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Managing a chronic disease as a kidney patient
Learn how to manage things like signs and symptoms, medication, finances and multiple health professionals.

Overview on managing a chronic disease
Managing a chronic illness can be challenging. Chronic disease management involves a comprehensive approach that includes monitoring symptoms, managing medications, coordinating with multiple healthcare professionals, and handling financial aspects. Developing self management skills in these areas is essential for effective management of your condition:
Managing signs & symptoms
Managing Chronic kidney disease (CKD) involves not only slowing the progression of kidney damage but also addressing the various symptoms that arise as the disease advances; symptoms such as fatigue, swelling, and itching are common and can significantly impact the quality of life. Note: many people with kidney disease in the early stage may not have any symptoms at all.
Effective management includes a combination of lifestyle changes, medications, and supportive therapies tailored to alleviate these symptoms and improve overall well-being.
Knowing your kidney bloodwork
Understanding how your kidneys affect your blood is important because it helps you manage your condition better. By staying informed, you can work with your healthcare team to keep your blood healthy and improve your overall well-being.
Get to Know Your Kidney Lab Work Information Sheet - BC Renal
Managing medication
For kidney patients, maintaining an accurate and detailed record of your medical information and medications is especially vital. Your kidney function directly affects how your body processes medications, making it crucial to monitor and manage your treatment carefully.
Keeping track of your health conditions, medication schedules, and any changes in your symptoms can help you and your healthcare team make informed decisions about your care. This proactive approach ensures that you receive the most effective treatment while avoiding potential drug interactions and complications related to your kidney health.
- Maintain a record of your health history, including past and present conditions, surgeries, immunizations, allergies, height, and weight.
- Keep a list of your healthcare providers' and kidney clinics’ contact information.
- Document details of all medications: start dates, reasons for use, dosage times, and any side effects.
- Note when you stop taking a medication and why.
- Keep your medication records updated.
- Kidney patients in IH can ask their kidney care team to provide them with a medication list printed off of PROMIS called “My Medication List”.
- Try to use one drugstore to manage your prescriptions
- Avoid seeing multiple doctors for the same medication prescriptions
- Avoid kidney toxic medication
- As kidney function changes, so may your medication needs. Always consult your doctor before making any changes to your medication regimen.
- Be cautious with over-the-counter medicines and supplements, as they can affect kidney function and medication effectiveness
- Take medication exactly as prescribed
- Review your medications with your doctor or pharmacist at least once a year
- Know the purpose of each medication, how to take it, and what side effects to watch for
- Understand medicine labels and ask your pharmacist for clarification if needed
- Learn how to measure liquid medications correctly and inquire about proper disposal methods
- Dispose of expired medication properly
- For more information see HealthLinkBC - Stay Safe When You Take Several Medicines and Kidney Foundation - Managing medication
Tip: Ask your kidney care team about a pharmacy with specialized renal services near you
Some drugs and substances can be harmful to the kidneys.
- Medications can affect driving abilities, so understand how each affects you. Avoid driving if you are unsure about the effects of your medication.
- Read medication labels with the lights on and with vision aids (ex prescription glasses)
- Organize your medications:
- If needed, put your medications into organizing containers
- Considering using Blister Packs. This is ordered through your local pharmacy who sort your medication into an organized container.
- For more information, see Taking Medicines Safely as You Age - National Institute on Aging and Drugs and the Older Driver – Canada Safety Council
Managing multiple health professionals
Managing a chronic health condition can be challenging, particularly when you see multiple specialists and health-care providers. As a patient, it's important to follow certain guidelines to help navigate this complex situation effectively.
- Inform providers of other care: Let each provider know about the other health-care professionals you are seeing. This helps them understand your overall treatment plan and avoid potential conflicts.
- Ask for coordination: If you have multiple providers, request that they communicate with each other about your care. Some health-care systems have tools for this, like shared electronic health records.
- Be clear about your needs: Clearly communicate any preferences, concerns, or questions you have regarding your treatment. Ensure that each provider understands your health goals and treatment expectations.
- Follow up on referrals: If a provider refers you to a specialist or another health-care service, complete that referral
- Use patient portals: If your health-care system offers a patient portal, use it to access your records, communicate with providers, and track your health information
- Document key conversations: Take notes during medical appointments or ask for written summaries. This can help you remember and relay important information to other providers.
Managing finances
Managing finances with a chronic kidney disease diagnosis can be challenging due to ongoing medical expenses and potential loss of income. Developing a financial strategy is crucial to address both direct treatment costs and indirect expenses related to your condition.
While creating a budget and prioritizing spending are tasks you may manage independently, consulting with a renal social worker can provide valuable support in exploring financial options and effectively handling some of the financial impacts of your diagnosis. My Kidneys My Health: Financial Considerations provides many helpful tips and recourses.
Learn more about managing multiple finances:


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