Chronic Kidney Disease Case Study Essay

Chronic Kidney Disease Case Study

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Patient Profile
M.B. is a 56-yr-old African American college professor. He is seen by his primary care provider for a
routine physical examination. He has not been seen
by a physician in a little over a year. He complains
of generalized malaise, frequent urination, and “increasing thirst.” His medical history is significant for
borderline hypertension and dyslipidemia. He also
smokes at least one pack of cigarettes per day, and
his efforts to quit have been unsuccessful.
Subjective Data
• Family history: father died of a heart attack at age 62, brother had
coronary artery bypass graft (CABG) at age 50, mother died from complications of diabetes
• Becomes “winded” when walking from his car to his office at the
university
• Wakes up at night to urinate and has more frequent urination
• Increasing thirst
Objective Data
Laboratory Data
• Calculated creatinine clearance using the MDRD equation: 42 mL/
min/1.73 m2
• Serum creatinine 2.5 mg/dL
• BUN 35 mg/dL
• Serum glucose 264 mg/dL
• Hgb 13 g/dL
• Serum cholesterol 236 mg/dL
Physical Examination
• Weight 220 lb, height 5 ft, 11 in
• Blood pressure 168/104 mm Hg
Discussion Questions
1. What do you think caused M.B.’s kidney failure?
2. What stage of chronic kidney disease does he have?
3. What are the most important treatments for M.B.?
4. Identify the abnormal diagnostic study results and why each would
occur.
5. Priority Decision: What are the priority nursing interventions that
would help promote M.B.’s self-management of his disease process?
6. Priority Decision: Based on the assessment data provided, what
are the priority nursing diagnoses? Are there any collaborative
problems?
7. Evidence-Based Practice: M.B. tells you that he has not been taking
his blood pressure medications regularly. When he asks you how important they are, what will you tell him?

Grading Rubrics

Critical Elements

Distinguished

(100%)

Proficient

(85%)

Basic

(70%)

Below Expectations

(50%)

Non-Performance

(0%)

Thesis Statement

Raises the strongest objection to the thesis presented in the assignment. The objection is strongly grounded in research and logical reasoning.

Raises a plausible objection to the thesis presented in the assignment. The objection is mostly grounded in research and logical reasoning.

Raises an objection to the thesis presented in the assignment. The objection is somewhat grounded in research and logical reasoning.

Attempts to raise an objection to the thesis presented in the assignment. The objection is minimally grounded in research and logical reasoning.

The objection to the thesis is either nonexistent or lacks the components described in the assignment instructions.

Counter Argument

Provides a strong, thorough rebuttal to the objection. The rebuttal effectively demonstrates that the thesis can withstand the objection and applies the principles of charity and accuracy.

Provides a rebuttal to the objection. The rebuttal mostly demonstrates that the thesis can withstand the objection and mostly applies the principles of charity and accuracy.

Provides a limited rebuttal to the objection. The rebuttal somewhat demonstrates that the thesis can withstand the objection and somewhat applies the principles of charity and accuracy.

Attempts to provide a rebuttal to the objection; however, the rebuttal minimally demonstrates that the thesis can withstand the objection and does not apply the principles of charity and accuracy.

The rebuttal is either nonexistent or lacks the components described in the assignment instructions.

Conclusion

– Provides clear and concise closing remarks that comprehensively summarize the essay. The remarks consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problem.

Provides closing remarks that summarize the essay. The remarks mostly consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problem. The closing remarks are somewhat unclear.

Provides closing remarks that minimally summarizes the essay. The remarks minimally consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problems. The closing remarks are unclear and/or vague.

Attempts to provide closing remarks that summarize the essay, however, the remarks do not consider the broader controversy and/or further research that could offer additional insight into the moral solution of the business problem. The closing remarks are unclear and vague.

The closing remarks are either nonexistent or lack the components described in the assignment instructions.

Written Communication: Context of and Purpose for Writing

Demonstrates methodical application of organization and presentation of content. The purpose of the writing is evident and easy to understand. Summaries, quotes, and/or paraphrases fit naturally into the sentences and paragraphs. Paper flows smoothly.

Demonstrates sufficient application of organization and presentation of content. The purpose of the writing is, for the most part, clear and easy to understand. There are some problems with the blending of summaries, paraphrases, and quotes. Paper flows somewhat smoothly.

Demonstrates a limited understanding of organization and presentation of content in written work. The purpose of the writing is somewhat evident but may not be integrated throughout the assignment. There are many problems with the blending of summaries, paraphrases, and quotes. Paper does not flow smoothly in all sections.

Organization and presentation of content are extremely limited. The purpose of the writing is unclear. There is little or no blending of summaries, paraphrases, and quotes. Paper does not flow smoothly when read.