1. Tips for Written assignment HSNS265

2. The Task: 1. You need to identify the stages of Chronic Kidney Disease (CKD) and discuss how you would know each of the stage. Think about the subjective and objective data that you would need to make your assessment. What evidence would indicate each of the stages…think about the signs and symptoms You then need to identify the stage of Glenda’s CKD and how you came to that conclusion. What evidence do you have (this information is in the moodle site and the video) that enables you to identify this stage Now you need to consider how you would manage Glenda’s CKD

3. Assess, diagnose, plan, implement and evaluate
The Nursing Process
Assess, diagnose, plan, implement and evaluate
This is what you can use to ensure that you cover all of the care glenda requires (these are you guiding principles for any patient)
You make an assessment and with that data you make a diagnosis. You then plan and manage the care and finally evaluate it to see if it worked!

4. How to start
Start with an introduction of what you plan to do within this essay
then define and describe CKD
Apply this to your scenario which is Glenda
Once you know the stages of CKD you should be able to work out glenda’s condition

5. Glenda
You will need to provide information about glenda – try to summarise the case study. ensure you include relevant information with regards:
signs and symptoms
her medical history
social history
medications
results of her physical examination or nursing assessment
what was her final diagnosis?
treatment
nursing care
final outcomes
Glenda presents to the clinic in stage 5 renal failure and is in need of urgent dialysis. Include treatment options, medications, diet, cultural and social support. You do not need the GFR as there is enough other indicators pointing to CKD stage 5 in the data.

6. Conclusion – summarise everything you have written about!
Management of care
consider how glenda’s care was managed at each stage
who were the health professionals that were involved and what were their roles – do you think there should have been any other health professionals involved? why?
what about health education?
what about patient centred care – was glenda involved in the decision making in relation to the care and treatment received. were her choices respected…what about autonomy?
Would you make any other recommendations?
Conclusion – summarise everything you have written about!
An excellent Journal Article is: Redmond & McClellend (2006). Chronic kidney disease, risk factors, assessment and nursing care. Nursing Standard. 20,10 p48-55
Although this is an older article this is a great place to start!
Remember that Glenda was treated as an outpatient in a clinic not an inpatient. What primary health care services are available for Glenda?

7. Rubric (Marking guide)
Check the marking guide to see that you are on the right track
key issues have been identified and discussed
Identified the stages of CKD
You have demonstrated knowledge about how the stages would have been determined through clinical assessment
How you would manage each stage of CKD especially Glenda’s
You have discussed the importance of patient centred care
You have discussed the health professionals who would be involved
all sources are referenced
ensure that you analyse and evaluate your findings

8. GOOD LUCK!