College of Nursing

End Stage Reniforme Disease 20 to Diabetic Nephropathy

Presented by:

Balgos, Rachelle Ann

Dayto, April

Feranil, Daniel

Fulinara, Janice

Fuentes, Maila Happiness

Garrido, Ruben Paolo

Mendoza, Kenneth Robert

Nazareno, Jhon Ryan

Olfindo, Kristine Delight

Sombilon, Jorgette Kim


In Incomplete Fulfilment in the Requirement in NURS sixty for the amount Bachelor of Science in Nursing


I. Demographic Data4

II. Key Complaints4

III. History of Present Illness4

IV. Past Medical History5

V. Developmental History6

VI. Heredo-familial History15

VII. Gordon's Practical Health Patterns16

VIII. Physical Examination22

IX. Diagnostic Test43

X. Structure and Physiology75

XI. Pathophysiology81

XII. Case Management82

XIII. Nursing Proper care Plan107



" " The divine can be not anything high above us. It truly is in heaven, it is in earth, it truly is inside us... " - Morihei Ueshiba

We, group 2 of Level 3 section a couple of, have chosen this case to find more understanding of the device of End Stage Suprarrenal Disease and its particular process. The patient C. C is a 51 -year old guy who was clinically diagnosed to have diabetes mellitus 17 years ago and now has End Stage Renal Disease as a result of Diabetic Nephropathy. His disease leads to substance accumulation to his lungs and edema on his vulnerable parts. Our group chose the circumstance because it is as well our first time to handle an instance related to two major organ and system of the body, which are the kidney and the endocrine program. We also want to improve the knowledge and skills in dealing with individuals who have diabetes mellitus and End Level Renal Disease, especially in stopping the happening of it is complications. Suprarrenal failure refers to temporary or permanent harm to the kidneys that lead to loss of typical kidney function. There are two different types of suprarrenal failure - acute and chronic. Acute renal failing has an instant onset and it is potentially inversible. Chronic failure progresses gradually over at least three months and will lead to long term renal failing. Moreover, End-stage Renal Disease is if the kidneys permanently fail to function. It may also become brought about through having a history of diabetes. Diabetes mellitus (DM) has come to epidemic dimensions worldwide. In the past, diabetes was considered a disease confined to produced countries and affluent people. However , recent estimates claim that the frequency of diabetes is rising globally, specifically in producing countries. Diabetes mellitus has become an important health concern in the South Hard anodized cookware region with an estimated embrace the prevalence of diabetes of over 151% between 2000 and 2030. The South-Asian human population in particular is known to have an elevated predisposition pertaining to the disease. Ethnic differences and differential environmental exposure to risk factors inside the different populations are other suggested mechanisms. Nephropathy means kidney disease or damage. Diabetic nephropathy can be damage to the kidneys caused by diabetes. It really is one of the problems of diabetes. In severe cases it might lead to renal failure. Excessive blood sugar supplementary to diabetes can destroy the small blood vessels from the kidney, which function to filter out excess water and waste. As time passes, the kidney isn't able to perform its work as well. After it may stop working completely, hence, causing kidney failure. In people with diabetes, the nephrons thicken and slowly become scarred over time. •The kidneys begin to leak and protein (albumin) passes into the urine. •This damage can happen years just before any symptoms begin.

•The exact cause is unknown. However , kidney damage is more likely if there is poor control of diabetes and heart disease. Diabetic renal disease is known as a major cause of sickness and death in individuals with diabetes. It can cause the need for dialysis or a renal...



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