CHRONIC KIDNEY DISEASE

Chronic Kidney Disease



Chronic Kidney Disease

Chronic kidney disease

The health problem chosen is chronic kidney disease. Chronic kidney disease is a progressive loss (for 3 months or more) and irreversible kidney function. The degree of involvement is determined by a glomerular filtration rate (GFR) < 60 mL/min/1.73 m 2. As a result, the kidneys lose their ability to remove wastes, concentrate urine and conserve electrolytes in the blood. Symptoms of deterioration of renal function are nonspecific and may include a feeling of general discomfort and reduced appetite. Often, chronic kidney disease is diagnosed as a result of the study in people known to be at risk of kidney problems, such as those with high blood pressure or diabetes and those with relatives with chronic kidney disease. Chronic renal failure can also be identified when it leads to one of its recognized complications such as cardiovascular disease, anemia or pericarditis (Sagun, 2010).

Incidence and prevalence

U.S. researchers from the University of Texas Southwestern in Dallas examined a total of 272 patients with chronic kidney disease. "They found that 21 percent of the participants, the criteria for a depressive episode met. The prevalence of depression was independent of how far the kidney disease was already advanced. Of the patients who were diagnosed simultaneously with diabetes were twice as many depressed, "says Heemann about the" American Journal of Kidney Diseases "published study (Nan, 2010).

Previous studies have shown that dialysis patients who are also depressed, twice as high risk for having to be hospitalized or to die prematurely. At the same time increases the total number of patients requiring dialysis. "It is therefore very important to investigate people with chronic kidney disease to early signs of depression. A timely involvement of the therapy in the treatment of depression in these patients, the health and quality of life improved significantly," says the BDI expert (Sukamoto, 2010).

Partners involved in the program

The experts who have joined the initiative has produced a classification of kidney disease based on simple and inexpensive tests [glomerular filtration rate calculated according to Serum creatinine, urinalysis, ultrasound, some blood tests] which was accepted by major national scientific societies dealing with kidney disease. This classification has the advantage of allowing key epidemiological surveys in various coherent allowing studying the realities of healthcare on a large scale the size of the phenomenon and its dynamics. The partners involved in the program would be either the official members of the government or member from any NGO. This would help prevention of the disease and lead towards the success of the program when the experts would join hands together and bring out prevention steps and guidelines (Imran, 2011).

Evidence for program intervention

This proposal aims to create a knowledge base and to outline organizational the prevention of kidney function (primary prevention), to slow down their evolution (Secondary prevention) and to prevent the devastating cardiovascular complications triggered renal insufficiency (tertiary prevention). The result is the reduction which aims to morbidity and mortality from kidney disease and improving the quality of care ...