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Challenges for Nephrology Nurses in the Management of Children with Chronic Kidney Disease -
Deborah Miller, Dina Macdonald, Ken Kolnacki, and Teresa Simek
An
important treatment goal for pediatric nephrology caregivers is the
optimization of a child’s capacity for normal growth and development.
However, the physiologic and metabolic derangements associated with
chronic kidney disease (CKD) significantly alter these processes,
creating important challenges in the care of affected children.
Evidence-based clinical practice guidelines support early recognition
and treatment of CKD-related complications to improve growth and
development and, ultimately, quality of life for children with this
chronic condition.
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| Deborah Miller, MSN, RN, CNN, is
Clinical Nurse Specialist in Pediatric Nephrology, Inova Fairfax
Hospital, Falls Church, VA. She is a member and past president of the
Capitol Chapter of ANNA.
Dina Macdonald, BSN, RN, CNN, is
Clinical Nephrology and Renal Transplant Coordinator, UCSD Medical
Center/Children’s Hospital, San Diego, CA. She is a member of the ANNA
Pediatric SIG and member and past president of Nephros South Chapter of
ANNA.
Ken Kolnacki, BSN, RN, CNN, is Coordinator/Staff
Nurse in the Pediatric Dialysis Unit, Albany Medical Center
Hospital, Albany, NY. He is a member of the ANNA Pediatric SIG and a
member of ANNA Northeast Tri-State Chapter.
Teresa Simek, MSN, CPNP, CDE, CNN, is
the Nephrology and Hypertension Case Manager, Mary Bridge Children’s
Hospital and Health Center, Tacoma, Washington. She currently is a
member of the ANNA Pediatric SIG Committee and will assume the
leadership position in April 2004. She is a member of ANNA’s Greater
Puget Sound Chapter.
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