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ABSTRACT
Year : 2018  |  Volume : 3  |  Issue : 1  |  Page : 7

Nutrition assessment for patients with Chronic Kidney Disease (CKD)


Senior Lecturer, Department of Nutrition and Dietetics, Universiti Putra Malaysia, Malaysia

Date of Web Publication16-May-2018

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-1540.232538

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How to cite this article:
Mat Daud Z. Nutrition assessment for patients with Chronic Kidney Disease (CKD). J Renal Nutr Metab 2018;3:7

How to cite this URL:
Mat Daud Z. Nutrition assessment for patients with Chronic Kidney Disease (CKD). J Renal Nutr Metab [serial online] 2018 [cited 2019 Sep 18];3:7. Available from: http://www.jrnm.in/text.asp?2018/3/1/7/232538

The malnourished patient with chronic kidney disease is at risk for morbidity issues linked to weight loss, metabolic acidosis, muscle wasting, frailty, increased infections, hospitalization and overall health care costs. In particular, protein energy wasting (PEW), a state of metabolic and nutritional derangements, is a major issue in patients with advanced Chronic Kidney Diseases (CKD), adversely affecting morbidity, mortality and patients' quality of life. Complications associated with PEW are significant risk factors for weaknesses, poor responsiveness to erythropoietin stimulating agents, low quality of life, prolong hospitalization and mortality. Furthermore, socioeconomicburden of treating and managing PEW and its complications in this population is considerably high.

This Workshop focus is to provide skills related to Step 1 of NCPM which is nutrition assessment (NA). Performing a periodic NA is crucial for identifying and management of PEW as an integral part of care for CKD patients. NA is the first step of the Nutrition Care Process Model (NCPM). The purpose of nutrition assessment is to obtain, verify and interpret data needed to identify nutrition-related problems, their causes, and significance. Critical thinking skills are applied to perform nutritional assessment as part of ongoing, non-linear and dynamic process that involves data collection and continual analysis of the patients' status. Data for NA are obtained from interviews with patients/care givers, observation, measurements and medical records. In this workshop, NAwill be reviewed using a specific framework as proposed by the Academy of Nutrition and Dietetics: 1) food and nutrition related history; 2) anthropometric measurements; 3) biochemical data, medical tests and procedures; 4) nutrition-focused physical findings and 5) client history. Specific examples of common nutritional assessment tools and methods used for CKD population, their strengths, limitations and source of errors will be discussed. Particular emphasize will be given to nutrition-focused physical examination, with illustration of physical manifestation of nutrient deficiencies and excesses with a specific focus on patients with CKD. [3]

 
  References Top

1.
Charney P, Peterson SJ. Practice Paper. Critical Thinking Skills in Nutrition Assessment and Diagnosis. JAND 115: 1545-59, 2013. https://doi.org/10.1016/j.jand.2013.09.006.  Back to cited text no. 1
    
2.
Dreyfus HL, Dreyfus SE. Mind Over Machine: The Power of Human Intuitive Expertise in the Era of the Computer. New York, NY: Free Press; 1986.  Back to cited text no. 2
    
3.
Esper DH. Utilization of Nutrition-focused Physical Assessment in Identifying Micronutrient Deficiencies. Nutrition in Clinical Practice. 30(2): 194-202, 2015.  Back to cited text no. 3
    




 

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