Introduction
Chronic Kidney Disease occurs as a result of a breakdown in the functioning of the renal due to kidney damage. Subsequently, the kidney may retain excessive quantities of harmful nitrogenous and non-nitrogenous wastes associated with the renal failure. This analytical treatise attempts to explicitly present an outline for evaluating the nursing intervention plan for prevention and treatment of the Chronic Kidney Disease.
Intervention Plan Summary
Through the application of the Health Promotion Plan, the proposed intervention plan involved completed behavioral change in the form of healthy eating habits. The plan is appropriate for the identified role given that self-driven actions are easily rooted in the behaviors of the target population. From this approach, the highlighted numbers of new cases of CKD are likely to go down tremendously (Winnick, Lucas, Hartman, & Toll, 2005).
Formative and Summative approaches to evaluation of the intervention plan
Nursing intervention to minimize blood loss evaluation
It is important to have knowledge on the type of the Chronic Kidney Disease a patient is suffering from. It is imperative to maintain the patients on rest and increase the periods of complete rest periods to minimize the metabolic rate which increases the activities in the kidney. The nurse should then make frequent observations for metabolic acidosis in order to be in a position to notice any complication on an hourly basis. Regulate the fluid intake to avoid occurrence of edema (Arvin, 2011).
It is important to provide oral hygiene to the patient to minimize the occurrence of ulcers and irritation of the tissues as a result of excessive acidic wastes excreted through mucous membranes. Moreover, this practice should go hand in hand with the peritoneal dialysis and hemo-dialysis to minimize blood loss. In addition, the nursing intervention should incorporate counseling and guiding the patients to minimize anxiety. Excessive anxiety may increase the blood loss since the renal function will be more rapid than the kidney of the patient can handle. Increased activities or excessive pressure as a result of stress or anxiety may increase the retention of the harmful wastes in the kidney of the Chronic Kidney Disease patient (Arvin, 2011). The success will be measured by the degree of positive response exhibited by each patient. When the results are satisfactory by 60%, the intervention will be declared successful.
Evaluation of the intervention and diet plan
The nurse should ensure that the diet of the patient has high carbohydrate content, relatively low protein, and adequate fats since high fat and carbohydrate calories from metabolism does not support the creation of energy from proteins. This ensures that any available protein is reserved for repair of damaged tissues. Besides, it is important to reduce quantities of food rich in potassium to reduce the high levels of potassium in the ART patient. High level of potassium is the renal system is very harmful since it may result in electrolyte imbalances (Wang, Gamboa, Warnock, & Muntner, 2011). Proper dieting will be evaluated on the basis of changes in the condition of the patient after three months of the dieting program.
Evaluation plan for a patient with Chronic Kidney Disease
The evaluation plan for the Chronic Kidney Disease intervention will be carried out through a direct nurse-patient contact to boost acceptance and effectiveness. The main inputs in the intervention will include appropriate venue, allocating interaction hours and days, hiring appropriate healthcare personnel, and creating progress tracking module. The evaluation process will commence from the beginning of the program through to its completion for each patient. The main outputs will be categorized within the parameters of self improvement in terms of physical functioning and augmented kidney performance (Arvin, 2011).
References
Arvin, A. (2011). Nursing care plan for acute renal failure. Web.
Winnick, S., Lucas, D.O., Hartman, A.L., Toll, D. (2005). How do you improve compliance? Pediatrics, 115 (6), 718-724.
Wang, H. E., Gamboa, C., Warnock, D. G., & Muntner, P. (2011). Chronic Kidney Disease and Risk of Death from Infection. American Journal of Nephrology, 34(4), 330-336.