NR 503 Week 2 Assignment-Healthy People 2020 Impact Paper

This paper will explore and analyze the disease process related to Chronic Kidney Disease, often called Chronic Renal Failure or Stage Renal Disease. The report will further provide the risk, mortality, and morbidity of this chronic illness that typically leads to reduced quality of life due to having to be placed on hemodialysis to sustain life.

Problem Identification

 Chronic Kidney Failure (CKF), as defined by The Lancet (2014), is when an individual presents with a glomerular filtration rate (GFR) that is persistently below 15 mL/min per 1·73 m² This signifies the last stage of kidney disease. Diabetes is one of the most common causes of CKD. Therefore, much education and prevention of diabetes is a part of the disease prevention of Healthy People 2020.

Many factors contribute to such a high risk of death in chronic kidney failure, such as diabetes, obesity, hypertension, atherosclerosis, and smoking, all of which many patients present with a very complex medical situation.

Problem Overview

 For this paper, the data will focus on the national problems with CKD. Research reflects that the mortality of patients diagnosed with CKD on some form of renal replacement therapy (hemodialysis, Peritoneal dialysis) is usually impacted by many factors, socioeconomic, lack of access to healthcare or dialysis centers, lack of transportation, other pre-existing medical are some the issues that patients die prematurely.

Chronic Kidney disease usually leads to the highest form of CKD, Stage Renal Disease (ESRD), which is vascular and occurs due to the deterioration of the vascular system. With much progress in hemodialysis services, the number of deaths from kidney disease is still very high compared to the number of people diagnosed.


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