Kidney Disease
Chronic Kidney Disease
Eileen Daza-Gallego
The Center for Allied Health Nursing Education
Abstract
An estimated 26 million adults in the United States have Chronic Kidney Disease (CKD). Persons with CKD are unlikely to be aware of their disease and seek appropriate treatment before it is too late. Among those that have the disease, a large majority of them are obese and are suffering from diabetes or hypertension or both. The majority of the individuals with hypertension and/or diabetes will develop kidney disease as a result of non-compliance with the prescribed lifestyle change and/or medication prescribed. These patients account for the higher rate of chronic kidney disease in the United States.
Efficacy of treatment for hypertension has been reduced mainly due to patient non-compliance with medication and lifestyle change advice (Lüscher TF, 1985). The same can be said for diabetes. Medical non-compliance is a major public health problem in the treatment of hypertension and diabetes, and the leading cause of CKD to date. In fact, an estimated 60% of patients take medication as prescribed (Gascón, Sánchez-Ortuño, Llor, Skidmore, & Saturno, 2003). Research has been conducted focusing on the understanding of this problem, but to date, the majority of the studies have been focused from the medical care point of view not the patient’s point of view which suggest that non-compliance could be associated with reservations about the drugs as well as a lack of knowledge on which to build and understanding of the condition and treatment. Although the study pertains to the disease of hypertension and the non-compliance of its medications, the same concept can be applied to the disease of diabetes and how the non-compliance of both diseases can lead to CKD.
Chronic Kidney Disease
A growing number of Americans have chronic kidney disease, but most remain unaware of it, hampering efforts to prevent irreversible kidney failure requiring dialysis or a
Eileen Daza-Gallego
The Center for Allied Health Nursing Education
Abstract
An estimated 26 million adults in the United States have Chronic Kidney Disease (CKD). Persons with CKD are unlikely to be aware of their disease and seek appropriate treatment before it is too late. Among those that have the disease, a large majority of them are obese and are suffering from diabetes or hypertension or both. The majority of the individuals with hypertension and/or diabetes will develop kidney disease as a result of non-compliance with the prescribed lifestyle change and/or medication prescribed. These patients account for the higher rate of chronic kidney disease in the United States.
Efficacy of treatment for hypertension has been reduced mainly due to patient non-compliance with medication and lifestyle change advice (Lüscher TF, 1985). The same can be said for diabetes. Medical non-compliance is a major public health problem in the treatment of hypertension and diabetes, and the leading cause of CKD to date. In fact, an estimated 60% of patients take medication as prescribed (Gascón, Sánchez-Ortuño, Llor, Skidmore, & Saturno, 2003). Research has been conducted focusing on the understanding of this problem, but to date, the majority of the studies have been focused from the medical care point of view not the patient’s point of view which suggest that non-compliance could be associated with reservations about the drugs as well as a lack of knowledge on which to build and understanding of the condition and treatment. Although the study pertains to the disease of hypertension and the non-compliance of its medications, the same concept can be applied to the disease of diabetes and how the non-compliance of both diseases can lead to CKD.
Chronic Kidney Disease
A growing number of Americans have chronic kidney disease, but most remain unaware of it, hampering efforts to prevent irreversible kidney failure requiring dialysis or a
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