Kidney Disease Case Study: Carol and Jim (02:37)
Carol has hypertension and diabetes. She complains of low energy, fatigue, nighttime urination, restless legs, and water retention. Dr. Papa gives his initial differential. Learn Carol's lab results.
Kidney Disease (02:25)
Experts discuss the meaning of Carol's lab results and their potential impact on her life. Howard Moore's wife is in kidney failure. He describes his experiences with his wife.
Immediate Kidney Treatment (02:18)
Experts discuss Carol's treatment options, lifestyle changes, and medical communication.
Kidney Disease Impact (03:39)
Jim took notes on Carol's care; he is scared of losing his wife and his job. Howard Moore discusses his fear. Experts discuss the diagnosis impact on a family.
Three Year Period (02:28)
Despite doing everything the doctor asked, Carol had complications with her kidney disease and is now in frank renal failure. Howard Moore discusses taking care of his wife and becoming sick.
Further Complications (03:35)
Carol is on regular dialysis. Two years later, Carol suffers a stroke; she and Jim opt for peritoneal dialysis. Hear a summary of Jim's situation as caregiver.
When Treatment Efforts Fail (02:44)
Over the next several years, Carol's health declines; she considers nursing care versus end of life care. Experts discuss Medicare insurance and the acute care model.
End of Life Decisions (02:21)
Experts discuss making end of life care decisions with patients and their families. Howard Moore's wife is doing well and awaits a transplant. Dr. Sago summarizes the conversation thus far.
End-of-Life Care (02:36)
Carol enters a nursing home and creates an Advanced Directive. Howard Moore offers advice to other caregivers. Experts discuss Carol's decision. Dr. Salgo summarizes the case study.
Credits: Kidney Disease: Caring for Someone with a Chronic Disease: Second Opinion—Taking Charge of Your Health Care (01:01)
Disease: Caring for Someone with a Chronic Disease: Second Opinion—Taking Charge of Your Health Care
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