Chronic Kidney Disease Secondary to Diabetes Mellitus

Question: Discuss about the Chronic Kidney Disease Secondary to Diabetes Mellitus. Answer: Introduction: Effective self-management of glucose levels will reduce damage to blood vessels that supply the kidney with blood. Elevated sugars hinder nourishment of organs because the normal hemostasis process of the body is altered. Adulteration of kidneys translates to insufficiency in detoxification of blood which further deters recuperation of the patient. Diabetes mellitus causes damage to the glomeruli thus hindering ultrafiltration process (Mogotlane Chauke, 2016). The ultimate result is the presence of proteins in urine because they are not adequately reabsorbed into the system. Regulating the therapy regimens is one of the primary protocols that dictate the management of the condition. Low kidney function needs medications that do not culminate in numerous impurities (Hogan Gingrich, 2013). Calcium channel blockers and angiotensin 11 receptor blockers are recommended because they work on the pathology without sabotaging the element levels in the system. A comprehensive, multifaceted t reatment is encouraged to reduce deterioration of the body. Ineffective management of chronic kidney disease puts one at a risk of acquiring ailments such as pericarditis, anemia and cardiovascular diseases. The presence of an underlying condition such as diabetes necessitates regular examinations to pave the way for early identification of complications. Self-management is core in refuting vulnerability of adverse ramifications. For instance, taking foods which do not cause an upsurge of sugar in the body makes glucose to be controlled making an affirmative course of recovery to be established. Another nursing problem is anxiety which can culminate in a negative prognosis. Stress is a core outcome which elevates the blood pressure making the chronic kidney disease hard to manage. According to Schneider Szanto (2014), having an altered thought process makes one resort in unnecessary ideations. Anxiety can trigger depression or manic behavior which deters the hemodynamic parameters of the body. Mrs. Mallacoota in the case study verbalizes of being worried about the future outcomes of her disease process. She is uncertain if the pathology requires a kidney transplant. Positive health outcomes can be promoted by allaying the anxiety. As stated by Hogan Gingrich (2013), proper enlightenment and encouragement of the patient impose a sense of satisfaction. Demystifying sentiments and affirming positive thoughts culminates in desired outcomes. References Hogan, M Gingrich, S 2013,Pathophysiology, Pearson, Boston. Mogotlane, S Chauke, M 2016,Medical-surgical nursing, Juta, Cape Town. Schneider, A Szanto, P 2014,Pathology, Wolters Kluwer Health/Lippincott Williams Wilkins, Philadelphia.