Chronic Kidney Disease

Improved Essays
CKD-MBD
Chronic kidney disease can reck havoc on the bones. When the kidneys fail to regulate the balance of phosphorus, calcium, and vitamin D or when hypooclaemia dn hyperphopahtemia persist, parathyroid hormone will increase to compensate. Although the body is adaptable it will eventually fall behind. According to Ruf & Clifford (2010), "The cornerstone of management of chronic kidney disease-mineral bone disorder is to maintain normal bone turnover by maintaining adequate PTH and vitamin D receptor agonism" (p. 99). Ruf & Clifford (2010) explain how management of CKD-MBD is distinctly different from the regular treatment of osteoporosis (p. 99). The first step of treatment is finding the right drug regimen for the individual. The Primary
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57). The goal of nutritional support in a patient with CKD and on dialysis is to "control the intake of some nutrients (phosphorus and Potassium) and reduce the accumulation of metabolic wastes (urea)" (Pasticci et al., 2012, p. 51). It is a constant balancing act and takes the whole nephrology teams collaboration to maintain proper nutrition in a patient with CKD. Any individual with CKD stage 4-5 should have regular screenings by a dietician. A basic nutritional assessment should include; body weight, height, and body mass index so a nutritional baseline can be established. Once a patient starts dialysis this challenge increases ten-fold. "The dietary demand of patients on HD are more complex than PD" (Paticci et al., 2012, p. 51). Not only do you have to account for under nutrition, a decrease in energy or protein intake, but a dialysis patient may also experience over nutrition. According to Hadley (2014) protein should not be restricted for a patient on dialysis. Rather protein restriction is more beneficial in the early stages of CKD (stage 1-4) because it will help slow the progression of kidney dysfunction (p. 1114). "Patients with CKD are advised to restrict sodium. Sodium-restricted diets may vary from 2 to 4 g/day" (Hadley, 2014, p. 1114). A dietitian can educate a patient on food high in sodium such as; cured mates, …show more content…
Numerous aspects on a individual 's life will change. "The chronicity of kidney disease and long-term treatment affect virtually every area of a person 's life, including family relationships, social and work activities, self-image, and emotional state" (Hadley, 2014, 1115). However, it is not a journey they have to take alone. An abundance of resources are available at both the national and local level.
At a national level an individual with the disease has a vast supply of information available to them at a click of a mouse. In the battle against any disease, knowledge is the first step. A well informed individual can be more active in the planning and implementing of their own health care plan. Websites for foundations such as The National Kidney Foundation (www.kidney.org), have a user friendly support system that can educate an individual about all aspects of the disease. The website provides a key to help patients understand their lab values, as well as how they relate to their CKD. There is also a toll-free number (1.800.622.9010) to answer any questions an individual might have. The website even provides information on nutrition (my food coach) for chronic kidney disease, with resources on how to eat out and even includes cookbooks for kidney patients. They also share a peer group where you can talk to and connect with someone who experiencing CKD first hand. The website also provides resources for the

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