...Renal cell carcinoma ( RCC ) is a kidney cancer; it is a type of cancer where there is an abnormal growth of cells in the kidney tissue, these cells form a big group called a tumor. Due to the change in the kidney cell cancer begins. Renal cell carcinoma affects the body numerously. The normal specialized cell grows out of number forming a tumor. Kidneys are responsible for filtering the blood, due to RCC, kidney cancer can lead to imbalancing of certain substance in the blood stream. This kind of cancer can also cause an increased red blood cell count. The tumor can also affect the urine system causing bleeding in the urine. RCC can also affect other body parts like the bone and lungs because of the spread of tumor. Lower back pain, lump, hematuria, anemia, fatigue, fever, weight loss are some symptoms of renal cell carcinoma. Lower back pain, pain near the lower back and to the side, just below the rib cage. Lump, because of the tumor, the lump is usually low in the abdomen, on the back, under the rib cage, or on the side of the body. Hematuria is when there is blood in the urine. Anemia...
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...urinary tract for a long period time, pregnancy, and diabetes mellitus. 4. The strategies that D.K can take to avoid the recurrence of a UTI would be clean perineal hygiene, stay well hydrated, wear cotton crotched underwear, void after intercourse, avoid feminine hygiene deodorants, avoid harsh toilet paper, and avoid tight fitting pant. Case 2 1. Due to the loss of blood P.W is at risk for pre-renal acute renal failure and it may lead to poor renal perfusion. 2. The best type of treatment to prevent renal failure would be adequate fluid volume replacement with blood or any isotonic solution maintain proper blood volume circulation and to maintain adequate blood pressure and perfusion to the kidneys. 3. P.W. is in the stage of pre-renal oliguria. This means that the kidneys are functioning as the should if blood volume and pressure are low. The kidneys will conserve fluid and sodium which will cause the production of a concentrated urine. This stage of failure is reversible if the pressure and perfusion are restored quickly, but if it continues the pre-renal renal failure will occur. Ryan Chavez Patho 2 4. The labs that should be monitored to assess P.W.’s renal function are serum BUN, creatinine, potassium, and serum sodium. A increase in these...
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...progresses to harm multiple tissues and organs of the body. The intent of this paper is to inform the importance of taking medication to reduce the surplus of cystine into the body’s system. Recognizing signs and symptoms and properly diagnosing is a key factor in treating this disorder. Individuals with infantile cystinosis experience both tubular dysfunction (renal Fanconi syndrome) and glomeralular deterioration. The renal Fanconi Syndrome usually occurs within the first year of life. Glomeralular deterioration progresses throughout the first decade of life, resulting in end-stage renal failure unless patients are treated with cysteamine (The importance of early diagnosis of nephropathic cystinosis to limit tissue and organ damage by treating it with specific medication, and if left untreated patient can develop renal failure by the age of 10. The prevalence of the infantile form of cystinosis transpires in 1 in 100,000 – 200,000 live births and in the North American population there is a carrier frequency of 1 in every 200. Europeans from the United Kingdom, France, and Germany have a higher prevalence of infantile cystinosis. Cystinosis is prone to but not limited to European descendants with blue eyes, fair skinned and pale blond hair (Rahkeja, Wooten &et al, 2005). Without treatment, infantile cystinosis can lead to advancement of renal failure that requires dialysis or renal transplant by approximately 10 years of age. A kidney...
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...An Overview of Renal Failure and Its Treatment Option Renal failure can affect any population in society with no discrimination to age or race. There are several different types of renal failure and a multitude of treatment options depending on the severity or complexity of the disease process. With a change in healthcare on the horizon an examination into the area and the current school of thought is a must. While renal failure is just one small area of the healthcare sector, it is rapidly growing and affecting more and more every day. According to the data from the CDC more than 4.4 million Americans are diagnosed with some form of kidney disease (CDC). Renal Failure is best defined when the kidneys no longer work properly. Now one might ask, what do the kidneys do? The kidney’s simply remove metabolic waste and water from the human body and maintain homeostasis. Without the kidneys functioning properly the body will no longer make urine and dangerous electrolyte abnormalities can occur. One must realize there are several categories of renal failure. The two main classifications are Acute and Chronic Renal Failure. Acute Renal Failure is best defined as rapid and new onset renal failure sometimes reversible when treated appropriately while Chronic Renal Failure long term and irreversible unless treated via transplant. Now that a basic foundation definition of Renal Failure has been established, one must gain knowledge of what causes Renal Failure. Now that...
