Ecologic Model

Hypothesis:

Acute glomerulonephritis is defined as the sudden onset of hematuria, proteinuria,

and red blood cell casts. This clinical picture is often accompanied by hypertension,
edema, and impaired renal function. Acute glomerulonephritis can be due to a
primary renal or systemic disease.

Acute glomerulonephritis often occurs after a streptococcal infection, such as strep

throat. When this is the cause, the condition is called acute poststreptococcal
glomerulonephritis (APSGN), or postinfectious glomerulonephritis. It can also occur
when certain toxins, such as paints or glues, are inhaled and then excreted through
the urine.

In the case of our client he was diagnosed of AGN. He doesn’t have a balanced diet
and is hypertensive. AGN is detected when the urine is examined under the
microscope. Such signs include red blood cells, white blood cells, proteinuria. He
also has an edema and gains weight.

Predisposing factors:

I. The gender of the host is male 18 y/o. Acute glomerulonephritis

predominantly affects males more than with females.

II. On the agent, the host’s diet consists of excessive amounts of sodium since
he always eats uncooked canned goods and eats his meals along with
ketchup. The host also has a bipedal edema because there is fluid retention in
his body. He has a RBC: 3-5/hpf (8-12) which indicates inflammation of the
urinary tract, an Fbs of 3.50mmol/l, WBC of 6.9, hct of 0.38/L, lymphocyte of .
43 which indicates viral infection.

III. On the environment, the contributor to the disease is the physical

environment due to its systemic effect on the body because of the dusts in
their locality due to uncovered projects of maynilad which mainly composed of
sand that could be inhaled for already long periods of time.

Environment

Living conditions

Host

Agent Male, 18 y/o

Bipedal edema, RBC: 3- Has a family

5/hpf (8-12), Fbs: history of HPN
3.50mmol/l, wbc: 6.9, and DM
hct:0.38/L, lymphocyte: .
43 , pus:6-8hpf(1-2),
hypertension, weight gain
ANALYSIS:

The agent-host-environment model is primarily used in predicting illness rather than

promoting wellness, although identifications of risk factors that result from the
interactions of agent, host and environment are helpful in promoting and
maintaining health. Because of the agent-host-environment factors constantly
interact with others, health is an ever changing state. Health is seen when all three
elements are in balance and while illness is seen when one, two. Or all three
elements are not in balance. (Fundamentals of Nursing by Kozier 2004)

Lifestyle adjustments in diet and compliance with medication regimes are

important factors in determining the outcome for people with AGN.

Conclusion and recommendation:

We therefore conclude that our client is suffering from acute glomerulonephritis

since he was experiencing symptoms like edema, (+) albumin in the urine, high
WBC, low Fbs & Rbc, and a presence of pus which indicates infection. His diet is a
risk factor for he consumes foods that are high in sodium and foods rich in
cholesterol, drinks a lot of soft drinks and waters a day. He also has hypertension,
as we stated earlier, AGN is accompanied by this.

As student nurses we recommend a vital role in caring for patients with acute
glomerulonephritis, which includes assessing client’s ability to continue therapy and
providing the patient care management to prevent further complications.

Recommendation:

a.) Limit fluid intake, do not consume more than 48 oz.

b.) encourage low salt diet

c.) Encouraged to decrease fluid intake

d.) Encouraged the patient to comply with the medication as ordered by his
physician.

e.) Encouraged to elevate the part where there is edema

Management:

Medical Management
 Cases of AGN can be given diuretics, antihypertensive, anti
infective, analgesic and mucolytics as ordered by the doctor
Nursing Management
1. Dietary Management- Nutritional Therapy
 Balance diet.
2. Exercise
 Engage in moderate-level activity on most, and preferably all,
days of the week, this can lower or reduced blood pressure.
3. Monitoring Blood pressure
4. Health Promotion
 Screening, diagnosing, treating, and controlling AGN can
significantly reduce the risk of developing to further
complications.
 Assisting the client and the family to understand AGN
 Continuous therapy at home, if there’s any