Page 157 - Petelin, Ana, et al. Eds. 2019. Zdravje otrok in mladostnikov / Health of Children and Adolescents. Zbornik povzetkov z recenzijo / Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
P. 157
lthcare of children with nephrotic syndrome - case study otrok in mladostnik – okolje | child and adolescent - environment
Polonca Krt
University Medical Centre Maribor, Division of Paediatrics, Ljubljanska ulica 5,
2000 Maribor, Slovenia
The article presents the case of a child patient with nephrotic syndrome treat-
ed at the Paediatric Clinic in Maribor, and the significance of the nurse’s health
education work with an emphasis on nursing care of the child with nephrot-
ic syndrome and the relationship with his parents. Nephrotic syndrome is one
of the most common kidney diseases in children. The most common form of
nephrotic syndrome in childhood is idiopathic (primary) nephrotic syndrome.
The clinical picture of nephrotic syndrome has signs such as oedema, proteinu-
ria, hypoalbuminaemia and hyperlipidaemia. Nephrotic syndrome is an inflam-
matory defect in the blood vessels in the glomeruli of the kidneys, which causes
the loss of protein from the body. In the diagnostic work-up for nephrotic syn-
drome, it is extremely important to correctly target the history and to perform
a clinical examination. Parents are advised to constantly observe their child’s
condition and the possible presence of oedemas. They should be attentive of
fluid input and output and weight gain of their child. The child’s diet should be
healthy with reduced saltiness, parents should also avoid contact with infec-
tious diseases and give their child medication regularly. The child needs time to
rest. The nurse makes sure that the conversation with parents takes place in a
calm environment, and is aware of the fact that parents are worried and need
someone to be on their side. It needs to be taken into account that non-verbal
(body) language is even more important than talking. The nurse needs to take
enough time to thoroughly talk to the parents, only provide verified informa-
tion and offer them a sense of security.
Keywords: nursing care, children, nephrotic syndrome, kidneys
155
Polonca Krt
University Medical Centre Maribor, Division of Paediatrics, Ljubljanska ulica 5,
2000 Maribor, Slovenia
The article presents the case of a child patient with nephrotic syndrome treat-
ed at the Paediatric Clinic in Maribor, and the significance of the nurse’s health
education work with an emphasis on nursing care of the child with nephrot-
ic syndrome and the relationship with his parents. Nephrotic syndrome is one
of the most common kidney diseases in children. The most common form of
nephrotic syndrome in childhood is idiopathic (primary) nephrotic syndrome.
The clinical picture of nephrotic syndrome has signs such as oedema, proteinu-
ria, hypoalbuminaemia and hyperlipidaemia. Nephrotic syndrome is an inflam-
matory defect in the blood vessels in the glomeruli of the kidneys, which causes
the loss of protein from the body. In the diagnostic work-up for nephrotic syn-
drome, it is extremely important to correctly target the history and to perform
a clinical examination. Parents are advised to constantly observe their child’s
condition and the possible presence of oedemas. They should be attentive of
fluid input and output and weight gain of their child. The child’s diet should be
healthy with reduced saltiness, parents should also avoid contact with infec-
tious diseases and give their child medication regularly. The child needs time to
rest. The nurse makes sure that the conversation with parents takes place in a
calm environment, and is aware of the fact that parents are worried and need
someone to be on their side. It needs to be taken into account that non-verbal
(body) language is even more important than talking. The nurse needs to take
enough time to thoroughly talk to the parents, only provide verified informa-
tion and offer them a sense of security.
Keywords: nursing care, children, nephrotic syndrome, kidneys
155