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...Polycystic Kidney Disease This paper is about polycystic kidney disease (PKD). It will describe a case scenario about a newly diagnose patient with end-stage kidney failure. The reader will learn about the kidney and function. What would happen if the kidneys stop working correctly? Continue to read to find the answer. A 40-year-old white well-nourished pleasant male presented with nausea, fatigue, shortness of breath has bilateral lower leg edema with chief complains of not urinating on two days. He and his supportive wife have come to the emergency department. John Doe has not been to the doctors in 20 years. He denies smoking or alcohol abuse. He could not give any family history because he came from a closed adoption at birth. He is usually in good health but has been not feeling well the last couple of months. He currently works at a labor ware house as a manager who has worked there for the past 20 years. Him and his family have health insurance provided threw his place of employment. He and his married have two young children. His educational background is high school equivalent. After blood tests, urinalysis, and a computed tomography scan, confirmed he has PKD. I would further assess his and his wife’s needs after the Nephrologists has come firm his diagnoses with him. Some of the teaching methods for John Doe and his wife to learn about PKD would be to explain the anatomy of the human body and what the disease is all about. I would give him a packet he could take...
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...of urine. CKD is measured in stages, the most advanced can cause a buildup of fluids, electrolytes and waste in the body and eventually death. This purpose of this paper is to describe CKD, its presentation, diagnosis and treatment options and discuss what effect patient factors may have. Clinical Presentation In most cases, chronic kidney disease is asymptomatic. When symptoms are present they are generally nonspecific. Detection is usually the result of investigation driven by clinical suspicion. High risk patients are routinely screened for renal failure. Screening is conducted in hospitals, routinely on acutely ill patients, patients with abnormal imaging results such as stones, primary care, patients with co-diseases like hypertension or diabetes and those with family history. By the time CKD shows symptoms the kidney function is already impaired. When symptoms are present they may include: nausea, vomiting, fatigue,...
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...Nursing 344 Week 1: Report Writing & GFHP Report Writing Pt records are sometimes called in evidence before a court of law in order to establish events that may have contributed to a pt’s death or injury. They may also be required as evidence for an inquiry or hearing by the NMB of NSW. ▪ Frequency of documentation relies on: - physical/ mental status of the pt. - the type of care provided (self care v. intensive care) - requirements of health care agency - any legal or other obligations that the health record must meet ▪ Content of documentation needs to be: - relevant - appropriate - accurate - requirements will vary according to pt acuity - content may be guided by framework (assessment, intervention, response) ▪ Documentation framework: - assessment: conclusions reached utilising subjective and objective data - intervention: reflects the action taken - response: reflects the pt’s response to the intervention ▪ Example of using framework to case: Mrs Pat Martin, a 28y/o lady has been admitted overnight via Casualty accompanied by husband. She is 16 wks pregnant and has been diagnosed with appendicitis by Dr Chan. At the moment she is only experiencing mild pain and has a low grade fever of 37.7. IMI Pethidine 50mgs was given at 2am, and may be repeated PRN. Shes been added to the theatre list at 9.30am. She remains NMB and has IV normal saline running over 10hrs. IV Keflin QID commenced, is next due 12md...
