Although it is known that comorbidity is the norm in the typical long-term care (LTC)
resident,
1
our observations on the prevalence of chronic kidney disease in an urban 350-bed
Bronx LTC facility surprised us. Presented in brief are our findings, which may have
implications in the management of residents in LTC. Evaluation of kidney function
and prevalence of chronic kidney disease (CKD) in the LTC setting has received attention
in a recent publication.
2
Renal function influences the dosing of medications primarily metabolized or removed
by the kidney, and is directly linked to evaluation and management in several situations
(eg, anemia, electrolyte imbalance, dietary prescription, cognition, affect, planning
for dialysis). With knowledge of kidney function of the residents, we additionally
looked at the prevalence of anemia and falls in this population. We observed that
the prevalence of all 3 conditions (CKD, anemia, and falls) was high.To read this article in full you will need to make a payment
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© 2010 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
