Phillips Angela
West Texas A&M University College of Nursing and Health Science, Canyon, TX, USA.
Nephrol Nurs J. 2009 Jan-Feb;36(1):41-7.
Autosomal dominant polycystic kidney disease (ADPKD) is the most frequent genetic cause of chronic kidney disease (CKD) and renal failure in adults. CKD is increasingly managed within a primary care setting, and thus, it is important for primary care providers (PCPs) to be aware of ADPKD. Diagnosis of ADPKD is usually made based on kidney imaging studies and genetic testing. Treatment of ADPKD is a challenge for PCPs and should be managed collaboratively with a nephrologist. This article describes a case study of a patient with ADPKD who is managed by a family nurse practitioner (FNP) and a nephrologist. Through the examination of this complex case, a continuum of care can be arranged for the patient through the end of life.
常染色体显性多囊肾病(ADPKD)是成人慢性肾脏病(CKD)和肾衰竭最常见的遗传病因。慢性肾脏病越来越多地在初级保健机构中得到管理,因此,初级保健提供者(PCP)了解ADPKD很重要。ADPKD的诊断通常基于肾脏影像学检查和基因检测。ADPKD的治疗对初级保健提供者来说是一项挑战,应由肾病科医生协同管理。本文描述了一名由家庭护士执业医师(FNP)和肾病科医生管理的ADPKD患者的病例研究。通过对这个复杂病例的检查,可以为患者安排贯穿生命终结的连续护理。