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...progressive disease that destroys the function of the human kidneys. This purpose of this research paper is to present an introductory profile of the disease. The profile includes a description of the disease, leading causes, how it is diagnosed, and its stages. Current statistics of the individuals impacted by the disease and mortality are provided. This paper will also explain the progressive nature of the disease and how the kidneys are damaged. Finally, the treatment goals and actions for the different stages of the disease are laid forth. Chronic Kidney Disease Kidneys are vital organs that regulate the body’s fluid level, filter toxins, control blood pressure, and more. A human cannot live without at least one functioning kidney. Chronic Kidney Disease (CKD) is a progressive disease that destroys the operating capacity of the kidneys. CKD impacts millions of Americans and is often undiagnosed until it is in an advanced stage. The human body attempts to compensate for the disease and, in doing so, worsens the condition. CKD is usually caused by another underlying cardiovascular condition. Treatment for CKD seeks to slow the progression of the disease by relieving the underlying condition. Once CKD has reached its final stage, kidney function is insufficient and renal replacement therapy is required. Chronic Kidney Disease (CKD) was formerly known as chronic renal failure (Haynes & Winearls, 2010). CKD can be diagnosed when there is damage to a kidney or...
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...Kidney Failure HCA/240 Instructor: October, 2011 Axia College of University of Phoenix Kidney Failure I was given two scenarios to look at and answer questions about. This paper will show what the scenarios are. It will also include what I feel are the correct answers are by the research that has been done. Scenario A: Acute renal failure A 68 year old female named Ms. Jones underwent open-heart surgery to replace blocked vessels in the heart. The first day of her postoperatively the notes showed that Ms. Jones has had very little production of urine. What is happening to her kidneys and why it is causing the observed symptom? According to the symptom that was noted for Ms. Jones it looks like her kidneys are failing and leading to kidney failure. Kidneys filter the human body’s blood, producing about one milliliter of urine a minute and when the urine changes it is due to shutting down of the kidneys. This could be because the body is in shock due to the surgery that was preformed, and the abnormal amount of urine is also known as oliguria. What other symptoms and signs might occur? There are other systems and signs that might occur due to the kidney failure. One is due to accumulation of compounds containing nitrogen in the blood the smell of ammonia in the mouth. Others can include headaches and gastrointestinal distress. In some cases an elevated level of potassium in the blood known as hyperkalemia. Some other...
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...ineffective and unnecessary treatment. One of the latest developments by the Government and Department of health is the concept of Advance Care Planning. I have looked at this from various perspectives and would like to be involved in introducing the process to Sheffield Kidney Institute. In 2004, the number of patients receiving renal replacement therapy in England, Scotland and Wales was 33,511, this figure is sourced from data which has been made available to them from participating renal units throughout the country, the number of patients receiving dialysis since 2000 has risen by 7% (Ansell et al 2005) with it projected to rise by a further 10 percent over the next 5 years (Ansell et al 2005). About 15-29 percent of deaths of patients with end stage renal disease results from a decision to discontinue dialysis (Davison 2006). Importantly we need to explore which patients especially those reaching the end of their lives are choosing to discontinue receiving aggressive renal replacement therapy and what knowledge and skills would be required to facilitate a change in practice and help them towards a ‘peaceful death’. End Stage Renal Disease presents many challenges to the patient who experience and suffer from it and the health care professionals who care for them. Its chronicity and...
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...disease that requires long-term treatment to improve the patient’s quality of life. Risk factors for kidney disease include high blood pressure, diabetes, exposure to renal toxic drugs, and systemic infections. Chronic kidney disease is diagnosed by patient history, physical exam, diagnostic testing, and laboratory studies. Management of chronic kidney disease involves frequent follow up appointments, routine blood work,...
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...are not able to keep your whole body in balance, they will not be able to remove any waste products and extra water from your body. They are also involved in regulating blood pressure, electrolyte balance, and red blood cell production in the body (Wedro, 2017). There exist two different types of kidney failure, which is the acute kidney failure and chronic kidney failure. When you have been diagnosed a failure of kidney, you have the option to talk to your doctor who will help you to determine which treatment option will be better for you between dialysis (hemodialysis or peritoneal dialysis) and kidney transplantation. The development process of renal insufficiency evolves in 5 stages, in stages 1 to 4 everything is done to preserve the renal function, in the last stage dialysis is the only alternatives to compensate for renal function. Factors that may increase your risk of chronic kidney disease include poorly controlled diabetes, poorly controlled high blood pressure, heart, and blood vessel (cardiovascular) disease. Kidney failure can be diagnosed by a urine test also allows the presence of albumin in the urine to be detected, indicating an abnormal functioning of the kidneys. Analyzing a sample of urine may also suspect kidney disease in case of kidney abnormality of course (protein or blood in the urine, disease of the urinary system or kidneys, recurrent high urinary tract infections). For John Doe, Doctor will suggest doing urinary catheterization to check for the...
