Early Screening of Chronic Kidney Disease in Primary Care Practice for Veterans

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Ertha Jeter (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Angela Kabbe

Abstract: Background: Chronic kidney disease (CKD) is the ninth-leading cause of death in the U.S. An estimated 5–10 million people die annually from kidney disease. Eleven percent of US veterans receiving care in the Veterans Affairs system have CKD. Purpose: The purpose of this quality improvement project was to encourage primary care providers and nurses to screen veterans at one VA facility for CKD and to provide patient education and self-management tips on CKD for those at risk of CKD. Methods: This project used a quantitative descriptive design. This project was implemented in a southeastern United States Veterans Affairs Health System. Convenience sampling was used to find project participants. A screening algorithm tool from the National Kidney Foundation was modified to determine risks for CKD. Veterans at risk for or with mild CKD were provided screening lab tests and CKD education. Results: The screening algorithm tool was used for a total of 89 veterans. Eighty-six veterans had risk factors for CKD. Sixty veterans received screening lab tests for CKD. Twenty veterans received both labs and education and 46 veterans received CKD education only. Recommendation and conclusion: The screening tool was effective in assisting nurses and primary care providers to emphasize CKD lab test screening and CKD education with veterans at risk for CKD. The screening tool was too sensitive for younger veterans and veterans’ whose only risk factor was taking NSAIDs. The project was implemented for 6 weeks only; future efforts to improve CKD screening and patient education should consider longer implementation periods and examine long-term outcomes.

Early Screening of Chronic Kidney Disease in Primary Care Practice for Veterans
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Created on 2/8/2023
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Additional Information

Publication

Dissertation

Language: English

Date: 2022

Keywords

chronic kidney disease screening, self-management of chronic kidney disease, CKD and veterans, literacy and chronic kidney disease, chronic renal failure, patient education with chronic kidney disease

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