Chronic Kidney Disease Continuous Care (Supportive and Conservative Treatment)

2020 ◽  
pp. 183-196
Author(s):  
Carlos Zuñiga-San Martin
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Continuous Care

scholarly journals Terms of specialized nursing language for chronic renal patients undergoing conservative treatment

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Harlon França de Menezes ◽  
Alessandra Conceição Leite Funchal Camacho ◽  
Silvia Maria de Sá Basílio Lins ◽  
Tatiane da Silva Campos ◽  
Fillipe Rangel Lima ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Content Validity ◽  
Nursing Practice ◽  
Methodological Study ◽  
Validity Index ◽  
Content Validity Index ◽  
A Value ◽  
Nursing Language

ABSTRACT Objectives: to validate the terms of the specialized nursing language used in the care of people with chronic kidney disease undergoing conservative treatment identified in the literature by mapping them with terms of the International Classification for Nursing Practice, version 2019, and representing them by means of a mandala. Methods: descriptive, documentary and methodological study. The terms were collected in 53 scientific articles, standardized and mapped with the terminology. The validation was performed by six nurses through a focus group. The Content Validity Index was used and terms with a value ≥ 0.80 were validated. Results: the normalization resulted in 957 relevant terms, of which 499 were constant and 458 not included in the terminology. Terms were validated when Content Validity Index was between 0.86 and 1.0. Conclusions: the study allowed the validation of terms that will contribute to unify the professional language of nursing in the care of people with chronic kidney disease.

scholarly journals Progression of Aortic Calcification in Stage 4–5 Chronic Kidney Disease Patients Transitioning to Dialysis and Transplantation

2021 ◽  
pp. 1-8
Author(s):  
Roosa Lankinen ◽  
Markus Hakamäki ◽  
Tapio Hellman ◽  
Niina S. Koivuviita ◽  
Kaj Metsärinne ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Left Ventricular ◽  
Waiting List ◽  
Aortic Calcification ◽  
Transplant Recipients ◽  
Treatment Groups ◽  
In The Beginning

<b><i>Background and Aims:</i></b> Abdominal aortic calcification (AAC) is common in chronic kidney disease (CKD) patients and associated with increased mortality. Comparative data on the AAC score progression in CKD patients transitioning from conservative treatment to different modalities of renal replacement therapy (RRT) are lacking and were examined. <b><i>Methods:</i></b> 150 study patients underwent lateral lumbar radiograph to study AAC in the beginning of the study before commencing RRT (AAC1) and at 3 years of follow-up (AAC2). We examined the associations between repeated laboratory tests taken every 3 months, echocardiographic and clinical variables and AAC increment per year (ΔAAC), and the association between ΔAAC and outcomes during follow-up. <b><i>Results:</i></b> At the time of AAC2 measurement, 39 patients were on hemodialysis, 39 on peritoneal dialysis, 39 had a transplant, and 33 were on conservative treatment. Median AAC1 was 4.8 (0.5–9.0) and median AAC2 8.0 (1.5–12.0) (<i>p</i> &#x3c; 0.0001). ΔAAC was similar across the treatment groups (<i>p</i> = 0.19). ΔAAC was independently associated with mean left ventricular mass index (LVMI) (log LVMI: β = 0.97, <i>p</i> = 0.02) and mean phosphorus through follow-up (log phosphorus: β = 1.19, <i>p</i> = 0.02) in the multivariable model. Time to transplantation was associated with ΔAAC in transplant recipients (per month on the waiting list: β = 0.04, <i>p</i> = 0.001). ΔAAC was associated with mortality (HR 1.427, 95% confidence interval 1.044–1.950, <i>p</i> = 0.03). <b><i>Conclusion:</i></b> AAC progresses rapidly in patients with CKD, and ΔAAC is similar across the CKD treatment groups including transplant recipients. The increment rate is associated with mortality and in transplant recipients with the time on the transplant waiting list.

scholarly journals Depressive symptoms in chronic kidney disease: A comparison between patients on dialysis versus conservative treatment

2017 ◽  
Vol 14 (4) ◽  
pp. 153-159 ◽  
Author(s):  
Geraldo Bezerra da Silva Junior ◽  
Antonio Marcelo de Oliveira Barbosa ◽  
Guilherme Pinheiro Ferreira da Silva ◽  
Liliane Nunes da Silva ◽  
Gabriela Rocha Lima ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Depressive Symptoms ◽  
Kidney Disease ◽  
Conservative Treatment

scholarly journals Urinary tract infection in patients with chronic kidney disease under conservative treatment

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Graciana Maria de Moraes Coutinho ◽  
Emanuela Cardoso da Silva ◽  
Cássia Regina Vancini Campanharo ◽  
Angélica Gonçalves Silva Belasco ◽  
Cassiane Dezoti da Fonseca ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Kidney Disease ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Kidney Disease ◽  
Tract Infection ◽  
Conservative Treatment ◽  
University Hospital ◽  
Cross Sectional ◽  
Associated Risk Factors

