UNDERSTANDING CHRONIC KIDNEY DISEASE
The Activities on these Portfolio Pages correspond with the learning objectives
of the Guided Learning unit published in Nursing Times 103: 41 (9 October
2007) and 103; 42 (16 October 2007). The full reference list for this unit follows
Activity 4.
Before starting to work through these Activities, save this document onto your
computer, then print the completed work for your professional portfolio.
Alternatively, simply print the pages if you prefer to work on paper.
Recording your continuing professional education
To make your work count as part of your five days’ CPD for each registration
period, make a note in the box below of the date and the total number of hours
you spent on reading the unit and any other relevant material, and working
through the Activities.
Hours:
Date:
ACTIVITY 1
Learning objective: Understand current
methods of measuring kidney function.
Activity: Outline the following:
 Explain why serum creatinine alone is
not a good measure of kidney
function;
 Which urine tests can be used to
assist in the diagnosis of CKD?
 Describe when it would be appropriate
to use each test.
RESPONSE
Begin your response here.
Nursing Times Portfolio Pages: Chronic Kidney Disease
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UNDERSTANDING CHRONIC KIDNEY DISEASE
ACTIVITY 2

How often should eGFR be
measured?
Learning objective: Identify stages and
classification of CKD.
Activity: Outline the following:
 How could an eGFR result be used to
explain stages of kidney disease?
 Define CKD and identify three
markers of kidney damage.
Nursing Times Portfolio Pages: Chronic Kidney Disease
RESPONSE
Begin your response here.
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UNDERSTANDING CHRONIC KIDNEY DISEASE
ACTIVITY 3
Learning objective: Understand when to
refer patients to specialist renal services
and be able to identify the key
information required for referral.
CKD may need referral to specialist
services. Then list the key information
required when making a referral.
RESPONSE
Begin your response here.
Activity: : Identify when a person with
Nursing Times Portfolio Pages: Chronic Kidney Disease
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UNDERSTANDING CHRONIC KIDNEY DISEASE
ACTIVITY 4
CKD: describe how you would access
information for this person.
Learning objective: Know how to source
information for people with CKD.
RESPONSE
Activity: You have a patient with stage 4
Begin your response here.
Nursing Times Portfolio Pages: Chronic Kidney Disease
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UNDERSTANDING CHRONIC KIDNEY DISEASE
FULL REFERENCE LIST: Part 1
Atkins, R. (2005) The epidemiology of
chronic kidney disease. Kidney
International; 67: Supp 94, S14-S18.
Buck, K., Feehally, J. (1997) Diabetes and
renal failure in Indo-Asians in the UK: a
paradigm for the study of disease
susceptibility. Nephrology, Dialysis,
Transplantation; 12: 1555-1557.
Coresh, J. et al (2003) Prevalence of
chronic kidney disease and decreased
kidney function in the adult US population:
Third National Health and Nutrition
Examination Survey. American Journal of
Kidney Diseases; 41: 1, 1-12.
Joint Specialty Committee on Renal
Medicine of the Royal College of
Physicians and the Renal Association,
Nursing Times Portfolio Pages: Chronic Kidney Disease
and the Royal College of General
Practitioners (2006) Chronic Kidney
Disease in Adults: UK Guidelines for
Identification, Management and Referral.
London: RCP.
www.renal.org/CKDguide/ckd.html
de Lusignan, S. et al (2005) Identifying
patients with chronic kidney disease from
general practice computer records. Family
Practice; 22: 3, 234-241.
Department of Health (2005) National
Service Framework for Renal Services Part
Two: Chronic Kidney Disease, Acute Renal
Failure and End of Life Care. London: DH.
www.dh.gov.uk/publications
Department of Health (2004) National
Service Framework for Renal Services:
Part One - Dialysis and Transplantation.
London: DH.
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UNDERSTANDING CHRONIC KIDNEY DISEASE
FULL REFERENCE LIST: Part 2
British Renal Society (2007) CKD Forum
www.britishrenal.org/CKD/ckdforum.shtml
Joint Specialty Committee on Renal
Medicine of the Royal College of
Physicians and the Renal Association,
and the Royal College of General
Practitioners (2006) Chronic Kidney
Disease in Adults: UK Guidelines for
Identification, Management and Referral.
London: RCP.
www.renal.org/CKDguide/ckd.html
Royal College of General Practitioners
(2007) Chronic Kidney Disease: What it is –
Nursing Times Portfolio Pages: Chronic Kidney Disease
What It Means. London: RCGP.
www.renal.org/eGFR/resources/PatientCK
DinfJan2007.pdf
UK National Kidney Federation (2007)
www.kidney.org.uk/Medical-Info/ckdinfo/calc-gfr.html
www.kidney.org.uk/Medical-Info/ckdinfo/index.html
USEFUL WEBSITES
British Renal Society
www.britishrenal.org/CKD/ckdforum.shtml
The Renal Association
www.renal.org
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