Acute Renal Failure Lakiasha Branch Dr. T. Murray Coppin State University College of Health Professions Helene Fuld School of Nursing Nursing 311 Medical Surgical Nursing November 29, 2012 Acute Renal Failure Acute renal failure is a disorder that mainly occurs in the event that the blood being supplied to the kidney is interrupted abruptly or in some cases when toxins overload the kidney…
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This paper is going to examine the Gordon’s Functional health patterns as well as Myra Levine’s Model is relation to how acute renal failure affects the patient. A specific diet and treatment for renal failure will depend on the patient’s age, the severity and other medical conditions. Nutrition’s affect on renal failure has been studied extensively and published on scientific reports. For example, Dr. T. A’s “Primer on Kidney Disease” recommends a 0.8 to 1 g protein of body weight per kilogram each day of protein in chronic kidney disease. During dialysis, this can increases from 1.2 to 1.3 g/kg each day. Gordon’s Functional Health Patterns Marjorie Gordon developed functional health patterns to form a guideline when it comes to the establishment of a nursing data base that is comprehensive. She placed the patterns into different categories making it possible for a data collection process that is standardized and systematic (Dunn and Hood, 2009). These patterns have assisted nurses over the years in determining different human and health function aspects; a) Health Perception and Health Management. This category focuses on an individual’s perceived health level as well as well-being. ...
Here, the evaluation of local supplies adequacy takes place. c) Elimination. This area mainly concerns itself with excretory patterns experienced on the skin, bladder and bowel. Excretory issues like constipation, diarrhea, incontinence and urinary retention can be easily identified d) Activity and Exercise. Focused is directed to the daily living activities that need energy expenditure, and they include leisure activities and exercise. e) Sleep and Rest. The individual’s rest, sleep and relaxation practices are assessed. Sleep patterns that are dysfunctional, sleep deprivation responses and fatigue can be identified. f) Self-Perception and Self-Concept. The individual’s attitude towards themselves is the issue of concern and this includes body image, identity, and self-worth. The identification process in this case concerns itself with the self-esteem level and threats response to the individual self concept (Dunn, 2009). g) Roles and Relationships. The role played by an individual is the one being assessed as well as how the individual relates with others. h) Sexuality and Reproduction. Person satisfaction or in some cases dissatisfaction in relation to reproductive functions and sexuality patterns are to be assessed under this category. i) Coping and Stress Tolerance. The individual’s stress perception and the way he or she copes with stress are examined. j) Values and Belief. The belief and values of an individual are assessed and this includes the individual’s spiritual beliefs. Myra Levine’s Model In her model, Myra came up with four principles that were meant to serve nurses as a guide to promoting wholeness: 1. Conservation energy. The interventions by nurses have to be gauged on the individual capacity so as to give room for
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3). Correction of the causes of AKI in most cases leads to full recovery however; some cases may require renal replacement therapy (RRT). One form of RRT is continuous renal replacement therapy (CRRT) which is used for a period of 24 hrs in a day. CRRT describes different techniques of purifying blood which differ in solute transport mechanism, membrane type, use or non-use of dialysate solution and form of vascular access (Soni, Nagarik, Adikey and Raman, 2009, p.
The only prominent sign of acute renal failure is decreased production of urine. There are basically 3 types of ARF and they are: prerenal, intrinsic and post renal. In prerenal, the nephrons are structural intact and ARF occurs because of adaptive response to volume depletion that is severe enough to cause hypotension.
I was obviously pleased to meet you yesterday, and I was very pleased with the information that helped to highlight the most important lessons about acute renal failure. The theories and knowledge that you provided made it easily to understand the minute threads as I pursue the course through home study.
Urine tests include Na and creatinine concentration and microscopic analysis of sediment; acidosis, hyperkalemia, hyponatremia, and anemia." (Merck Manuals, 2005) The physician may also order an ultrasound scan to determine the degree of obstruction or damage to the kidneys.
The event that I am going to reflect upon was quite important at that time, and it keeps coming in my mind. I kept a note of what I felt as time passed away. Today, it is weekend, and I had some time. I decided I will relook into this event in a closer and structured manner to examine my experiences surrounding this critical care event.