Nursing Reflective Activity: Report on Mrs. Betty's Medical Situation

This nursing reflective activity report focuses on Mrs. Betty, a 70-year-old patient with stage 3 chronic kidney disease. The report details her medical situation, including needs and concerns related to the disease, such as the importance of lifestyle changes, medication, and diet. It outlines specific strategies, like dietary restrictions, medication for high blood pressure, and the role of a dietitian in creating an individualized meal plan. The report emphasizes the need for palliative care to manage the chronic condition and provides references to support the information. It covers symptoms like fatigue, back pain, and changes in urination, as well as the need for both Mrs. Betty and her family to receive adequate information and support to manage her condition. The report stresses the importance of patient involvement, psychological, and social support to cope with the challenges of kidney failure.

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NURSING REFLECTIVE ACTIVITY
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The report reflects on Betty’s medical situation and will give the information about the patient
necessary for her visit to the Kidney clinic.
Needs and concerns
Stage 3 Chronic Kidney disease does not have a cure, but its rate of damage can be slowed down
and even stop its progress. The patient is a 70-year-old woman, and her family is available to
assist in self-management of her issue. The correct treatment and changes in lifestyles will help
to keep Mrs. Betty and the kidneys healthier for a longer period. The patient, Mrs. Betty is
required to have regular exercise to enhance metabolism processes and prolong the health of the
kidneys. She should take the prescribed medicine and avoid contact with tobacco smoke. The
patient glucose levels must be put in control to maintain a healthy blood pressure and
consequently preserve the functioning of her kidneys. Waste products built up in the blood
bringing about uremia (Alan, 2004). High blood pressure was subsequently reported because of
the chronic kidney disease at stage 3. Anemia and early bone disease resulted from a reduced
count of red blood cells.
Diet is an important part of her treatment, and Mrs. Betty requires healthy nutrition consisting of
the following (Levin, 2008).
 Eating of food with proteins of high quality to meet her everyday protein needs.
 Controlling of sources of potassium by limiting when her blood level is high and above
the regular and increasing potassium sources when blood levels are low below the
standard level.
 She should take a variety of healthy food substances like legumes, whole grains,
vegetables, and fruits.

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 Limiting the amounts of processed foods containing phosphorous to help in preventing
bone diseases and preserve her kidney functions.
 Balancing of carbohydrates to sustain her diabetic situation.
 Decreasing her intake of saturated fats will help to manage the level of cholesterol.
 Reducing her intake of sodium because she has high blood pressure and the condition of
fluid retention.
 Limiting the levels of calcium intake because of the high blood-level situation.
 Taking diets with water-soluble vitamins like B complex and C.
 Avoiding unapproved dietary supplements.
 Phosphate binder is prescribed to with foods that contain the mineral in high levels.
Binder will bind phosphate preventing absorption in the gut maintaining normal levels.
Care planning
The nephrologist Performed tests to gather information about her condition and give the
appropriate advice for treatment. The possible symptoms revealed on the patient are fatigue, the
pain felt on her back, restless legs and muscle cramps causing sleep problems and changes in
urination causing foamy urine that may be brown, dark orange, tea-colored, red and urinating
less or more than normal. Fluid retention frequently causes swelling of extremities and
sometimes leads to shortness of breath. The patient and Alan should be offered with information
about her medical situation (Crowe, et al. 2008).
Trajectories
Palliative care will help Mrs. Betty not to fall to sudden death. The chronic kidney condition
combined with her age will require a trajectory to reduce the chances of heart failure and acute

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deterioration of her situation. Professional support will help her to overcome depression caused
by the dynamics of kidney failure in a means to cope. Cognitive trajectories will help the kidney
clinic to handle the social, spiritual, psychological and physical needs appropriately.
Specific strategies
The patient should be prescribed with the appropriate high blood pressure medication that
contains enzyme inhibitors and receptor blockers because of the high blood pressure condition.
The treatment will slow the progression of Stage 3 Chronic Kidney disease. The dietitian will be
reviewing Mrs. Betty laboratory work results and recommend her individualized meal plan.
Maintaining a proper will help to preserve the kidney function and her overall health (Levin,
2013).
Conclusion
Chronic kidney disease is a complex condition that is long-term and irreversible. Active
management will involve fluid and dietary restrictions and medication after dialysis. The choices
of self-management and treatment demand commitment and therefore necessitates her
involvement. She also needs psychological and social support to counter the depression coming
recently with the new situation.

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References
Alan, G. (2004). Chronic kidney disease and the risks of death, cardiovascular events, and
hospitalization. New England Journal of Medicine, 1296-1305.
Emily Crowe, David Halpin, Paul Stevens. (008). Guidelines: early identification and
management of chronic kidney disease: summary of NICE guidance. British Medical
Journal, 812-815.
Levin, A. (2008). Guidelines for the management of chronic kidney disease. Canadian Medical
Association Journal, 1154-1162.
Levin, A. (2013). Evaluation and management of chronic kidney disease: a synopsis of the
kidney disease: improving global outcomes 2012 clinical practice guideline. Annals of
internal medicine, 825-830.