Date of Graduation
School of Nursing
Chronic kidney disease (CKD) is a growing worldwide problem. Patients with CKD are at great risk for multiple health problems and ultimately face end stage renal disease (ESRD). One of the problems of concern is the loss of bone mass, termed mineral bone disorders (MBD). The literature reveals that bone mass loss can begin as early as stage 3 CKD. The National Kidney Foundation (NKF) Clinical Practice Guideline (2003), and The Kidney Disease: Improving Global Outcomes (KDIGO, 2009) recommend that persons identified in stage 3 CKD be screened for hypovitamintosis D, elevated intact parathyroid (iPTH) levels, and abnormal calcium and phosphorus levels The purpose of this capstone project was to determine if the use of a prompt on the EMR system would improve the screening of patients with stage 3 CKD for MBD in a primary care setting. Provider prompts for electronic medical records in a primary care setting based upon a critical appraisal of the current literature were initiated.
Kelly, Jarena, "Evaluation of a Protocol Change to Improve Screening of Mineral Bone Disorders in Patients With Stage 3 Chronic Kidney Disease" (2011). Graduate Theses, Dissertations, and Problem Reports. 3044.