TY - CHAP M1 - Book, Section TI - Kidney Diseases A1 - Unruh, Mark A1 - Budhwar, Nitin A2 - Halter, Jeffrey B. A2 - Ouslander, Joseph G. A2 - Studenski, Stephanie A2 - High, Kevin P. A2 - Asthana, Sanjay A2 - Supiano, Mark A. A2 - Ritchie, Christine S. A2 - Schmader, Kenneth Y1 - 2022 N1 - T2 - Hazzard's Geriatric Medicine and Gerontology, 8e AB - Learning ObjectivesRecognize that chronic kidney disease (CKD) is most often caused by common systemic diseases, including diabetes and hypertension.Understand that diabetic nephropathy is a chronic progressive kidney disease that requires treatment with angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blockers (ARBs) if tolerated, optimization of blood pressure and blood glucose levels, and management of comorbidities. SGLT2 inhibitors and GLP-1 receptor agonists show benefits in treatment of diabetes and substantial reduction of risk of kidney disease progression.Assess acute kidney injury (AKI) for pre-, post-, and intrarenal causes among the older adult. Even episodes of mild AKI can increase the risk for future CKD and the etiology of AKI is often related to the sex, age, and location of the patient.Understand the prognosis of older adults with kidney failure.Characterize the approaches to managing end-stage kidney disease (ESKD) among older adults.Describe the influence of multiple chronic health conditions on quality of life and functioning among older adults with kidney failure.Recognize the challenges in providing care to older patients with kidney failure and concurrent cognitive impairment and frailty.Discuss the role of clinicians and care teams in advance care planning for patients with ESKD. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/09/08 UR - accessmedicine.mhmedical.com/content.aspx?aid=1190911845 ER -