Chronic kidney disease in an Aboriginal population: A nurse practitioner‐led approach to management

Abstract ProblemChronic kidney disease (CKD) is a significant health problem impacting Australia's Aboriginal and Torres Strait Islander population. After age adjustment, the prevalence of kidney disease is 3.7 times higher in Aboriginal people and 7.3 times higher for end‐stage kidney disease compared with the wider population. Yet at an Aboriginal Community Controlled Health Service (ACCHS) with a significant patient population, fewer than expected numbers of Aboriginal patients were identified with CKD. DesignThe ACCHS engaged a nurse practitioner to lead a systematic approach to the identification and treatment of CKD. Setting: This nurse practitioner‐led approach to CKD was developed and implemented at a rural NSW ACCHS, with the support of a partnership formed between the nurse practitioner, the ACCHS, a nephrologist from a referral hospital and a statewide NGO. Key measures for improvementThe primary measure for improvement has been to identify and stage patients with CKD and establish management plans as appropriate. Strategies for changeThis nurse‐led project was established to: (i) identify patients with CKD; (ii) provide access for CKD patients to appropriate services; (iii) commence pharmacological and non‐pharmacological strategies that enable remission or regression of CKD; and (iv) educate practice GPs and other staff members on CKD clinical guidelines and best practice. Effects of changeThe CKD project has improved access to essential health care for v...
Source: Australian Journal of Rural Health - Category: Rural Health Authors: Tags: Special Issue – Rural and Remote Nursing & Midwifery Source Type: research