Renal Impairment -Case study

Authors Avatar by minimoo1989 (student)

During this placement a case study will be produced focusing on a patient with renal impairments. The aim of the assignment is to assess, plan, implement and evaluate on the nurnnsing care provided to the patient. It will be focusing on three main problems the patient has whilst there stay at the hospital. The three main problems the patient is having is pain, affected by his body image due to an arterial venous fistula and uncontrolled blood glucose. The assignment will be following guidelines from the Roper Logon Tierney Model used in practice as a framework to provide the best care possible. Roper Logon Tierney Model is the common used framework for health care professionals in the hospital environment. It designed as a guide for nurses and nursing assistant to use in practice.

Throughout the case study the patient’s identification will remain anonymous. Hence the patient will be referred to as John Wilkinson, in order to protect the client’s privacy during their stay at the hospital; this comes under the guidelines set out by the nursing and midwifery council. Furthermore it ensures that the assignment will keep the patients right of confidentiality. (Nursing and Midwifery council 2004)

John Wilkinson is a 40 year old married man and lives with his partner Mrs. Mildred Wilkinson in a flat above their small bakery. John used to work as a baker, but he became partially blind in his right eye and lost his feel of sensation in his feet and hands. Due to this he became unemployed and dependent on his wife.

John had been diabetic type 1 insulin dependent ever since the age of 20. Diabetes mellitus type 1 is a condition where the blood sugar is higher than normal. Researchers found that diabetes are the most common reason for renal failure. (Marchant. 2008) John also has secondary hypertension (high blood pressure) due to renal failure. High blood pressure happens when the blood flow is forced through the arteries at a high pressure. "90% of patients with hypertension causes are unknown"(Gill. et.al 2004). In this case, John has been both hypertension and diabetes. Hypertension could be the cause of renal failure but hypertension is a cause of renal failure too.

Join now!

John Wilkinson has a medical history his father had diabetes type 1 and his brother suffers from severe hypertension. He had been suffering from renal impairments for the past 4 years. Kidney Transplant was not an option then and his option was to have dialysis. John Wilkinson has got an arterial venous fistula that is 4 years old, Fistula is a vein and artery combined to form a bigger lumbar this is then used for heamodialysis. Heamo is blood and dialysis is when using a machine as a artificial kidney used to filter the blood stream and excrete waste products ...

This is a preview of the whole essay