Management of the End-Stage Kidney Disease Essay - 21

Management of the End-Stage Kidney Disease - Essay instanceThis article shall address the proper management of a long-suffering of suffering from ESKD, focusing from the time of entryway to discharge (Dalrymple et al. 2011).Nursing need assessment tool is one of the tools that shall be employed to develop the patient profile and assist in the plan for her management. This tool is very essential in addressing the needs of an older patient who require long-term precaution due to a chronic condition. The tool addresses the patient holistically and embraces nonrecreational decision-making. In addition, the tool makes the assessment in a staged approach by deviating from the conventional account approach to a focused assessment approach. Another tool that shall be employed is the nursing care plan, which shall help in addressing the patient problem and plan the management accordingly.The key health problems for CherylWarra Allen are the renal bereavement, hypertension and diabete s mellitus. These health problems are prioritised in that order because of their impact on the health status of the patient. Kidney failure has got a fatal result if not urgently managed this is because it leads to accumulation of several toxic wastes as considerably as unsound in the body. Accumulation of nitrogenous waste and urea in the blood leads to uraemia, which is a fatal cause of confusion and coma in patients with kidney failure. In addition, the state of the patient confusion makes it problematical to treat the patient since the patient shall not cooperate during the treatment process. The patient may remove the fellate mask or other intravenous medication that she is being given. Renal failure leads to accumulation of mentally ill in the body, which is as a result of inadequate excretion of fluid by the kidney. Accumulation of fluid in the body leads to adverse effect such as difficulty in external respiration. When fluid accumulates on around the lungs and adnexa t issues, the lungs and the diaphragm may get compressed leading to shallow breathing and in the end lead to exertion. Excess accumulation within the pleural cavity leads to excess difficulty in breathing and the patient shall require a gas mask or other assisted breathers otherwise the patient can die within a short time due to shortness of breath.