, and interventions. The case study also analyzes the impact of current social and health policies on children and families, emphasizing the importance of family-centered care. The case study delves into the patient's history, symptoms, and the impact of the disease, highlighting the importance of lifestyle changes, medication, and regular monitoring of blood pressure and sugar levels. Furthermore, the assignment provides the opportunity to analyze the patient's condition, implement the plan, and evaluate the effectiveness of the interventions. This assignment offers a comprehensive exploration of the nursing care plan for the Zhang family, providing insights into disease management and the impact of health policies.

CHRONIC KIDNEY DISEASE
Aetiology
Uncontrolled weight
and sugar level is
harmful for normal
renal functionalities.
Diabetes Hypertension
The excessive stress
and improper
diabetic management
serve as the major
factor for high blood
pressure.
Pathogenesis
Hyperglycemia results in
vascular endothelial damage
and mesangial cell
proliferation.
Edema and pulmonary
crackles including fatigue.
Mesangial matrix
expansion corelates with
renal diseases.
Glomerular
hyperfilteration
normalizes with
hypertension and early
renal injury and worsen
with time.
Chronic kidney diseases
Diabetes mellitus refers to
impairment in responding to
insulin production leading to
enhanced level of glucose
level in blood
(hyperglycemia).
Treatment
The alkaline therapy,
NaHCO3 tablets,
insulin dosage can
help to treat the
diabetes and chronic
diseases. In case of
renal failure kidney
transplant or dialysis
is also used.
Pharmacothera
py
Nursing & non-
pharmacothera
py
Nurses assure that
weight, sugar level and
blood pressure of
patient is controlled
through proper diet and
life style changes.
These parameters must
be controlled and
monitored.
Diagnosis
The uncontrolled
sugar level
results in skin
disintegration,
hyperkalaemia
and metabolic
acidosis.
Oedema and
fatigue Itchy skin
The excessive weight
and high blood
pressure puts damage
to the nephrons and
renal system along
with the imbalance in
sugar level.
Diabetes Hypertension
and obesity
Course of the
Disease Prevention
From long term the
patient has been suffering
from type 2 diabetes
mellitus and obesity. Thus,
high blood pressure is also
prevalent in the patient
leading to kidney
diseases.
Along with the medications
for acid level and potassium
content Steve is highly
required to manage his
weight and sugar level. The
blood pressure and sugar
level monitoring can prevent
the renal system failure.
It is defined as the gradual progress of
the long term kidney diseases which
ultimately results in renal failure.
Hyperkalaemia and
Metabolicacidosis