Dietitian-Led Education Program to Improve Phosphate Control in a Single-Center Hemodialysis Population

Reddy, Veena; Symes, Fiona; Sethi, Neeraj; Scally, Andy J.; Scott, Judith; Mumtaz, Ramla; Stoves, John

doi:10.1053/j.jrn.2008.11.001

Cited by 51 publications

(63 citation statements)

References 11 publications

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“…Towards this end, the Academy of Nutrition and Dietetics in the USA proposed the Nutrition Care Process (NCP). This systematic approach provides high-quality nutrition care through the following four steps: (1) nutrition assessment and reassessment, (2) nutrition diagnosis, (3) nutrition intervention, and (4) nutrition monitoring and evaluation [40,41]; Fig. 3.…”

Section: Nutritional Counselingmentioning

confidence: 99%

“…Dietitians initiate the processes of assessment and education in order to (1) establish communication with patients and their families, (2) provide information to address any underlying nutritional issues, and (3) calm the fears that many patients have regarding the implementation of the many changes required in their lives [48]. In support of this approach, Reddy et al [41] found that an education program significantly improved patients' general knowledge of phosphorus and phosphate binders and was associated with a significant reduction in serum phosphate in patients with hyperphosphatemia.…”

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confidence: 99%

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The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

Kawate

Miyata

2017

Ren Replace Ther

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Hyperphosphatemia is a risk factor for cardiovascular disease and mortality in individuals with end-stage kidney disease (ESKD). Thus, it represents a potential target for interventions to improve clinical outcomes in ESKD. Phosphorus reduction therapy for maintained hemodialysis (MHD) patients encompasses phosphate binder medication, adequate dialysis, and also dietary phosphorus control. The main strategy in achieving dietary phosphorus reduction involves intensive education by a dietitian. The purposes of this patient education process are: (a) to obtain patient background information, (b) to assess patient knowledge, (c) to evaluate patient nutritional status, (d) to educate the patient using various approaches, and (e) to optimize the patient's nutritional state. Here, we review the management of dietary phosphorus by dietitians and summarize our strategy and the activities we use in diet counseling for MHD patients.

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Section: Nutritional Counselingmentioning

confidence: 99%

mentioning

confidence: 99%

The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

Kawate

Miyata

2017

Ren Replace Ther

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“…Increased knowledge, better understanding of their disease process and active participation in health behaviors, including dietary restrictions, have been suggested as methods to improve HD adherence and phosphorus control (Baraz, Parvardeh, Mohammadi & Broumand , 2009;Cupisti, et al, 2012;Brogdon 2013;Reddy et al, 2009) …”

Section: Background and Significancementioning

confidence: 99%

Hyperphosphatemia in Hemodialysis Patients: Can an Educational Intervention Make a Difference?

Agbelese¹

2016

Preprint

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<p>Adherence to the treatment regimen, including proper phosphate binder use and the monitoring of dietary phosphorus intake, is crucial to optimal health outcomes in hemodialysis patients. Hyperphosphatemia remains a significant health problem in hemodialysis patients since excessive serum phosphate is associated with increased morbidity and mortality rates in this patient population. Hyperphosphatemia can occur due to lack of knowledge. The purpose of this program is to determine the effect of an educational intervention on phosphorus knowledge in hemodialysis patients.</p> <p>Participants consisted of a convenience sample of 12 hemodialysis patients. The teaching intervention utilized a pre and posttest design. The difference in pre and posttest scores was analyzed to determine the effect of the educational intervention on patients’ knowledge of phosphorus. Post test scores revealed a statistically significant increase in phosphorus knowledge in participants (Z value = -2.97; p � .05). Responses to the openended qualitative question revealed that friends and family members were important support team members that enabled participants to adhere to their dietary phosphorus regimen. Implications for further studies include the expansion of educational interventions to include friends and family members and the inclusion of individuals from various ethnic and racial backgrounds. Nurses are strategically situated in hemodialysis units to provide patient education. Advanced practice registered nurses can provide leadership to other nurses on the use of evidenced-based educational interventions that positively impact patient outcomes.</p>

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“…Renagel is indicated for to patients with elevated serum phosphorus level and total adjusted calcium level over 5.5 and 10.2 mg/dl, respectively, and iPTH level decrease under 130 pg/ml and metastatic calcification [Craver ,2007;KDIGO,2009]. Long-term Renagel administration can result in decrease of furosemide's diuretic effect and hypochloremic acidosis associated with bicarbonates loss [Craver ,2007;Block ,2010;Reddy ,2009]. Table 3 represents the pattern of sevelamer hydrochloride dosage choice based on serum phosphorus level.…”

Section: Diet and Phosphate Bindersmentioning

confidence: 99%

Phosphorus and Calcium Metabolism Disorders Associated with Chronic Kidney Disease Stage III-IV (Systematic Review and Meta-Analysis)

Milоvаnоvа¹,

Milovanov²,

Plotnikova³

2012

Chronic Kidney Disease and Renal Transplantation

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Dietitian-Led Education Program to Improve Phosphate Control in a Single-Center Hemodialysis Population

Cited by 51 publications

References 11 publications

The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

Hyperphosphatemia in Hemodialysis Patients: Can an Educational Intervention Make a Difference?

Phosphorus and Calcium Metabolism Disorders Associated with Chronic Kidney Disease Stage III-IV (Systematic Review and Meta-Analysis)

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