The Registered Nurses Association of Ontario (RNAO) (2009) reported that “an estimated two million Canadians have kidney disease or are at risk of having it” (p. 17). According to Porth (2011) and the Kidney Foundation of Canada (ndc), chronic kidney disease (CKD) has several causes that combine to cause a loss of kidney function for 3 months or more, resulting in kidney failure, and its progression is classified in five stages. The two main causes of chronic kidney disease are diabetes and hypertension (HTN) (National Kidney Foundation, 2012a). Nurses caring for adults with chronic kidney disease must consider the importance to their practice, to adults and their families, of the care and education needed to care for the adult and family. According to Koufaki and Kouidi (2010), the population of adults diagnosed with chronic kidney disease is rapidly increasing due to the high prevalence of diabetes in today's society. Due to the increase in risk factors, knowledge of prevention and treatment is important for nurses, adults and their families who have or are at risk of chronic kidney disease. This means that many Canadians are at risk of or suffer from chronic kidney disease; therefore there is a greater demand for care for adults affected by the disease. Caring for adults with chronic kidney disease can be challenging not only for them, but also for their families, nurses, and other members of the healthcare team. Understanding how to provide appropriate care is important for nurses and family members to improve the lives of adults with chronic kidney disease. Since there is no cure for chronic kidney disease, it is important that practical nurses have the knowledge to provide appropriate care to adults with chronic kidney disease because by providing appropriate care and teaching it may be possible to prolong or stop the upward progression. .. half of the card... Initiative. Nephrology Nursing Journal, 37(2), 121-131.Orlando, L.A., Belasco, E.J., Patel, U.D., & Matchar, D.B. (2011). The chronic kidney disease model: a general model of disease progression and treatment. BMC Medical Informatics and Decision Making, 11(41).Porth, C. M. (2011). Essentials of pathophysiology (3rd ed.). Toronto, ON: Lippincott, Williams & Wilkins. Ontario Registered Nurses Association (2009). Decision support for adults with chronic kidney disease. Toronto, Canada: Ontario Registered Nurses Association. Retrieved from http://www.rnao.org/Storage/61/5545_Decision _Support_for_Adults_Living_with_Chronic_Kidney_Disease_Revised_Final_Sept_23,_2009.pdfSchrauf, C. M. (2011). Factors that influence state policies for caregivers of patients with chronic kidney disease and how they affect them. Nephrology nursing diary, 38(5), 395-402.