Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner

Br J Nurs. 2022 Feb 10;31(3):124-134. doi: 10.12968/bjon.2022.31.3.124.

Abstract

Chronic kidney disease (CKD), also known as chronic renal failure (CRF), is a common, globally significant condition, with associated significant mortality and morbidity. Due to the disease prevalence, advanced clinical practitioners (ACPs) in a variety of primary and secondary care settings will encounter patients with this diagnosis who will require care and treatment. This article examines definitions of CKD, describes a clinical approach to a patient with CKD, including key history and examination findings, and provides a brief overview of renal replacement strategies for the patient with end-stage renal failure. ACPs require a thorough understanding of this condition and the key elements of treatment and care in this population.

Keywords: Advanced clinical practice; Advanced clinical practitioners; Chronic kidney disease; Chronic renal failure; End-stage kidney disease.

MeSH terms

  • Disease Progression
  • Humans
  • Kidney Failure, Chronic* / therapy
  • Morbidity
  • Renal Insufficiency, Chronic* / therapy
  • Renal Replacement Therapy
  • Secondary Care