S.Y.

2022-2023 2nd Semester

In Partial Fulfillment of the Course NUR-1222

Intensive Nursing Practicum RLE 

A Case of 35-year-Old Female 

with Chronic Kidney Disease Stage 5 Secondary to
Systemic Lupus Erythematosus 

Presented by:
Cabaral, Xean Romeo
Cañita, Czareena Mae Angela 
Dalangin, Shanne Denise
De Peralta, Alyssa
De La Cruz, Divine
BSN 402 - Group 1B

Presented to:
Ms. Giselle Navallo, RN

Presented on:
March 14, 2023
CUES NURSING ANALYSIS GOAL AND INTERVENTION RATIONALE EVALUATION
DIAGNOSIS OBJECTIVE

Subjective Disturbed Scientific: Short term: - Assess the - Adolescents Goal Met: ✔
Cues: body image After 4 hours of impact of and young The patient was
related to According to the nursing body image adults may be able verbalized
As stated by the presence of study, kidney assessment: disturbance in particularly and increased
patient “she dry skin, dysfunction can Patient will relation to the affected by ability to discuss
experiences dry chapped lips, cause physical verbalize or patient's changes in the and take care of
skin, chapped and alopecia. changes to our skin. express feelings developmenta structure or actual or
lips and hair fall When we have about self and l stage. function of perceived
which she CKD, our kidneys acknowledge their bodies at altered bodily
thinks it is cannot filter our changes in body a time when parts or
normal to her blood as well as image. developmental functions as a
illness.” healthy kidneys changes are sign of
would, allowing Long Term: normally improved body
waste and toxins to After 3 days of rapid and at a image and self-
Objective build up and making nursing time when esteem.
Cues: us feel very itchy. intervention: developing
 When vital elements social and
- Pallor like phosphorus are The patient will intimate
- Dry skin out of balance in the demonstrate relationships
- Chapped kidneys, our skin enhanced body is particularly
lips might become dry or image and self- important.
irritated and ruined. esteem as
Changes in our evidenced by - Assess the - There is a
sweat glands ability to talk about patient's broad range of
brought on by CKD and care for actual behavior behaviors
may also result in or perceived altered regarding the associated
dry skin. body part or actual or with body
function. perceived image
In additional to changed body disturbance,
moisturizing and part or ranging from
cleaning the mouth, function. totally
saliva also helps ignoring the
with digestion and altered
prevents dry structure or
mouth. When your function to
mouth doesn't have preoccupation
enough saliva to with it.
stay moist, dry
mouth develops. - Assess the - Negative
Given that it makes patient's statements
speaking and eating verbal about the
more comfortable remarks about affected body
and so improves the actual or part may
general health, it is perceived indicate
especially crucial for change in limited ability
people with chronic body part or to integrate
kidney disease. function. the change
Drug side effects, into the
such as those from patient's self-
high blood pressure concept.
medications, statins,
diuretics, muscle
relaxants, sedatives,
anti-inflammatory
medications, and
therapies for
allergies, anxiety,
and depression, can
result in dry mouth.
Another significant
symptom of severe
CKD is hair loss
and as protein
makes up hair,
having a sufficient
intake of high-
quality dietary
protein is crucial for
having healthy hair.
Thinning, brittle,
and falling hair can
occur in CKD
patients due to a
decreased appetite,
the accumulation of
pollutants, mineral
& vitamin
deficiencies, and
reduced appetite.  
References:

Fresenius Kidney Care (2022) “How Kidney Disease Affects Your Skin: Managing Rashes, Sores, and Itches” Retrieved from:
https://www.freseniuskidneycare.com/thrive-central/kidney-disease-skin-conditions

Kidney Buzz (2014) “The Effects of Dry Mouth On Chronic Kidney Disease And Diabetes Patients Can Become Serious” Retrieved
from: https://www.kidneybuzz.com/the-effects-of-dry-mouth-on-chronic-kidney-disease-and-diabetes-patients-can-become-serious

Lenco Diagnostic Laboratory (2021) “chronic kidney disease: Common Symptoms, Causes & Tests” Retrieved from:
https://www.lencolab.com/publications/2021/3/chronic-kidney-disease-common-symptoms.html#:~:text=Kidney%20Disease
%20%26%20Hair%20Loss&text=In%20patients%20with%20Chronic%20Kidney,important%20symptom%20of%20severe%20CKD.