If your client has been diagnosed with nephropathy and they have been diagnosed with kidney damage, finding that damage early is the key to keeping it from getting worse. That is why it is so darn important that your clients that have diabetes get regular testing – at least once a year.
Medication can be prescribed by your physician that will help lower your client’s blood pressure. By doing so, the meds can help to prevent – or at least slow – the damage to their kidneys.
The medications recommended include:
- ACE inhibitors such as Angiotensin-converting enzyme inhibitors.
- ARBs or Angiotensin II receptor blockers.
Other medications may be required as well if their blood pressure continues to rise, causing their kidneys to get worse and worse. If this happens, their cholesterol and triglyceride levels may also rise, thus requiring your clients to need more meds.
There are also other steps that you can take to help your clients like:
- Working with your clients to keep their blood sugar levels within their target range. By doing so, you can help them help slow the damage to the small blood vessels in the kidneys.
- Listen to their doctor about how to help keep their blood pressure under control; ideally that would be 120/80. If your client’s blood pressure is 140/80 or higher, this is a sign that they have diabetes.
- When you cook for your clients, it is essential that they eat the proper healthy foods required to keep themselves intact. You also need to help your client get the proper exercise. Both of these healthy living techniques can help prevent heart disease. This is really important because it has been determined that people with diabetes are more likely to have heart and blood vessel diseases as well. Those diagnosed with kidney disease have an even greater risk for heart disease, so it is a round robin of health issues you need to look out for and help your clients with!
- Keep your clients from smoking or using other tobacco products because this poor habit can only lead to more health issues or help worsen the ones your clients already have.
- When you prepare their food, limit their salt intake. There are many herbs that add to the taste and give food flavor other than salt. If your client ingest too much salt, it will worsen their high blood pressure.
- Protein is very important to incorporate into your client’s diet. You also have to make certain that their client does not eat too much because it is harder on the kidneys. If your client already has diabetes, you will want to limit their protein intake in order to help preserve their kidney function. It is best to consult with a diabetic dietician as to how much protein is best for your client.
In order to completely show your clients that With Age Comes Respect, you must learn how to incorporate all of this into their daily care regimen. Sometimes this will be quite difficult – especially if you have picky eaters or someone that insists on poor personal habits – but to be the best you can possibly be, you will just have to suck it up, take the abuse and continue to provide the very best service that you possibly are able to do!