Chronic Kidney Disease

To provide underpinning knowledge associated with best practice for providing safe and effective care for individuals with chronic kidney disease (CKD). To improve understanding of how early CKD is diagnosed so as to reduce inappropriate management and promote the safety and well-being of all patients with CKD who require care.

DESCRIPTION

By the end of the course, candidates will be able to:

• Discuss legal and professional responsibilities associated with caring for CKD patients within local and national guidance
• Describe anatomy and functions of the urinary system
• Identify the tests and investigations that can help to diagnose renal impairment and assess renal function
• Discuss the measures required to reduce cardiovascular risks in patients with CKD
• Understand the management of patients with CKD and the nurse’s role within patient management.
• Discuss the complications of advanced CKD and understand why management needs to take account of these complications in older patients

Practitioners will be assessed by –

• Ability to answer questions during course
• Discussion following feedback from activities
• Completing a post course knowledge assessment

Course Content

• Legal and professional considerations and responsibilities
• Consent for care and treatment
• Prevalence of CKD
• Anatomy and physiology of the urinary system
• Defining CKD
• Stages of CKD
• Disease progression
• Common cause
• Risk factors
  • Diabetes
  • Hypertension
  • Cardiovascular disease
• Symptoms
• Assessment of renal function
  • Urinalysis
  • Urinary protein excretion
  • Estimated Glomerular Filtration Rate
  • Renal imaging and renal biopsy
• Treatments and issues for CKD Stages 1-5
  • Slowing down the progression
  • Treating the underlying cause
  • Reducing protein levels in urine
  • Reducing risk of cardiovascular disease
  • Regular monitoring
  • Anaemia
  • Acute kidney injury (AKI)
  • Haemodialysis
  • Peritoneal dialysis
  • Kidney transplantation
• Diet and nutrition
• Patient education
• Nursing care