Application of Virgin Coconut Oil Against Pruritus in Patients Chronic Kidney Disease Stage V Causes of Polycystic Kidneys

Abstract

The kidneys can become enlarged and filled due to the expansion and enlargement of the cyst which compresses the contents of the kidney and causes loss of kidney function. If stage V CKD occurs, kidney replacement therapy is required, one of which is hemolysis. One of the complications of CKD patients with hemodialysis is impaired skin integrity. The aim of this writing is to comprehensively and systematically analyze hemodialysis nursing care for Chronic Kidney Disease (CKD) stage V patients with polycystic kidneys. This writing method uses a descriptive method by presenting case studies through a nursing care approach. Nursing diagnoses that emerged included impaired skin integrity, hypervolemia, and disturbed sleep patterns. Nursing interventions provided to address emerging diagnoses are skin integrity care, hypervolemia management, hemodialysis management, and sleep support. Evidence Based Nursing (EBN) that has been carried out is the administration of Virgin Coconut Oil (VCO) to treat pruritus in patients. The evaluation results of the four diagnoses are only the diagnosis of non-compliance which has been resolved, the other diagnoses have not been resolved. This happens because patients with Chronic Kidney Disease (CKD) stage V experience kidney function failure which will continue to occur and kidney replacement therapy will continue throughout their life