Medical mangement of chronic renal failure Research Paper

Medical mangement of chronic renal failure - Research Paper Example After the body absorbs what is needed from food for self-repairs and energy, the remainder is waste that is sent to the blood. However, these functions of the kidney are hindered by attacks on nephrons resulting in the loss of their filtering ability. High blood pressure and diabetes are responsible for renal failure, thereby resulting in slow and silent destruction of the nephrons. Kidney failure can be chronic, acute or end stage. In this paper, the discussion focuses on the medical management of chronic renal failure. This discussion defines chronic renal failure, medical tests to detect kidney failure, and management of chronic renal failure. Detection of kidney disease People may exhibit signs and symptoms of chronic renal failure. However, some have no symptoms and the doctor detects kidney condition through regular urine and blood tests. The three key simple tests recommended by the National Kidney Foundation are blood pressure measurement, spot check for albumin or protein in urine, and Glomerular filtration rate or GFR based on serum creatinine measurement (Alters, 2000). Blood pressure measurement involves the use of a dedicated cuff to obtain systolic and diastolic blood pressure. Microalbuminuria condition results from the failure of kidneys to separate albumin from blood protein. Proteinuria is the resultant condition of increased blood protein and albumin. Dipstick color indicates the presence or absence of proteinuria. Kidney biopsy and kidney imaging are also viable ways of detecting kidney failure (SIGN, 2008). Management of Chronic Kidney disease or CKD CKD is kidney failure that occurs over a lengthy duration. This duration could be months or years. However, the major causes of renal failure are diabetes and high blood pressure that are poorly managed and chronic glomerulonephritis. Other causes of CKD that are less pronounced include kidney stones, reflux nephropathy, prostrate disease and polycystic kidney disease. The most unfortunate thin g is that there is no cure for CKD. However, in its early stages kidney failure can be managed allowing the patients to live longer. This requires the observation of several steps that must ensure that heart attacks and stroke risks are minimized since such patients are vulnerable. According to Schoolwerth, McClellan and Gehr (2006), Chronic Kidney disease treatment is intended at preventing or slowing additional damage to patient’s kidneys. Proper treatment requires that underlying conditions like diabetes or high blood pressure that cause kidney disease be identified and managed. The management of such diseases prevents situations that cause kidney damage or worsen it (SIGN, 2008). For most patients, classification falls within mild and moderate categories and hospital-based management is not necessary. For most of the patients in these categories, the most significant aspect is controlling the cardiovascular influence on patient’s renal disease. This management is m ore significant than the risk of developing end stage renal failure. Daugirdas (2011) reveals that this classification guidance is directed according to severity of the damage. The stages of chronic kidney disease are grouped in five categories. The first stage is slight kidney damage characterized by normal or increased filtration and GFR more than 90. The second stage is mild kidney function characterized by 60 to 89 GFR. Stage three

Listening to children and young people Essay Example | Topics and Well Written Essays - 2500 words

Listening to children and young people - Essay Example Children who are capable of forming their own views have a right to receive and make known information they have through being attentively listened to, to effectively express their opinions, and to have those opinions taken into account in whatever matters affecting them. All views of the children ought to be given due weight in accordance to the age, maturity and capability of the children. According to Committee on the Rights of the Child (2009), all children with special education requirements are supposed to have a say in the roles of decision making in regards to their special education needs. Listening to the children and young ones do have very important concepts to be considered. Whoever interacts with children and young people should actually consider ensuring that they are able to benefit by growing up or developing uprightly. Through listening, adults are able to emphasize well with children by understanding the children’s inimitable thoughts, ideas, and feelings. Hence, there is creation of a child’s focused culture on communication. Effectively engaging with children and young people is very essential to Child, Youth and Family (CYF)’s task in supporting all families and adequately protecting children. By being in a position to understand the perspective of any child or young person is important in completing the assessment and development interventions. Demonstration of genuine interest in children or young people’s viewpoint, having a thorough understanding of the child/ young people’s personal development, and appreciating the environmental conditions which aid good communication with children, are so fundamental in genuine consultation and active inclusion of children in the decision making process. By ensuring that one is able to listen and try to understand children and the young people, he/she can help the child to develop the perceptions that they can be have some trust on you and come to you in case of anything to