Non-Functioning Kidney in an Older Adult: A Geriatric Nephrectomy Case Report

Abstract

This case study presents a geriatric patient diagnosed with a non-functioning kidney and managed successfully through nephrectomy. The objective of this report was to assess the health condition of the elderly patient, identify contributing factors, establish accurate nursing diagnoses, and implement comprehensive, evidence-based nursing care to promote recovery and improve quality of life. Data were collected through patient interviews, physical examination, diagnostic investigations, and perioperative observation. The patient presented with chronic unilateral flank pain, recurrent urinary tract infections, generalised weakness, and reduced functional capacity. Diagnostic evaluation revealed a contracted, poorly functioning kidney with compensatory hypertrophy of the contralateral kidney. Predisposing factors included advanced age, long-standing hypertension, type 2 diabetes mellitus, and recurrent infections. Following multidisciplinary evaluation, elective nephrectomy was performed. Nursing care focused on preoperative preparation, postoperative monitoring, pain management, infection prevention, early mobilization, and patient education. The patient showed satisfactory postoperative recovery with stabilization of renal parameters and improvement in functional status. This case highlights the critical role of geriatric-focused nursing care and multidisciplinary collaboration in managing complex renal conditions among older adults