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Chronic Kidney Disease III: Interprofessional Care01:28

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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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Chronic Kidney Disease IV: Nursing Management01:18

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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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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
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Assessing Global Kidney Nutrition Care.

Angela Yee-Moon Wang1, Ikechi G Okpechi2,3, Feng Ye4

  • 1Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong Special Administrative Region, China angela_wang@connect.hku.hk.

Clinical Journal of the American Society of Nephrology : CJASN
|January 4, 2022
PubMed
Summary

Global kidney nutrition care faces significant challenges, with many countries lacking specialized dietitians and consistent dietary counseling, especially in lower-income nations. Communication between dietitians and nephrologists is also limited, impacting patient care.

Keywords:
chronic kidney diseasedietitiansglobalglobal healthkidney nutrition carenutrition supplementnutritional statusrenal nutrition

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Area of Science:

  • Nephrology
  • Nutrition Science
  • Global Health

Background:

  • Nutrition intervention is critical for managing kidney disease.
  • Limited understanding of global kidney nutrition care services exists.
  • Interdisciplinary communication and oral nutrition supplement availability are key concerns.

Purpose of the Study:

  • To assess the global availability and capacity of kidney nutrition care.
  • To evaluate interdisciplinary communication in renal nutrition.
  • To determine the availability of oral nutrition supplements worldwide.

Main Methods:

  • Developed the Global Kidney Nutrition Care Atlas in partnership with the International Society of Nephrology (ISN).
  • Administered an electronic survey to kidney care stakeholders in 182 ISN-affiliated countries (July-September 2018).
  • 160 countries (88%) responded, with 155 providing data on kidney nutrition care.

Main Results:

  • Only 48% of responding countries have dedicated renal dietitians.
  • Dietary counseling is unavailable in 65% of low/lower-middle-income countries.
  • Oral nutrition supplements are often not freely available, particularly in lower-income countries.
  • Interdisciplinary communication between dietitians and nephrologists is infrequent (sometimes or less) in over 60% of countries.

Conclusions:

  • Significant global gaps exist in kidney nutrition care services, capacity, and cost coverage.
  • Deficiencies in interdisciplinary communication hinder effective kidney nutrition care delivery.
  • Lower-income countries face the most substantial challenges in renal nutrition support.