Kidney Disease Management A Practical Approach for the Non-Specialist Healthcare Practitioner

“This informative book has been put together with the support and input of many clinical renal experts, who have been willing to share their knowledge and years of experience and I’m sure it will be an excellent resource for those caring for kidney patients for the first time – as well as for those with some years of experience!”

From the Foreword by Rosemary Macri, Chief Executive of the British Kidney Patient Association

Kidney Disease Management: A Practical Approach for the Non-Specialist Healthcare Practitioner has been written to help optimise the care of people with chronic kidney disease (CKD) across the healthcare spectrum. It is aimed at a range of professionals, including nurses, junior doctors, general practitioners, pharmacists and dietitians. Specialists in training may also find it useful. It highlights the practical considerations necessary to care for people with kidney problems in situations where a specialist practitioner is not always required or immediately available.

This book explores policy context and CKD, overview of CKD and management, managing CKD in primary care, treatment modalities in CKD, psychosocial aspects of living with CKD, acute kidney injury in hospitalised patients, surgery and kidney injury, medication management in CKD, nutrition and CKD, and support and palliative care for people with CKD.

Key features:

• Based on best practice and written in an accessible format aimed at busy practitioners
• Emphasises the centrality of the patient and family and the need to share information and expertise across traditional boundaries
• Written by professionals renowned in their field, both generalists and specialists, who have extensive experience of the practicalities of managing complex patients

Rachel Lewis is Doctoral Researcher with the Collaboration of Leadership in Applied Health Research and Care at Manchester University.

Dr Helen Noble is Lecturer in the Adult Nursing Department, at City University, London, UK. She has extensive research expertise in nephrology nursing, particularly related to those who opt not to embark on dialysis.

Contributors vii

Foreword xi
David Colin-Thomé

Foreword xii
Rosemary Macri

Introduction: Managing Patients with Chronic Kidney Disease in Non-Specialist Areas: A Chronic Illness Approach xiii
Rachel Lewis

1 Managing Chronic Conditions: The Policy Context 1
Beverley Matthews

2 What Non-Specialists Need to Know about Chronic Kidney Disease 12
Graham Woodrow, Jeanette Denning and David Lewis

3 A Practical Approach to Chronic Kidney Disease in Primary Care 31
Hugh Rayner, Rajib Pal and Indranil Dasgupta

4 General Considerations Related to Treatment Modalities 52
Aisha I. Geeson, Charles R. V. Tomson and Lesley Lappin

5 Psychosocial Aspects of Living with Chronic Kidney Disease 76
Emma Coyne

6 Acute Kidney Injury in Hospitalised Patients 101
Keith Harkins, Rachel Lewis and Rachel Hilton

7 Management of Patients with or at Risk of Kidney Disease on the Surgical Ward 122
Colin H. Jones and Maggie Higginbotham

8 Medication Management and Chronic Kidney Disease 143
Aileen Dunleavy

9 Optimising Nutrition in People with Chronic Kidney Disease 169
Helena Jackson and Sally Noble

10 Supportive and Palliative Care for Patients with Advanced Kidney Disease 194
Sheila Johnston, Helen Noble and Rachel Lewis

Index 213

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