34C POSH eGFR less than 30ml /min eGFR falling at above 4ml /min every year Creatinine rising progressively in 3 or more tests Proteinuria Other Symptoms suggestive of chronic renal failure eg anemia Hematuria
Offer to discuss the concerns and name the involved persons of the family Offer information about medications before prescription Discuss the information actively The information should include the name , mechanism, effects and side effects of the medication Involve the patient in decisions Recognise and address the concerns of the patient as treatment progresses For schizophrenic patients, social and family support be ensured