Nurses’ critical role in Chronic Kidney Disease management

Chronic kidney disease (CKD) represents a significant and growing health burden worldwide, affecting millions of individuals in both developed and developing countries. Its increasing prevalence and incidence underscores the urgent need for effective prevention and management strategies.

The Philippine Health Insurance Corp. (PhilHealth) has responded to this challenge by increasing financial support for kidney patients’ hemodialysis and ancillary services, highlighting the government’s commitment to addressing CKD. However, a more sustainable and impactful approach lies in prevention, mainly through the integration of Filipino nurses into the public health system. Nurses play a critical role in CKD management and prevention. They are on the frontlines of patient care, providing essential education about lifestyle modifications, medication adherence, glucose monitoring, and blood pressure control. These interventions are crucial in slowing CKD progression and improving patients’ quality of life.

Filipino nurses, known for their dedication and skill, are particularly well-suited for this role. Their ability to communicate effectively and culturally resonates with patients and makes them invaluable in the fight against CKD. Education is a cornerstone of CKD prevention. Nurses educate patients and their families on the importance of dietary changes, regular exercise, smoking cessation, and other lifestyle modifications. By empowering patients with knowledge and practical advice, nurses help them manage their health proactively. With their deep cultural understanding and strong interpersonal skills, Filipino nurses can effectively convey these messages, ensuring that patients and their families understand and adhere to recommended lifestyle changes.

Medication adherence is another critical aspect of CKD management. Nurses ensure that patients understand their medication regimen, the importance of taking medications as prescribed, and how to manage potential side effects. This support helps prevent complications and hospitalizations, ultimately reducing health-care costs. Filipino nurses, who are trusted and respected in their communities, can build strong relationships with patients, encouraging them to adhere to their treatment plans.

Monitoring glucose levels and blood pressure is essential in managing CKD, particularly for patients with comorbid conditions like diabetes and hypertension. Nurses provide regular monitoring, teach patients self-monitoring techniques, and make necessary adjustments to treatment plans. This proactive approach helps prevent the worsening of CKD and associated complications. The expertise and dedication of Filipino nurses in these areas can lead to significant improvements in patient outcomes.

Investing in prevention by hiring more Filipino nurses in the public health system offers a cost-effective strategy for the government. While dialysis is a necessary and life-saving treatment for advanced CKD, it is also very costly. By focusing on prevention and early intervention, the government can reduce the incidence and severity of CKD, ultimately saving resources and improving public health.

Jerome Babate, RN, MBA, PhD