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NSG2HPB Nursing Health Priorities Assignment

NSG2HPB Nursing Health Priorities Assignment NSG2HPB Nursing Health Priorities AssignmentQuestions:Using current literature, discuss the pathophysiology and management of Chronic Renal Failure with specific reference to Mr Goodpasture’s clinical presentation.Explain the relationship of Mr Goodpasture’s presentation (i.e. his signs and symptoms and pathology results) and the pathophysiology of his kidney disease, including discussion of end stage kidney disease.Describe the relationship between Mr Goodpasture’s kidney disease and his medical history history.Describe the management of end?stage kidney disease. Compare and contrast the risks and psychosocial implications associated with two management options.ORDER A PLAGIARISM-FREE PAPER HEREAnswers:Mr. Goodpasture’s Presentation and the Pathophysiology of his Kidney DiseaseEnd-stage renal disease (ESRD) as presented in My Goodpasture is characterised by irreversible deterioration in renal function characterised by the body’s inability to maintain metabolic and fluid and electrolyte balance as expected (Smeltzer, Bare, Hinkle, & Cheever, 2010). As such, its presentation is manifested across different interrelated systems ranging from cardiovascular, neurologic, pulmonary, integumentary, hematologic, musculoskeletal to reproductive.Patients with end-stage kidney disease often present with neurologic complications such as Mr. Goodpasture’s state of agitation. Common neurological complications in end-stage renal failure include cognitive dysfunction, encephalopathy, stroke, and peripheral and autonomic neuropathies (Arnold, Issar, Krishnan, & Pussell, 2016). The pathophysiologic mechanisms of CNS injury in ESRD is proposed to be multifactorial i.e. including both vascular and neuro degenerative mechanisms. Alongside irritability, other common neurologic signs and symptoms include disorientation, seizures, weakness and fatigue, inability to concentrate, behaviour changes, asterixis, seizures and burning sole of the feet (Smeltzer, Bare, Hinkle, & Cheever, 2010).NSG2HPB Nursing Health Priorities AssignmentOn respiratory examination, Mr. Goodpasture presentments with scattered crackles over bases which are also a typical presentation in end-stage kidney disease. Pulmonary presentation in ESRD may also include shortness of breath, crackles, Kussmaul-type respirations, thick, tenacious sputum, uremic pneumonitis, tachypnoea, pleuritic pain and depressed cough reflex (Smeltzer, Bare, Hinkle, & Cheever, 2010). The pulmonary effects are as a result of the intimate relation between lung and kidney function. Changes in respiratory function are a mitigation of the systemic effects of renal acid-base disturbances (Cury, Brunetto, & Aydos, 2010). The patient also presents with cardiovascular system problems. According to Smeltzer, Bare, Hinkle, and Cheever (2010), typical signs and symptoms of chronic failure in the cardiovascular system may include hypertension, oedema, hyperlipidemia, pericarditis, and hyperkalaemia. The current patient presents with both oedema and hypertension. Cardiovascular disease is actually the leading cause of death in patients with ESRD who receive dialysis owing in part to the shared risk factors for ESRD and cardiovascular disease (Sweety, Arzu,, Rahman, Salim, & Mahmood, 2014). Gastrointestinal manifestations may include uremic fetor, constipation or diarrhoea, anorexia, and mouth ulcerations and bleeding (Smeltzer, Bare, Hinkle, & Cheever, 2010). NSG2HPB Nursing Health Priorities Assignment

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