A Case Study on Patient X with Chronic Kidney Disease, with Multiple Comorbidities

This case study focuses on Patient X, an adult female diagnosed with Chronic Kidney Disease (CKD) Stage 5 with multiple comorbidities, including anemia, acute decompensated heart failure (ADHF), autoimmune hemolytic anemia (AIHA), type 2 diabetes mellitus (DM T2), and hypertensive cardiovascular disease (HCVD). It presents a detailed account of the patient's demographic and clinical profile, diagnostic results, medical and surgical management, pharmacologic therapy, nursing care plan, and discharge planning. Guided by Roy's Adaptation Model and Orem's Self-Care Deficit Nursing Theory, the study emphasizes holistic, patient-centered care that integrates theoretical knowledge with practical application. Through this analysis, the researchers aim to strengthen their clinical competence, apply evidence-based practice, and highlight the essential role of nurses in addressing the multifaceted needs of patients with CKD and complex comorbidities.