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.