Nursing care of chronic kidney disease in the Chronic Disease Clinic at Banfang Hospital: patients 2 Case Study.

Abstract

     This study was 2 case study aimed to compare the application of the nursing process alongside the core clinical functions of professional nurses (7 Aspects of Care) as a guideline for nursing care in patients with CKD. The study employed two case studies of patients receiving services at Ban Fang Hospital .Case 1 was diagnosed with diabetes mellitus (DM), hypertension (HT), and CKD stage 4, while Case 2 was diagnosed with DM, HT, gout, and CKD stage 3. Comprehensive health assessments were conducted, resulting in complete and high-quality data that enabled accurate nursing diagnoses, effective care planning, appropriate interventions, and thorough evaluations.

     Result : The common nursing diagnoses identified in both cases included:1. Risk for complications related to kidney failure,2. Hyperglycemia with inadequate diabetes self-care behaviors,3. Hypertension with suboptimal self-management, and4. Discomfort associated with lower extremity and joint pain. Distinct nursing diagnoses in Case 1 comprised:1.Risk of hypoglycemia2.Risk of tissue hypoxia due to anemia3.Risk of inadequate insulin administration as per treatment plan4.Anxiety related to CKD and preparation for renal replacement therapy In contrast, Case 2 presented with:1.Risk of injury from falls due to joint swelling and pain2.Anxiety related to ankle and knee pain3.Risk of complications from hypertension The findings revealed that utilizing the nursing process in conjunction with the core clinical responsibilities of professional nurses led to continuous and holistic care for CKD patients. This approach addressed individual patient problems and needs across physical, psychological, emotional, and social dimensions. Patients were able to adopt appropriate self-care behaviors and manage risk factors effectively within their personal and community environments. This resulted in improved patient safety, prevention of avoidable complications, greater satisfaction with nursing services among patients and families, and ultimately better quality of life and health outcomes for the patients.