Preventing and Responding to Acute Kidney Injury by Mary C Vrtis - Research Paper Example

? Preventing and Responding to Acute Kidney Injury by Mary C. Vrtis Overview The article ‘Preventing and Responding to Acute Kidney Injury’ by Mary Vrtis revolves around the aspects of nursing and the possible precautions that the nurses should take in order to avoid an emergency of renal failure. According to the author the rate of acute kidney injury is increasing over the days and so is the mortality associated with the injury. Thus the author puts forward that a nurse should necessarily know the symptoms associated with Acute Kidney Injury to reduce the severity of the problem. The author further puts forward questions for research regarding the symptoms that are associated with acute kidney injury. The author is trying to put forward that the nurses should know about acute kidney failure and the causes of it. The early signs should be detected by the nurses and they should intervene at the right moment to help it not progress towards end stage renal disease. The author gives the necessary signs and symptoms leading to it along with the steps that a nurse should take when intervening. Hypothesis The author proposes that acute kidney failure can be prevented by experienced nurses who have the necessary knowledge in intervening during the course of the injury. The author put forward a real case of a patient who developed acute kidney injury but she did not progress to chronic renal failure because the nurses intervened at the right time. Evaluation Author provides a literature review by highlighting the main points of acute kidney injury and the mechanisms involved. She further uses research to strengthen her hypothesis. The author has used recent literature review to prove her hypothesis and she has complemented the research with a real life example of a patient suffering from Acute Kidney Failure. I believe that the article in all ways is relevant to the current health issues and problems faced by nurses in handling such cases. The mortality rate of the patients with acute kidney injury have increased in the recent past and such an intervention as laid down by the author can certainly decrease the risk and help in decreasing the mortality rate as well.   The author has utilized a case study as she already has selected a patient and the nurses have intervened at the right time to avoid the serious consequence of chronic renal injury. The sample selected for this article was only one and it was in co-relation with the topic as the author selected an individual with the injury only. The sample was hence appropriate for the research article. This work has been crafted by the author by selecting an individual who seemed to be suffering from the disease that the article is referring to. The author has made this research more practical by laying down the nursing intervention techniques. I believe that is practical and applicable in the real world because the nurses can play a great role in intervening of the progress of acute kidney injury to chronic and avoid mortality. The author has emphasized on the role of nurses to understand the risk factors and diagnostic criteria for acute kidney injury. The relevant nursing assessment that is required to be done on the patients has been emphasized by the author. These factors would help nurses to identify the patients who are at risk of developing acute kidney failure. I believe, the application of this research in the real life is possible only if nurses are trained to handle such cases. However, in this research only one such case was analyzed by the author and hence it cannot be concluded with certainty that it would be applicable to all cases in different situations. Moreover the author does not include training programs for the nurses to carry out the relevant intervention with the patients who are suffering from the disease. I believe that the nurses should be trained properly along with the knowledge of the intervening techniques when it comes to the patients of acute kidney injury. The study could have been improved if the author used more case studies for the research article. The author could have tried the intervention techniques for patients with different causes. As laid down by the author there are different causes which lead to acute kidney injury and the case study chosen by the author is only about a patient who suffered from hip injury. The patient who was analyzed was of 62 years old and the same research could have been carried out on different age groups. I believe that some of the nurses should have also been interviewed so that their approach could also be laid down in the article to enhance the purpose of the research. Literature review could further be enhanced by laying down the facts about chronic renal failure which is commonly seen in patients who are suffering from acute kidney injury. The writing in the article is clear and straight forward as the writer has given a case first and then presented with the literature review. The author has provided the relevant information rather than dragging the issue and incorporating other issues. I believe that the subject can be further researched upon with the necessary equipment and resources. The number of patients and the intervention methods should be tried practically in future so as to confirm if the intervention is successful in treating the patients who are suffering from the injury mentioned in the article. The age and gender groups should also be changed in order to find more about the factor of age and gender in this injury. Further research can also be conducted to find out the opinion of nurses so that their involvement in the injury is assessed. The role of doctors should also be emphasized in further research so that the intervention techniques by the nurses are improved upon. Moreover further research can also be done on the equipment that would be able to diagnose acute kidney injury so as to decrease the risk of death caused by it. Conclusion This research is a step towards improving the intervening techniques and diagnostic criteria for acute kidney failure. I believe, with better knowledge and good practice in handling such cases, nurses would better be able to diagnose acute kidney failure and intervene in its progress towards chronic kidney failure or death. This research has opened up new ways for the scientists to conduct further researches into the subject and develop new ways for timely diagnosis of the disease. The comebacks of this research should be improved in further studies by increasing the number of real life cases and including nurses who have previous experience about the patients who are suffering from the injury mentioned in the article. The nurses should be provided with more intervening techniques so that they can help the patients who are progressing towards the disease. The research should be further be improved upon by researching on the topic thoroughly and putting forward the literature review. Training programs should also be emphasized upon in the future research. I believe that this research has given a cornerstone to the world of nursing so that it can be further researched upon. References Top of Form Vrtis, M. C. (January 01, 2013). Preventing and responding to acute kidney injury. The American Journal of Nursing, 113, 4, 38-47. Bottom of Form Read More