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...The economics of end-stage renal disease Introduction According to the Centers for Disease Control and Prevention (CDC) 2010, 10% of adults in the United States have chronic kidney disease (CKD). That is estimated at about 20 million people. People with CKD may not feel any symptoms in the early stages, so treatment most likely has not been started. When a person often finds out they are in need of treatment, they may already be in kidney failure or end stage renal disease (ESRD). This paper will discuss the reimbursement mechanisms presented in the Sullivan article, the economics of providing ESRD treatment from the organization's point of view, patients options and potential trade-offs related to cost, quality, and access to treatment, and the ethical implications of treatment options based on cost evaluation. Reimbursement Mechanisms The major reimbursement mechanism presented in article End Stage Renal Disease Economics and the Balance of Treatment Modalities is Medicare. The system in place at this time is the fee for service with additional charges for medication and medical testing (Sullivan, 2010). The current reimbursement structure is based on a three times a week structure, because hemodialysis (HD) is the primary treatment for ESRD (Sullivan, 2010). According to Sullivan (2010) "The most ideal treatment for patients with ESRD is transplantation" (p.45). The reimbursement for peritoneal dialysis (PD) is the same as that of HD. With the passing of The Medicare...
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...Shortage of Kidneys for Transplantation Introduction As a health care provider, everyday I see patients presenting to the Emergency Department due to renal failure. For kidney failure patients, we at least have the technology to keep them alive using hemodialysis. For liver failure patients, they are often left without real recourse and their mortality is almost certain. While a more permanent solution in the form of organ transplant is technological feasible, few organs are available for needed patients. The inequality between supply and demand is both expensive and fatal. In this paper, I will focus on the problem with insufficient kidney available for transplant, analyze its social and economic effects in the United States and evaluate the problem and a possible solution using economic sociology principles. Social and Economic Costs Currently, there are over 100,000 end-stage renal disease (ESRD) patients on the waiting list for a kidney transplant in the United States. (National Kidney Foundation, 2014) Patients have to wait anywhere between 5 to 10 years for a deceased organ. While they wait for available organs, most patients endure a four-hour session in a dialysis center three times per week. In 2009, the annual cost of taking care of an ESRD patient is around $70,000. The total cost was estimated to be over $40 billion. (USA Today, 2009) Because of Medicare rules written in the 1970’s, hemodialysis is a covered service, and no politician who desires to be...
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...Brian Sina Dr. Roberts 05/03/10 Health 6.1 Kidney Failure and its Effects When we talk about serious and life threatening disease a couple things come to mind. We think about cancer, heart attacks, AIDS, and even diabetes, but one thing always slips our minds. The Encyclopedia Britannica’s latest estimate has nearly 130,000 Americans suffering from kidney failure and its strain on their lifestyle. Several thousand people a year die because of kidney failure, yet we still are not worried or warned about the disease. The goal of this essay is to inform myself and the reader’s about the serious effects of this potentially fatal disease. When your kidneys fail the body is put at serious risk. The kidneys are considered the filters of the body. They remove the waste and concentrate from the urine and they preserve electrolytes while doing this. Without them, the poisonous waste remains in the body and we wouldn’t be able to live for more than four days. While we have two kidneys all that we need to live is one; unfortunately when one fails the other usually follows in the same path. Kidney failure is unique because there are so many causes. Potentially anything you do unhealthy to your body can lead to kidney problems. Whether its cigarettes, alcohol abuse, improper diet, drugs, or even just a simple injury can stop the blood flow to the kidney and cause them to fail. This is one of the reasons that kidney failure is so common and dangerous. We speak a lot about being...
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