Patient: MH, 80 year old female with renal failure. Chronic kidney disease (CKD) is a disease described as a gradual loss of kidney function over time. When kidney function declines, the collection of waste in the body's blood becomes high and makes the individual feel unwell. This disease can lead to other complications in the body such as anemia, poor nutritional health, high blood pressure, and nerve damage. These complications will begin to progress and appear as CKD progresses to advanced stages. Early diagnosis of this disease is essential when it comes to treatment. If chronic kidney disease is diagnosed early enough, the progression of the disease can be slowed and managed. This disease will eventually lead to kidney failure and require a transplant or dialysis to preserve the life of the affected individual (The National Kidney Foundation, 12). CKD is very harmful to body function because it removes excess fluid and waste from the body. through urine. Potassium, salt and acid levels in the body are regulated by the kidneys. The kidneys work to keep the body free of waste, drugs, fluid balance, vitamin D production, blood pressure regulation, and red blood cell production. The kidneys are about the size of a fist and are located on the sides of the spine, under the bottom of the rib cage. There are millions of nephrons that make up both kidneys, and each nephron acts as a filter for the blood. This is the beginning of the filtration process in the body. Blood is filtered through tiny vessels within the kidney known as the glomerulus. Each glomerulus is attached to a tubule that allows fluids to travel through the body after being filtered by the glomerulus. The you... in the center of the paper... is shallow, slow, some crackling. There is no oxygen or chest tubes. Cardiac: good peripheral pulse, good capillary refill, no edema present, good heart rate. Abdomen: no distension or pain, intestinal sounds present, renal diet, good nutrition. Urinary: Equal I&O, no difficulty or pain during urination (good sign for patients with renal failure). Reproductive: not evaluated. Psychosocial: very talkative patient, happy to be able to eat again after a few days of not feeling well, smiles, talks about grandchildren and holidays. Teaching: after interest was shown how to eat, talked to the patient about a renal diet and she listed some items included in this type of diet and told her about eating kidney flakes ice during the day to help with thirst. Renal diet: Limit fluid intake due to inability of the kidneys to adequately regulate the removal of fluids in the body.