Adult gerontology patients

Question 1

An adult gerontology patient with acute kidney disease stage three or higher is very different from other patient populations due to the fact that it is very familiar within the old patients and it very closely related to morbidity conditions and mortality. Majority of adults below the age of fifty kidney diseases are asymptomatic. The screening of the disease is cost effective to elderly who are aged sixty years old and above. In elders this disease comes from individuals who have a family history of people with the disease or from elders who have diabetes or any cardiovascular disease. Due to the persistence of chronic kidney disease it presents a very different management style to practitioners (Thanavaro & Moore, 2017)

 Question 2

The pathology of altered presentation of chronic kidney disease. The renal system and its actual characterizes should be considered when discussing the pathology chronic kidney disease. First, the rate at which the blood flows within the renal system is estimated to be 400ml/100g of tissues every minute. This rate is higher than in other organs of the body such as heart and brain. As a result, renal tissues are at a high risk of exposure to anything that might be harmful and flowing through the blood .Secondly, filtration within the glomerular relies heavily on immense pressure in the Trans glomerular region. This renders glomerular capillary weak and at risk of hemodynamic damage unlike other capillary areas. The rate at which blood is filtered through the kidney and forceful filtration gradually lead to chronic renal disease. Third, glomerular filtration layer contains negative molecules which enact a barrier that repel anionic large molecules (In Cash& Glass, 2016).  Fourth, the structure and system of the kidney nephron’s capillary circulation network and the location of lower tubuli in relation to the glomeruli. This further widens the risk of glomeruli injuries. Thus, this injuries over time lead to chronic kidney disease (In Cash& Glass, 2016)

            This in non-adult gerontology patient, it may differ manifests itself as disorders some of which are treatable and some are not. In non-adult gerontology patients can be slowed down by treatment but it progresses eventually to kidney failure .In non-adult patients it might be caused by hereditary reasons or as result of birth defect. Nephritic regions can slowly cause chronic kidney disease among a non-adult gerontology patients. This are the main contrast that are exhibited between an adult and non-adult gerontology patients (In Cash & Glass, 2016). 

Question 3

Most patients who have chronic kidney disease have comorbidities that influence treatment and direct the management of the disease. There is a challenge that comes with handling this comorbidities. Diabetes, cardiovascular conditions and hypertension are some of the associated commodities .how well the other diseases are handled will determine the overall progress of the chronic kidney disease. Comorbidity progresses at the same rate as the chronic kidney disease. Therefore comorbidities of chronic kidney disease are very persistent to the disease. Even the most well managed patient has at least one comorbidity. The medical care of comorbidities assist to slow down cardiovascular presentations, death and advancement of chronic kidney disease phases that leads to renal substitution or therapy. Comorbidities dictate the manner in which decisions will be made. This decisions are inclusive of the steps that will be taken to control and treat the disease while at the same time they will try to mitigate the outcome. The impact of identified and monitored comorbidities varies from one patient to the other (Coble, 2006).

 

Question 4

Some of the considerations and measures that professional nurses take to ensure the ease in treatment and management of chronic kidney disease is that they ensure that they have detected the fundamental causes or they can ensure that precautionary measures are necessary for most of the adult gerontology patients suffering from chronic kidney disease. This procedures will delay or possibly slow down the gradual increase of the illness. Nurses are also required to act in a professional’s manner that will ensure that the interest of the patients are taken care of. A nurse is the duty of ensuring that the rules of the doctor are followed all the way. This is a precaution in itself as the nurses are always there with the patients. The nurse evaluates the present condition of the patient and aligns them with medication required as per the changes. The information of the patient will assist the nurse make critical decisions that are required at that particular time by the patient suffering from chronic kidney disease. Other needs such as spiritual and emotional needs, the nurse can as it by encouraging the patient as this factors also affect the overall health of the patient. Nurses usually advocate for better facilities and equipment for the patients and help the patient alert them on any unusual symptom that may arise as a result of treatment side effects or as result of comorbidities. Therefore it can be said that a chronic disease can be handled through comorbidities (Thanavaro & Moore, 2017).

Question5

Chronic kidney disease require a lot of information from both sides: the patient and the ARNP .The ARNP may choose to educate the patient using various method s that seem sustainable and easily transmit the information and make it stick. Patients need to be educated to gain more understanding into their conditions that will assist them to take any measure in case there is an emergency .One of the ways the nurse does this is by observation. Through practicality, a patient can gain crucial information on what they are supposed to know about their condition. By observing and monitoring what the practitioners is doing the step by step procedure is exposed to the patient. Through observation the patient improves their preparedness towards. Another informal way that patients can be educated through effective communication (Thanavaro & Moore, 2017). When the patient is taught how to respond timely and accurately to their condition by using precise messages from experts, they become complete and independent of their practitioners and they are able to take care of themselves. This in turn leads to a more compliance with medication and knowing the underlying causes of the disease. Although not all patient education can bear fruits as information can be often misunderstood or only half way understood. The delivery of the information to the patient mattes a lot. Printed brochures containing information that the patients’ needs on their condition will go a long way in ensuring that the patient is well educated on their conditions. Online and social media platforms provide a good way through which information can be reached by the patient. Social media platforms also provide easy way to capture the patient audience without utilizing tiresome techniques (Coble, 2006).

 

 

 

 

 

 

 

 

References

Coble, D. (2006). Study of ARNP Protocols. Florida Nurse, 54(1), 10-11.

In Cash, J. C., & Glass, C. A. (2016). Adult-gerontology practice guidelines.

Thanavaro, J., & Moore, K. S. (2017). Clinical decision making for adult-gerontology primary care nurse practitioners