IP Journal of Paediatrics and Nursing Science 2022;5(3):145–154 Content available at: https://www.ipinnovative.com/open-access-journals IP Journal of Paediatrics and Nursing Science Journal homepage: https://www.jpns.in/ Case Report Clinical case report: Chronic kidney disease and ESKD (End stage kidney disease) Onaisa Aalia Mushtaq 1 , Bushra Mushtaq 2 , Javaid Ahmad Mir 3, * 1 Dept. of Nursing Education, (MMINRS) Sher-i-Kashmir Institute of Medical Sciences, Soura Srinagar, Jammu & Kashmir, India 2 Dept. of Nursing Education, AMCN & MT, Islamic University of Science and Technology, Awantipora, Jammu & Kashmir, India 3 Dept. of Psychiatric Nursing, Jamia Hamdard University, New Delhi, India ARTICLE INFO Article history: Received 22-08-2022 Accepted 01-09-2022 Available online 29-09-2022 Keywords: Chronic kidney disease End-stage renal disease ABSTRACT Introduction: Chronic kidney disease include fibrosis, loss of renal cells and infiltration of renal tissue by monocytes and macrophages. The pathophysiology may include protein uria, hypoxia and excessive angiotensive II production. Hypoxia also contributes to disease progression. The disease has a vast number of clinical manifestations which include abnormalities in laboratory tests, hypertension, fatigue and poor appetite. There are five stages of CKD and in stage 5 the full blown clinical manifestations of end -stage renal disease are evident. Medical this disease can be managed by: 1. Controlling blood pressure. 2. Managing blood glucose level to maintain HbA1c below 7%. 3. Managing hyperlipidemia with diet and cholesterol lowering drugs. 3. Managing and treating emerging manifestations of renal failure. 4. Prepare clients for renal replacement therapy when necessary. Conclusion: Patients condition (general condition) was fair, GCS 15/15,but had ineffective coping strategies, he was very much worried about his condition & renal transplant. He was not satisfied about the treatment received. Doctors have planned to discharge him till they arrange a donor for kidney. This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. For reprints contact: reprint@ipinnovative.com 1. Introduction 1.1. Biographic information 1.1.1. Health History 2. Type of family Nuclear 2.1. Family medical history Father of the patient is hypertensive and mother is having hypothyroidism. There is no history of diabetes or any other chronic disease within the family. * Corresponding author. E-mail address: mirjavaidahmad77@gmail.com (J. A. Mir). Fig. 1: Family tree https://doi.org/10.18231/j.ijpns.2022.024 2582-4023/© 2022 Innovative Publication, All rights reserved. 145