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Deborah Miller, MSN, RN, CNN

Deborah Miller, MSN, RN, CNN, is Clinical Nurse Specialist in Pediatric Nephrology, Inova Fairfax Hospital, Falls Church, VA. She is a member and past president of the Capitol Chapter of ANNA.

Dina Macdonald, BSN, RN, CNN

Dina Macdonald, BSN, RN, CNN, is Clinical Nephrology and Renal Transplant Coordinator, UCSD Medical Center/Children’s Hospital, San Diego, CA. She is a member of the ANNA Pediatric SIG and member and past president of Nephros South Chapter of ANNA.

Ken Kolnacki, BSN, RN, CNN

Ken Kolnacki, BSN, RN, CNN, is Coordinator/Staff Nurse in the Pediatric Dialysis Unit, Albany Medical Center Hospital, Albany, NY. He is a member of the ANNA Pediatric SIG and a member of ANNA Northeast Tri-State Chapter.

Teresa Simek, MSN, CPNP, CDE, CNN

Teresa Simek, MSN, CPNP, CDE, CNN, is the Nephrology and Hypertension Case Manager, Mary Bridge Children’s Hospital and Health Center, Tacoma, Washington. She currently is a member of the ANNA Pediatric SIG Committee and will assume the leadership position in April 2004. She is a member of ANNA’s Greater Puget Sound Chapter.

An important treatment goal for pediatric nephrology caregivers is the optimization of a child’s capacity for normal growth and development. However, the physiologic and metabolic derangements associated with chronic kidney disease (CKD) significantly alter these processes, creating important challenges in the care of affected children. Evidence-based clinical practice guidelines support early recognition and treatment of CKD-related complications to improve growth and development and, ultimately, quality of life for children with this chronic condition.
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