17 Chronic Renal Failure Nursing Care Plans

1

Chronic renal failure (CRF) or chronic kidney disease (CKD) is the end result of a gradual, progressive loss of kidney function. The loss of function may be so slow that you do not have symptoms until your kidneys have almost stopped working.

The final stage of chronic kidney disease is called end-stage renal disease (ESRD). At this stage, the kidneys are no longer able to remove enough wastes and excess fluids from the body. At this point, you would need dialysis or a kidney transplant.

Nursing Care Plans

The nursing care planning goal for with chronic renal failure is to prevent further complications and supportive care. Client education is also critical as this is a chronic disease and thus requires long-term treatment.

Below are 17 nursing care plans (NCP) and nursing diagnosis for patients with chronic renal failure or chronic kidney disease:

  1. Risk for Decreased Cardiac Output
  2. Risk for Ineffective Protection
  3. Disturbed Thought Process
  4. Risk for Impaired Skin Integrity
  5. Risk for Impaired Oral Mucous Membrane
  6. Deficient Knowledge
  7. Excess Fluid Volume
  8. Acute Pain
  9. Impaired Renal Tissue Perfusion
  10. Impaired Urinary Elimination
  11. Imbalanced Nutrition: Less than Body Requirements
  12. NEW Activity Intolerance
  13. NEW Disturbed Body Image
  14. NEW Anticipatory Grieving
  15. NEW Risk for Infection
  16. NEW Risk for Injury
  17. Other Possible Nursing Care Plans
Back
Next

Impaired Urinary Elimination

Impaired Urinary Elimination: Disturbance in urinary elimination.

Renal Failure is a problem which results to loss of kidney functions and as GFR decrease, the kidney cannot excrete nitrogenous product and fluid causing impaired in Urinary elimination and together with prolonged use of medications such as NSAIDs this will lead to further kidney destruction which may thus decreasing the glomerular filtration and destroying of the remaining nephrons. This will result in to inability of the kidney to concentrate urine which makes the patient to have a nursing diagnosis of impaired urinary elimination.

Assessment

Patient may manifest: 

  • Increase in Lab results (BUN, Creatinine, Uric Acid Level)
  • Oliguria
  • Anuria
  • Hesitancy
  • Urinary Retention

Diagnosis

  • Impaired Urinary Elimination R/T failing glomerular filtration AEB Impaired excretion of nitrogenous products secondary to Renal Failure

Planning

  • Patient will verbalize understanding of condition
  • Patient will participate  in measures to correct/compensate for defects
Nursing InterventionsRationale
Establish rapport.To get the cooperation of the patient and SO.
Monitor and record vital signs.To obtain baseline data.
Assess pt’s general conditionTo know what problem and interventions should be prioritize.
Review for laboratory test for changes in renal function.To assess for contributing or causative factors.
Establish realistic activity goal with client.Enhance commitments to promoting optimal outcomes.
Determine clients pattern of eliminationTo assess degree of interference.
Palpate bladderTo assess retention
Investigate pain, noting locationTo investigate extent of interference
Determine client’s usual daily fluid intakeTo help determine level of hydration.
Note condition of skin and mucous membranes, color of urine.To assess level of hydration.
Observe for signs of infectionTo help in treating urinary alterations
Encourage to verbalize fear/concernsOpen expression allows client to deal with feelings and begin problem solving.
Emphasize the need to adhere with prescribe dietTo prevent aggravation of disease condition.
Emphasize importance of having good hygiene.To promote wellness.
Emphasize importance of adhering to treatment regimenTo promote wellness
Back
Next

See Also

You may also like the following posts and care plans:

Genitourinary Care Plans


Care plans related to the reproductive and urinary system disorders:

Last updated on

1 COMMENT

LEAVE A REPLY

Please enter your comment!
Please enter your name here