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
Anticipatory Grieving: The state in which an individual or group experiences reactions in response to an expected significant loss.
May be related to
- Perceived potential loss of the child by parents
- Perceived potential loss of physiopsychosocial well-being by child
Possibly evidenced by
- Expression of distress of possible loss, impending kidney failure, kidney dialysis, unanticipated death of the child
- Parents and child will identify positive coping mechanisms.
- Parents and child will begin to work through the grief process.
|Assess stage of grieving process, difficulties encountered, sentiments concerning long-term illness and potential loss of the child.||Provides knowledge about the stage of grieving as duration to work through the process differs with individuals; the longer the illness, the greater the parents and significant others will be able to progress towards acceptance.|
|Encourage parent and child to express feelings and concerns about the current situation.||Allows for feedbacks essential to work through grieving.|
|Provide emotional and spiritual support in an accepting environment and refrain from|
discussions that will provoke guilt or anger.
|Provides for the emotional needs of parents and assists them to adjust with a sick child without adding stressors that are hard to resolve.|
|Assist to identify and use effective coping methods and to understand situations over which they have no control.||Promotes the use of coping mechanisms over a lengthy period of time of physical and emotional stress on significant others which may be positive or negative.|
|Teach parents of stages of grieving and behaviors that are common in resolving grief.||Promotes understanding of feelings and behaviors that are exhibited by grief.|
|Assist parents and child to develop|
coping skills, problem-solving skills, and approaches that may be used.
|Promotes coping ability over a prolonged period of illness and assists in the resolution of family stress.|
|Refer to a social worker and/or counseling as indicated.||Offers information and support to parents and family in need of psychologic, economic assistance.|
|Refer to clergy, local support groups for kidney diseases.||Provides support and assistance in adapting and accepting chronic illness and services and information for care.|
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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