The Role of Nutrition Care Process in Addressing Health Disparities in End Stage Renal Disease | Juniper Publishers

The Role of Nutrition Care Process in Addressing Health Disparities in End Stage Renal Disease by Chimene Castor
| Juniper Publishers | 
Nutrition & Food Science International Journal  

Abstract:

Background: Approximately 23 million Americans have some form of chronic kidney disease, with African Americans having an incidence of end stage renal disease (ESRD) of 3.5 times higher than that of white Americans. The nutritional status of ESRD patients is a crucial issue in the disease progression. The management of ESRD requires significant lifestyle adjustments (i.e. frequent dialysis sessions and dietary restrictions) that often result in noncompliance, which in turn contributes to poorer nutritional status and health outcome.
Objective: The objective of this study was to evaluate the nutritional status of an ESRD patient using current nutrition evidence-based guidelines.
Design: Patient data was collected from medical records, and by interviewing the nurse and patient. The Nutrition Care Process was used in this study.
Subjects/Participants: A 49 year old African American female with past medical history of hypertension, type 2 diabetes mellitus, dyslipidemia, and ESRD on dialysis. Patient was admitted for left ankle fracture and dislocation status post fall.
Nutrition Diagnosis: Two nutrition problems were identified: Limited adherence to nutrition related recommendations; Impaired nutrient utilization
Intervention: Provided nutrition education focusing on low potassium food alternatives; Increased adherence to nutrition recommendation by involving patient in the nutrition care process.
Main Outcome Measure: Adherence and acceptance of nutrition recommendations, improved clinical laboratory values, and <5% interdialytic weight gain.
Application/Conclusion: Dietitians play an important role in maintaining ESRD patients’ health and quality of life. Dietary intervention aims to minimize the complications of ESRD and increase adherence and acceptance of nutrition recommendations.

 

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