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Management of Pediatric Patients With Chronic Kidney Disease
Deborah Miller
Dina MacDonald
Chronic
kidney disease in children is associated with complications that
require nursing interventions in both the inpatient and outpatient
settings. Given the progressive nature of the disease and the
complexity of the treatment regimen, it is important that nurses be
comfortable implementing acute and preventive care strategies and
facilitating the coordination of care. In addition, the need for
multiple therapies can be distressing for patients and their families,
further supporting the role of the nurse in patient and family
education and decision making regarding the plan of care. In this
review, we discuss the pertinent issues of pediatric chronic kidney
disease in the context of a case study to promote better understanding
of real-world nursing practice.
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| Deborah Miller, MSN, RN, CNN, is Clinical Nurse Specialist, Pediatric Nephrology, Inova Fairfax Hospital/Pediatric Specialty Clinics, Falls Church, VA.
Dina MacDonald, BSN, RN, CNN, is Clinical Nephrology and Renal Transplant Coordinator, UCSD Medical Center/Children’s Hospital, San Diego, CA.
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