17 Chronic Renal Failure Nursing Care Plans

March 10, 2014

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:

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

Desired Outcomes

Client will verbalize positive feelings about self.

Nursing Interventions	Rationale
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.