Chronic kidney disease is a progressive condition marked by structural and functional changes in the kidneys, with reduced kidney function lasting at least three months. Key indicators include abnormal levels of albumin and blood in the urine. Managing risk involves lifestyle changes, blood pressure control, smoking cessation, and statin use to reduce the risk of cardiovascular complications.¹ Management of chronic kidney disease also includes dietary and lifestyle modifications, medication, and renal replacement therapy. Hemodialysis may be avoided due to vascular access problems, needle phobia, heart failure, or bleeding disorders. Potential complications include low blood pressure during dialysis, muscle cramps, and allergic reactions to the dialyzer. Effective management helps improve patient outcomes.²