Chronic Kidney Disease: Revision and Exam Skills
Chronic Kidney Disease: Revision and Exam Skills
What do you already know about Chronic Kidney Disease?
Learning Objective
At the end of the lesson you will understand the causes, definition, and impact of Chronic Kidney Disease. You will also practise answering AO1, AO2, AO3 style questions using a case study.
Starter: Prior Knowledge
Think
What are the risk factors of Chronic kidney disease.
Think for one minute
Pair
Now share with your partner
Share
Now lets share with the class
minute
second
What is Chronic Kidney Disease?
Chronic Kidney Disease (CKD) is a long-term condition where the kidneys do not work as well as they should. It worsens over time and can lead to kidney failure.
Common Causes of CKD
Main causes include diabetes, high blood pressure, and glomerulonephritis. Lifestyle factors and some medications can increase risk.
Symptoms and Effects
Common symptoms are tiredness, swollen ankles, shortness of breath, and blood in urine. CKD increases risk of heart disease and other complications.
Why is CKD Important?
CKD affects both quality and length of life. Early detection and management slow progression and improve outcomes.
Case Study Introduction
We will now look at an exam-style case study featuring a patient with CKD. Read the information carefully. This will help with AO1, AO2 and AO3 skills.
Frank has been diagnosed with chronic kidney disease after reporting blood in his urine. A recent urine test revealed a high level of protein. Frank is told that his type 2 diabetes has contributed to the development of chronic kidney disease. Frank has not successfully managed his diabetes through diet and exercise, leading to consistently elevated blood glucose levels, resulting in damage to both the nephrons and the associated blood vessels. Frank’s consultant sets out the following steps to prevent his chronic kidney disease from progressing further:
• switching to sugar-free food and drink
• eating a balanced diet
• taking a prescribed amount of metformin medication
• undertaking more physical exercise such as going on brisk walks
• staying hydrated by drinking plenty of water.
The consultant makes it clear that if Frank does not follow these steps, the chance of his kidneys no longer functioning will significantly increase and this will increase the likelihood of more invasive treatment.
Assess the steps set out by the consultant in relation to preventing the need for more invasive treatment.
[9 marks, plus 3 marks for QWC]
AO1, AO2, AO3: Assessment Objectives
AO1 – Recall facts and knowledge. AO2 – Apply knowledge to new situations. AO3 – Analyse and evaluate information in context.
Modelling Answers: I Do
Let’s look at an example. I’ll model how to answer a question based on the CKD case study using AO1, AO2, and AO3 skills.
AO1 - Demonstration of understanding of type 2 diabetes, chronic kidney disease, treatments, and the functioning of the kidneys
Type 2 diabetes is a result of cells becoming desensitised to insulin, reducing the uptake of glucose from the blood.
We Do: Guided Practice
Now on your mini whiteboards come up with another AO1
Modelling Answers: I Do
Let’s look at an example. I’ll model how to answer a question based on the CKD case study using AO1, AO2, and AO3 skills.
AO2 - Application of understanding of type 2 diabetes, chronic kidney disease, treatments, and the functioning of the kidneys
Reducing sugar intake and taking metformin would reduce blood glucose levels, which would reduce the risk of any further damage to nephron and associated blood vessels.
We Do: Guided Practice
Now on your mini whiteboards come up with another AO1
Modelling Answers: I Do
Let’s look at an example. I’ll model how to answer a question based on the CKD case study using AO1, AO2, and AO3 skills.
AO3 - Assessment of the consultant’s advice, based on their understanding of type 2 diabetes, chronic kidney disease, treatments, and the functioning of the kidneys
As the nephrons have become damaged, this will reduce Frank’s ability to reabsorb water, meaning it is important to stay hydrated, to help maintain the water potential / water level of their blood.
We Do: Guided Practice
Now on your mini whiteboards come up with another AO3
You Do: Group Rotation Task
In groups, identify AO1, AO2, and AO3 elements on flip chart paper. Rotate tables and complete tasks at each station.
Plenary: Key Takeaways
Chronic Kidney Disease has complex causes and serious impacts. Exam success depends on using AO1, AO2, and AO3 skills together.
Write down 3 things you learned in this lesson.
Write down 2 things you want to know more about.
Ask 1 question about something you haven't quite understood yet.