RENAL DISORDER

RECOMMENDATION:
MEDICATIONS

 Tell the patient and patient’s family to take their medicine as directed.
 Prednisone at 0.5 mg/kg for two weeks followed by a gradual taper over four
weeks.
 Explain to patient and patient’s family about the name and purpose of their medicine.
 Explained to patient and patient’s family about the possible side effects of drugs and
managed them to report any side effects to the nursing staff.

EXERCISE

 Instructed the client to seek the doctor first before doing exercise.
 Assist the patient in prioritizing activities and establishing balance between activity and
rest that would be acceptable to the patient.
 Try to do light exercise every day. Avoid heavy exercise or activity.
 Instructed the patient to exercise should be done regularly to gain the benefits.
 Advise the patient to try to exercise at the same time every day to establish a habit and to
minimize any variables that may impact their exercise.

TREATMENTS and MANAGEMENT

 Encourage the patient to continue Hemodialysis.

 Encourage the patient to have fluid intake of 2000 –2500 mL to prevent UTI, calculi
 Discussed to patient's family, to encourage the patient to have enough sleep and rest.
 Discussed to patient's family, what foods are good for the patient. The patient will feel
better with healthy food in her body. 
 Discussed to patient's family, to encourage/accompany the patient to go for a walk, do
light exercise, and save their energy for the things that are most important to them.
 Encourage the patient that don't be afraid to ask for help when they need it.
 RENAL DISORDER

HEALTH TEACHING

 Reminded the patient's family that the patient must always eat healthy meals and the
suggested foods that rich in protein.
 Encouragement of patient not to smoke
 Reminded the patient's family to encourage the patient to take adequate rest and to have
enough hours of sleep.
 Educate the patient’s family about the importance of planning a day that include rest
periods. Don't try to over-schedule patient.

OUT-PATIENT

 Instructed the patient's family that patient should follow the schedule of follow check-up
when discharged.
 Instructed the patient’s family to strictly follow the prescriptions that are given to them.

DIET/NUTRITION

 Discussed to patient's mother/sister to encourage the patient to drink plenty of water to

keep the patient's body well hydrated and to avoid UTI.

 Discussed to patient and the patient's mother/sister the importance of eating the healthy

foods for the patient.

 Encouraged the patient to reduce Sodium, Potassium, Phosphorus intake.

 RENAL DISORDER

SPIRITUAL

 Discussed to patient and patient's companion to approach the staff, whenever the patient,
need anything or has any problems. 
 Discussed to patient's family to encourage the patient to pray regularly and maintain her
faith.

REFERENCES:

 Staying Fit With Kidney Disease. (2019, June 25). National Kidney Foundation.

https://www.kidney.org/atoz/content/stayfit#:%7E:text=Choose%20continuous

%20activity%20such%20as,as%20part%20of%20your%20program

 Kidney diet and foods for chronic kidney disease (CKD). (n.d.). American Kidney Fund

(AKF). Retrieved October 9, 2021, from https://www.kidneyfund.org/kidney-

disease/chronic-kidney-disease-ckd/kidney-friendly-diet-for-ckd.html