Fluid overload (FO) is a prevalent issue among people with end-stage renal disease on dialysis. There are many consequences related to fluid overload, ultimately leading to increased hospitalization, mortality risk, and poor quality of life. Historically, fluid status has been evaluated in isolation, however, as the study below authors propose, it may be more [...]
In the world of kidney disease, Vitamins B3 and K are often overlooked, but these two nutrients may be useful in the fight against Chronic Kidney Disease Mineral Bone Disorders (CKD-MBD). Niacinamide, a form of Vitamin B3, has phosphorous binding abilities that benefit patients with CKD and ESRD. Researched in doses of 25mg-1500mg per [...]
Intradialytic parenteral nutrition (IDPN) is a non-invasive infusion of amino acids, dextrose, and sometimes lipids given to hemodialysis patients. It is designed specifically to boost patient’s nutrition without increasing patient burden by using the dialysis access site during the patient’s regular dialysis session. The goal of IDPN is to [...]
In the past few decades, meditation has made its way into cultures all over the world. This ancient tradition, once only tied to different religious teachings, is now prescribed by physicians and practiced by many business professionals, scientists, athlete’s, politicians, military personnel and even students. Stemming from the Latin [...]
In the dietitian nutrition world, we recognize that all macro and micronutrients are important for health. Yet protein tends to steal the spotlight, demanding attention in the media, in research, and in clinical nutrition counseling. It’s easy to understand protein’s popularity given every cell in our body needs it for structure and function. Body [...]
Behavior is impacted by 3 things – Capability, Opportunity, and Motivation. For End-stage Renal Disease (ESRD) patients on dialysis, we often focus on patient Motivation – the mental process that energizes and directs behavior - to help them take more responsibility for their own health outcomes. It’s important to acknowledge that there are [...]
Physical assessment can provide insight to a patient’s health and nutritional status that may not otherwise be discovered without more expensive and time-consuming testing. Whether part of a composite nutrition score like in the Subjective Global Assessment (SGA) or on its own as a full Nutrition-Focused Physical Exam, the physical assessment is getting more attention [...]
The new KDOQI 2020 Updates were recently published after months of exhausting work done by an interdisciplinary team tasked with pouring over all the available literature in order to provide more guidance to the practice of renal nutrition. Kudos to them for all they’ve done, as this update was really needed and will be [...]