ABSTRACT Objectives: to assess the prevalence and associated risk factors for urinary tract infection in patients with chronic kidney disease under conservative treatment and identify the microorganisms isolated in the urine of these patients and the staging of chronic kidney disease. Methods: a cross-sectional, analytical study carried out at the Conservative Treatment Outpatient Clinic of a university hospital in the city of São Paulo. Results: the prevalence of urinary tract infection is 22%. The risk factors Diabetes Mellitus, hypertension, heart disease, neoplasms and thyroid and autoimmune diseases stand out in the infected group (p < 0.001). Most of the microorganisms found in urine cultures (87.9%) were Gram-negative, being Escherichia coli (50.70%), followed by Klebsiella pneumoniae (23.1%) and Enterococcus spp. (9.7%). Conclusions: the findings of this investigation reveal the intrinsic association between risk factors and microorganisms for the development of urinary tract infection.

scholarly journals SP391NUTRITIONAL EVALUATION AMONG PATIENTS WITH CHRONIC KIDNEY DISEASE UNDER CONSERVATIVE TREATMENT IN A REFERENCE SERVICE IN NORTHEAST OF BRAZIL

2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i478-i478
Author(s):  
Geraldo Bezerra da Silva Junior ◽  
Ana Carla Novaes Sobral Bentes ◽  
Viviane Sahade Souza ◽  
Ilana Nogueira Bezerra
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Reference Service

scholarly journals SP877DIAGNOSING OF HEART CONDUCTION DISORDERS BY A COMPARATIVE METHOD FOR BAND PATTERS IN CHILDREN WITH CHRONIC KIDNEY DISEASE ON CONSERVATIVE TREATMENT- PILOT STUDY

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii666-iii666
Author(s):  
Krystyna Laszki-Szczachor ◽  
Malgorzata Sobieszczanska ◽  
Danuta Zwolinska ◽  
Irena Makulska ◽  
Henryk Filipowski ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Pilot Study ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Comparative Method ◽  
Conduction Disorders

Vasoprotective effects hypotensive therapy in patients with coronary heart disease combined with chronic kidney disease stage 2-3 after coronary stenting

Kardiologiia ◽  
2021 ◽  
Vol 61 (8) ◽  
pp. 14-22
Author(s):  
N. N. Pribylova ◽  
M. V. Yakovleva ◽  
C. A. Pribylov ◽  
T. A. Barbashina ◽  
E. V. Gavriljuk ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Chronic Kidney Disease ◽  
Heart Disease ◽  
Plasma Concentration ◽  
Kidney Disease ◽  
Conservative Treatment ◽  
Arterial Stiffness ◽  
Kidney Function ◽  
Hypotensive Effect ◽  
Coronary Stenting

Aim      To study the condition of coronary vasculature by data of coronarography (CG) in patients with chronic ischemic heart disease (IHD) and arterial hypertension (AH) associated with stage 2-4 chronic kidney disease (CKD) and to evaluate the effect of a 12-week complex treatment with perindopril or with a combination of perindopril/amlodipine on changes in vascular wall stiffness, endothelial function, and structure and function parameters in this patient category after coronary stenting.Material and methodsr This study included 87 patients with chronic IHD and AH associated with stage 2-3 CKD for whom CG was performed due to ineffectiveness of the antianginal therapy. The patients were divided into three subgroups: subgroup 1 included 28 patients who received a conservative treatment with perindopril 10 mg/day; subgroup 2 consisted of 25 patients who underwent coronary stenting and were prescribed perindopril; subgroup 3 consisted of 34 patients who underwent stenting and were prescribed the perindopril/amlodipine combination. The reference group included 47 patients with IHD and AH with preserved kidney function. Anatomic and functional parameters of the heart, arterial stiffness, pulse wave velocity, cardio-ankle vascular index, augmentation index, central aortic systolic and pulse pressure, endothelium-dependent vasodilation, plasma concentration of endothelin-1 (ET-1), and plasma concentration of nitric oxide metabolites were evaluated at baseline and after 12 weeks of treatment.Results In patients with IHD, AH, and stage 2-3 CKD, arterial stiffness was more pronounced than in patients with preserved kidney function. Concentrations of ET-1 were significantly higher and levels of nitric oxide were lower in CKD. Supplementing the complex therapy with perindopril resulted in a considerable hypotensive effect in all subgroups, improvement of the kidney function, and positive dynamics of arterial stiffness and endothelial function. Changes in these parameters were more pronounced in patients after coronary stenting than in patients receiving only a conservative treatment. The use of perindopril/amlodipine following stenting exerted the most significant angioprotective and cardioprotective effect.Conclusion      Patients with IHD and AH in combination with early CKD have pronounced impairment of the condition of arterial blood vessels and the heart. Addition of perindopril to the treatment not only exerted a hypotensive effect but also beneficially influenced mechanisms of progression of this combined pathology. 

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