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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Evaluating the Implementation of Evidence-based Kidney Nutrition Practice Guidelines: The AUGmeNt Study Protocol.

Gabriela V Proaño1, Constantina Papoutsakis2, Erin Lamers-Johnson3

  • 1Senior Research Project Manager, Academy of Nutrition and Dietetics, Chicago, Illinois.

Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation
|November 3, 2021
PubMed
Summary

Registered dietitian nutritionist (RDN) training on evidence-based nutrition practice guidelines (EBNPGs) for chronic kidney disease (CKD) patients on dialysis is being studied. An implementation toolkit improved guideline adoption and adaptation, informing future EBNPG development.

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Area of Science:

  • Implementation Science
  • Clinical Nutrition
  • Health Informatics

Background:

  • Evidence-based nutrition practice guidelines (EBNPGs) guide care for patients with chronic kidney disease (CKD) grade 5 on dialysis.
  • Limited research exists on the optimal implementation of EBNPGs in clinical practice by registered dietitian nutritionists (RDNs).

Purpose of the Study:

  • To evaluate the effectiveness of two training models for RDNs on EBNPG implementation for CKD patients on dialysis.
  • To examine the congruence of RDN documentation with EBNPGs, identify implementation barriers, and assess the feasibility of measuring patient outcomes.

Main Methods:

  • An effectiveness-implementation hybrid study with a quasi-experimental design was conducted.
  • RDNs in US hemodialysis clinics documented patient nutrition care using the Academy of Nutrition and Dietetics Health Informatics Infrastructure.
  • RDNs were randomized to receive either EBNPG knowledge training or knowledge training plus an implementation toolkit.

Main Results:

  • The study examined RDN documentation alignment with EBNPGs.
  • Common issues regarding EBNPG acceptability, adoption, and adaptation reported by RDNs were described.
  • Feasibility of assessing the impact of RDN care on nutrition-related patient outcomes was determined.

Conclusions:

  • The AUGmeNt study provides insights into the effective development and implementation of future EBNPGs.
  • Findings can inform strategies to improve the integration of best nutrition practices in CKD care.