The Chronic Kidney Disease Solution™ By Shelly Manning It is an eBook that includes the most popular methods to care and manage kidney diseases by following the information provided in it. This easily readable eBook covers up various important topics like what is chronic kidney disease, how it is caused, how it can be diagnosed, tissue damages caused by chronic inflammation, how your condition is affected by gut biome, choices for powerful lifestyle and chronic kidney disease with natural tools etc.
How does CKD affect individuals with disabilities?
Chronic kidney disease (CKD) can have a severe effect on individuals with disabilities in manners that contribute to existing health, mobility, and social problems. Here’s how CKD affects them:
1. Increased Health Burden
Various comorbidities: Most individuals with disabilities already have additional chronic diseases (e.g., cerebral palsy, multiple sclerosis, intellectual disability), which may exacerbate CKD progression.
Increased risk of complications: Reduced physical activity, limited mobility, or support with care may result in poor blood pressure control, malnutrition, and missed medical appointments—all contributors to increased risk of CKD worsening.
2. Barriers to Diagnosis and Treatment
Delayed diagnosis: CKD underdiagnosis in individuals with disabilities results from communication barriers, atypical reporting of symptoms, or provider bias.
Access issues: Lack of available dialysis centers or the inability to own a car could hinder frequent treatment, particularly in individuals with mobility impairments or those residing in rural settings.
Cognitive complications: Individuals with intellectual or developmental disabilities might have difficulty learning about dietary restrictions, medication regimens, or symptoms of kidney impairment.
3. Mental Health Effects
CKD is associated with depression and anxiety, and individuals with disability already carry high mental health risk. The added burden of carrying a chronic illness can compound emotional function and decrease quality of life.
Treatment fatigue and loss of control may lead to social isolation or reduced motivation to remain on complicated care plans.
4. Social and Financial Burden
Caregiver burden: Both disability-related needs and CKD care can require attention from families or aides, increasing emotional and financial strain.
Job difficulties: For those working, CKD can further restrict career options due to fatigue, frequent medical appointments, or dialysis regimens.
5. Policy and Advocacy Needs
Disability and CKD patients typically require coordinated multimodal care from nephrologists, rehabilitation professionals, social workers, and psychiatric clinicians.
Most urgently needed are comprehensive healthcare policies that promote accessibility, early screening, and culturally competent care for these patients.
If you’re interested, I can also provide information on:
Nutrition and CKD in patients with physical or mental disabilities
Dialysis accommodations for wheelchair-dependent patients or patients who use mobility aids
Disability advocacy groups and support services for patients with disabilities who have CKD
Chronic kidney disease (CKD) caregiving in older Americans has a number of distinctive challenges founded on interactions among aging, comorbidities, medication intolerance, and care preferences. This is a detailed profile:
1. Multimorbidity of health profiles
Multiple chronic conditions: Most older patients with CKD have comorbid conditions such as:
Diabetes
Hypertension
Cardiovascular disease
Cognitive impairment or dementia
Multiple use of medications (polypharmacy) is common and raises the risk of:
Drug interactions
Nephrotoxic side effects
Adverse effects (e.g., electrolyte imbalance, dehydration)
2. Age-Related Kidney Decline vs Disease
Normal age-related alterations in kidney function are difficult to discern from pathologic CKD:
Estimated glomerular filtration rate (eGFR) declines with age.
All reductions in kidney function are not necessarily significant health issues.
Overdiagnosis can result in unnecessary concern or intervention.
3. Atypical or Subtle Signs
Older adults may not always exhibit classic CKD symptoms of weakness, swelling, or adjustments in urination.
Symptoms are frequently confused with normal aging or other disease.
Cognitive changes, loss of appetite, or weakness might be more notable signs.
4. Nutritional Challenges
Adhering to dietary limitations (low sodium, phosphorus, potassium, protein) is more challenging:
Older adults can already have decreased appetite, poor dentition, or lack cooking skills.
Risk of malnutrition is higher if dietary guidance is overly restrictive.
Individualizing diet plans to maintain muscle mass and energy is essential.
5. Dialysis Considerations
Initiation of dialysis in elderly patients is a trade-off decision:
Dialysis prolongs life but decreases quality of life due to:
Fatigue
Loss of autonomy
More hospital visits
Conservative (non-dialysis) care could be appropriate in certain situations, especially with limited life expectancy.
Family, nephrologists, and palliative care decision-making should be shared.
6. Cognitive and Functional Decline
CKD is at increased risk of cognitive impairment and dementia.
Seniors with CKD are likely to have reduced mobility, increasing the risk of falls and making self-care activities more complicated.
Caregiver support or home health care may be required to monitor medications, fluid consumption, and dietary adjustments.
7. Psychological and Social Issues
Anxiety and depression are common but frequently underdiagnosed.
Independence loss and isolation can affect mental status and treatment adherence.
Transportation problems or reduced mobility can hinder nephrology care and access to dialysis.
8. System and Economic Issues
Economic challenges and access issues are more common among older patients.
Broken care between specialists and primary care.
Limited time during visits to address all concerns.
Unaffordable out-of-pocket costs for medications, nutritional needs, or supportive care in spite of Medicare.
9. Advance Care Planning
Insufficient discussion about prognosis, goals of care, and end-of-life planning is prevalent.
Older patients and families are not always well-educated about the natural history of CKD or dialysis options.
Palliative nephrology represents a new development that focuses on symptom control and quality of life without being overbearing.
Key Needs Summary:
Challenge\tStrategy for Management
Multiple comorbidities\tMedication review, coordinated care
Frailty and mobility\tPT/OT, caregiver support, prevention of falls
Cognitive impairment\tSimplified regimen, teaching by caregiver
Dialysis choice\tShared decision-making, quality-of-life focus
Nutritional issues\tIndividualized plans with dietitian input
Polypharmacy\tRenal dosing awareness, deprescribing as needed
Psychological well-being\tSocial support, screening for depression
Would you like a clinician/caregiver checklist of managing CKD in the elderly or patient education resources to educate patients on treatment options?
The Chronic Kidney Disease Solution™ By Shelly Manning It is an eBook that includes the most popular methods to care and manage kidney diseases by following the information provided in it. This easily readable eBook covers up various important topics like what is chronic kidney disease, how it is caused, how it can be diagnosed, tissue damages caused by chronic inflammation, how your condition is affected by gut biome, choices for powerful lifestyle and chronic kidney disease with natural tools etc.