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.
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.
- Risk for Decreased Cardiac Output
- Risk for Ineffective Protection
- Disturbed Thought Process
- Risk for Impaired Skin Integrity
- Risk for Impaired Oral Mucous Membrane
- Deficient Knowledge
- Excess Fluid Volume
- Acute Pain
- Impaired Renal Tissue Perfusion
- Impaired Urinary Elimination
- Imbalanced Nutrition: Less than Body Requirements
- NEW Activity Intolerance
- NEW Disturbed Body Image
- NEW Anticipatory Grieving
- NEW Risk for Infection
- NEW Risk for Injury
- Other Possible Nursing Care Plans
Disturbed Body Image
Disturbed Body Image: Confusion in mental picture of one’s physical self.
May be related to
- Biophysical and psychosocial factors
Possibly evidenced by
- Verbal and nonverbal responses to change in body appearance, disruptions in school attendance and engagement in school activities and socialization
- Negative feelings about own body, multiple stressors, and change in daily living
- Severe growth retardation (in height and weight); dry skin, facial puffiness
- Client will verbalize positive feelings about self.
|Assess child for feelings about skills, long-term illness, struggle in school and social situations, short stature, inability to keep up with peers.||Provides information about the state of self-concept and special needs.|
|Allow expression of feelings and concerns and assist with open communication to parents, teachers, and peers.||Provides an opportunity to release feelings and decrease ill feelings about the change in appearance.|
|Give importance to positive activities and|
achievements, refrain from any negative judgments.
|Promotes positive body image, confidence, self-esteem.|
|Support parents to be adaptive in the care of the child and to consolidate care and routines into family routines.||Promotes the well-being of the child and a sense of belonging.|
|Educate parents to maintain support for the child.||Encourages acceptance of the child with special needs (dialysis, dietary needs, urinary device, medications).|
|Educate child and parents about dietary|
selections which can be tolerated while dining with peers.
|Promotes social interactions with friends within limitations imposed by the disease.|
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Genitourinary Care Plans
Care plans related to the reproductive and urinary system disorders:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Renal Failure | 6 Care Plans
- Benign Prostatic Hyperplasia (BPH) | 5 Care Plans
- Chronic Renal Failure | 11 Care Plans
- Hemodialysis | 3 Care Plans
- Hysterectomy | 6 Care Plans
- Mastectomy | 14+ Care Plans
- Menopause | 6 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Peritoneal Dialysis | 6 Care Plans
- Prostatectomy | 6 Care Plans
- Urolithiasis (Renal Calculi) | 4 Care Plans
- Urinary Tract Infection | 6 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans