Advanced Chronic Kidney Disease: Managing Stages III–V and Palliative Care
Über den Vortrag
Der Vortrag „Advanced Chronic Kidney Disease: Managing Stages III–V and Palliative Care“ von Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C ist Bestandteil des Kurses „Management of Genitourinary and Nephrological System Disorders in the Older Adult“.
Quiz zum Vortrag
When caring for an older adult who has both chronic kidney disease and a recent acute kidney injury, which statement best reflects appropriate use of guidelines?
- The clinician should consult both KDOQI and KDIGO guidelines to address chronic and acute kidney issues.
- The clinician should rely only on KDOQI guidelines because they are specific to chronic kidney disease.
- The clinician should rely only on KDIGO guidelines because they cover all aspects of kidney disease management.
- The clinician should prioritize local institutional protocols over national kidney disease guidelines.
- The clinician should use general geriatric guidelines rather than kidney-specific clinical guidelines.
In the care of older adults with kidney disease, KDIGO guidelines are particularly valuable for which aspect of treatment?
- Providing treatment guidance for acute kidney injury
- Providing exclusive recommendations for dialysis initiation
- Providing nutrition plans for all stages of disease
- Providing guidance only for kidney transplant recipients
- Providing standardized dosing for antihypertensive medications
For an older adult with stage 3 CKD and diabetes, which anti-diabetic strategy is most consistent with the treatment recommendations?
- Transition from metformin to an SGLT2 inhibitor such as dapagliflozin or empagliflozin for safer kidney outcomes.
- Increase the metformin dose to improve glucose control despite declining eGFR.
- Switch from metformin to a sulfonylurea because it does not accumulate in CKD.
- Start high-dose insulin immediately despite cognitive impairment.
- Continue metformin at current dose until reaching stage 5 CKD.
How should treatment intensity change as older adults with CKD age from 65 into their late 80s?
- Care shifts from modified standard targets (65-74), to conservative management (75+), to symptom-focused comfort-oriented treatment after 85.
- Care becomes progressively more aggressive from age 65 onward to prevent any decline in eGFR.
- Care remains identical at all ages because age should not influence CKD treatment targets.
- Care focuses solely on strict glucose control after age 75, with less emphasis on blood pressure management.
- Care after age 85 emphasizes tighter blood pressure targets and more frequent laboratory monitoring.
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Dozent des Vortrages Advanced Chronic Kidney Disease: Managing Stages III–V and Palliative Care
Kimberly Posey, AGPCNP-BC, DNP, PhD, GS-C
Dr. Kim Posey is the Director of Graduate Nursing and an Associate Professor of Professional Practice at Texas Christian University.
She has achieved dual doctoral status, holding both a Ph.D. and a DNP in nursing. She is dual certified as an Advanced Adult Nurse Practitioner and Gerontological Nurse Practitioner and holds a certification in nursing education. As a Gerontological Specialist certified by the Gerontology Nursing Certification Commission she is recognized as an APRN who possesses expert knowledge, experience, and skill in managing the complex health needs of older adults. In addition to this impressive educational background, she maintains active clinical practice with adult and geriatrics patients in the primary care area.
At Lecturio, Dr. Posey teaches Gerontology for the advanced practice nurse.
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