Nondrug Therapies Case Study

Best Essays
What nondrug therapies should clinicians recommend?
Lifestyle and dietary modifications are effective for specific types of CKD. Clinicians should advise all patients with CKD to quit smoking; exercise for 30 minutes most days of the week; limit alcohol intake (1 drink/day for women, 2 drinks/day for men); maintain body mass index within the normal range (18.5–
24.9 kg/m2); and eat a diet high in fruit, vegetables, and whole grains (34–35). The DASH diet is recommended for patients with a
GFR >60 mL/min/1.73 m2 and high-normal blood pressure or stage 1 hypertension but not those with lower GFR (CKD stages 3 or 4) because it contains a higher-than-recommended amount of protein, potassium, and phosphorous (34). Although salt restriction in the
…show more content…
In a study of primary angioplasty, 119 patients were assigned to a double dose of N-acetylcysteine,
116 patients to standard-dose Nacetylcysteine, and 119 patients to placebo. All patients received intravenous fluids for 12 hours after the procedure at a rate of 1 mL/ kg/h. Contrast medium–induced nephropathy, defined as an increase in the serum creatinine of 25% or more, was observed in 8% of patients in the double-dose group, 15% of pa-
Diagnosis... CKD is defined as kidney damage or a GFR <60 mL/min/
1.73 m2 for a period longer than 3 months. CKD should be classified based on levels of GFR and albuminuria. The first step in diagnosis is to determine whether a patient has diabetic nephropathy; hypertensive nephropathy; or nondiabetic, nonhypertensive kidney disease. The history and physical examination often point to a cause, but a definitive diagnosis requires various diagnostic tests, renal ultrasonography, and sometimes renal biopsy.
CLINICAL BOTTOM LINE
34. Kidney Disease Outcomes
Quality Initiative
(K/DOQI). K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease.
Am J Kidney Dis.

You May Also Find These Documents Helpful

  • Good Essays

    Nondrug Therapies Essay

    • 436 Words
    • 2 Pages

    In my article, drug and nondrug therapies for osteoporosis are being compared. My article states that the most effective ways to help with osteoporosis are preventing loss of bones, and avoiding fractures. Nondrug therapies may include; weight bearing exercise, adequate calcium intake, and prevention of falls. Drug therapies may include; estrogen replacement, calcitonin, fluoride, and bisphosphonates. Nondrug therapies can help with osteoporosis effectively. My article states that physical activity…

    • 436 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    situations that have the potential to surface during their career as an art therapist, or a counselor. For the purpose of demonstrating this knowledge, this student has created a fictional case-study that examines issues relating to counseling a minor and understanding the concepts associated with reparative therapy. Review of Literature This paper addresses several ethical issues. The first…

    • 1675 Words
    • 7 Pages
    Powerful Essays
  • Powerful Essays

    through occupation-bases interventions and outcome measurement drawing illustrative examples from the group work case studies. This assignment will evaluate the role of the occupational therapist in supporting mental health service users. Firstly it will briefly describe the key aspects of the role. Secondly it will draw on illustrative examples of interventions from three case studies, considering the role of the occupational therapist in relation to these. Finally, it will then discuss the use…

    • 3847 Words
    • 16 Pages
    Powerful Essays
  • Satisfactory Essays

    In regards to having Justin as a client, Justin and I would work together to establish therapeutic objectives that Justin desires to achieve in treatment. The first goal for Justin would be achieving a healthy sleep pattern. To aid in accomplishing the first goal, Justin will attempt to exercise three times a week. Research indicates that exercise and physical activity helps promote a good night’s sleep. Furthermore, it helps lower depression and anxiety symptoms. The second goal would be experimenting…

    • 229 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Assessment is an essential part of the occupational therapy process. It facilitates the therapist’s choice of intervention with a client, provides the setting of a baseline and allows measurement of progress. When used as an outcome measure it permits evaluation of the effectiveness of an intervention. Indeed, whilst Hagedorn (2000) observes, an experienced therapist may find formal assessment simply verifies information gained from informal conversation, observation and good clinical knowledge,…

    • 2295 Words
    • 10 Pages
    Powerful Essays
  • Powerful Essays

    Family Therapy Case Study

    • 2289 Words
    • 10 Pages

    In some cases ones counseling can prevent a negative life and provide for a safer society. This case depicts a client that falls under those circumstances. As a client, John Wayne Gacy will be introduced to Family Therapy to help him understand his family environment and help him to cope and or change…

    • 2289 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    The advent of direct access will open up new avenues for physical therapy and working in an outpatient pediatric facility can be fertile ground for direct access. Studies have shown that direct access has improved patient outcomes. Based on the journal written by Ojha, Snyder & Davenport, (2014), “There is evidence across level 3 and 4 studies (grade B to C CEBM level of recommendation) that physical therapy by direct access compared with referred episodes of care is associated with improved patient…

    • 581 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Group Therapy Case Study

    • 1131 Words
    • 5 Pages

    Group therapy along with one to one therapy has been around for many decades. A great deal of focus from the clinical community has resulted in a wealth of studies, demonstrating consistent empirical support for this model of psychotherapy as an efficacious therapeutic method. Furthermore, in these austere times group therapy is seen as a cost effective method of delivering psychotherapeutic interventions (Greenberger, Padesky 1995, Yalom, Leszcz 2005) (McRoberts, Burlingame & Hoag 1998). The group…

    • 1131 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    1. Discuss relevant multicultural/diversity issues in the case such as race, ethnicity, religion, class, sexual orientation, physical ability/disability, etc. Reality therapy (RT) is universal in practice on the basis of individual needs (Wubbolding & etal, 2004, p.p. 220-228). In fact, reality counselors uphold ethical and professional conduct; they may provide client suggestions to encourage rapport that may assist clients to attain their objectives (Seligman & Reichenberg, 2014, p. 377). Hence…

    • 236 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    sexual orientation can be changed through therapy but I do believe therapy can be utilized to help a person who may be struggling with their own sexual orientation. Hype and Delamater examined biological theories stating, “homosexuality is caused by biological factors” (2014, p. 338). I agree it can be a genetic factor which affects how a person identifies themselves. Therapy cannot change a person sexual orientation if it’s a genetic factor. I do believe therapy can help someone who is struggling with…

    • 298 Words
    • 2 Pages
    Good Essays