The kidneys are essential towards the human body; They maintain fluid, electrolyte and acid-base balance. Also, they excrete waste products, like urine, help control blood pressure, and blood cell production. The nephrons inside the kidneys, responsible for removing waste products, can become damaged. Thus, will be the start of kidney disease. Chronic Kidney Disease is constant nephron damage for several years. In Addition to the damage of the nephrons there’s a decrease in glomerular filtration rate (GFR). GFR is a test that measures how well your kidneys are working. One of the major causes of CKD is diabetes and hypertension. (Silberberg, 2015) If CKD progress without the proper medical help, it will result to kidney failure and a transplant or dialysis may be necessary. Along with all other diseases, kidney diseases have a negative effect on metabolism, nutritional status and nutritional requirements. Patients with chronic kidney disease should limit their intake on protein, sodium, potassium, calcium and phosphorus (Dudek., 2014) The purpose of this paper is to discuss the macro and micronutrients important to prevent chronic kidney disease.
The goals of nutritional therapy are to make sure that CKD does not progress. Patients with CKD have to rearrange their diet to help monitor their disease. People with non-diabetic CKD should avoid consuming excess protein because it leads to proteinuria. Having protein in your urine means that it skipped through the filtration
Chronic kidney disease (CKD) is a worldwide problem that is currently three times higher for African Americans, Hispanics, Pacific Islanders, American Indians and seniors (The National Kidney Foundation, 2013). CKD occurs when the kidneys are damaged by a pathogen or injury and they can no longer adequately maintain proper levels of regulated chemicals in the bloodstream. There are many risk associated with CKD. According to the National Kidney Foundation, two of the major risks are Chronic Renal Failure (CRF) and Cardiovascular Disease. Currently twenty million American adults have CKD and millions of others are at increased risk. Age has no barrier on getting CKD. People with pre-existing health issues, and a part of certain population
If you have diabetes along with kidney disease, additional steps may be necessary to slow any more damage to the kidneys. High blood pressure and obstruction of any ducts can also alter treatment. It is crucial to work out a treatment plan with your physician. Dietitians will assist in creating a specific diet plan with the right amount of sodium, protein and fluids and also help regulate blood pressure and any sort of insulin issues that may be present. Dietitians will also help encourage and push you to live, or start living a more healthy lifestyle which will not only ease the pain, but also increase your overall health. Dialysis also has a lot to do with dietitians. According to Laura L. Ellingson, author of The Performance of Dialysis Care: Routinization and Adaptation on the Floor, dialysis treats people with kidney failure by using machines to filter the blood, removing excess fluid and waste materials. Dialysis treatment is life sustaining, but is also a demanding, often exhausting process accompanied by strict monitoring of diet, fluid intake, and other lifestyle factors (p 2). If you are exercising, and eating clean, REAL food, this process is more bearable. Whereas if you eat junk food before going to dialyze, it is very painful due to all of
The Kidney Disease Solution can help you enhance energy with healthy meals for kidney function.
After conducting a health history assessment and formulating a genogram for my client C.N, I have come to the conclusion that she is at increased risk for developing kidney disease. C.N is a 32 years-old African American female with a current medical diagnosis of Hydronephrosis, UTI, and Left Ureteral Constriction. Unfortunately she also has an extensive family history of kidney disease. Healthy People 2020 points out that genetic determinants have a large influence on the development and progression of Chronic Kidney Disease (CKD) and that although it is not possible to alter a person’s biology or genetics determinants; however, successful behavior modification is expected to have a positive influence on the disease given that
Kidney failure has spread immensely throughout the United States for the past decade. There are many causes for kidney failure, but the top two in the U.S. are Diabetes and Hypertension. Before this research project, I was not aware of how common Chronic Kidney Disease is amongst us, especially since it ranges from birth to old age. One in 10 adults within the age of 20 or older has been diagnosed with kidney disease in the U.S., (Davita.com). This disease causes a complete lifestyle change and with the right educational tools, diet, compliance, and support from family and friends, the patient should be able to keep living without any complications.
The American Journal of Kidney Diseases published in 2001 the National Kidney Foundation clinical guidelines for nutrition in chronic renal failure patients as a way to improve palliative care and outcome quality. The American Journal of Kidney Foundation shed a light to what the new margins for evaluation, classification and stratification. It will also further explain the nutritional suggestions and requirements for adult and pediatric individuals, what do we know and where to go from there.
A personalized hemodialysis diet would be required when kidneys function fails due to kidney disease.1 With diseased kidneys it is difficult to get rid of wastes (e.g. protein) from the body.1 A wide range of lifestyle changes are needed in chronic kidney disease patients, especially diet.2 The diet plan for each individual is different, but for the most part CKD patients need to monitor their protein, sodium, potassium, phosphorus, and fluid intake on a continual basis.1-3 Buildup of waist products and fluid in particular make the dialysis process more difficult because you’re needing to draw more fluid from the body. Therefore, it is very important for CKD patients to limit the amount of sodium and fluid intake in their diet.3 To much sodium
Every year more than 500,000 people go to the hospital emergency rooms for issues related to kidney stones. 1 in 10 people will experience some sort of issue with kidney stones and the complications that arise from them. The prevalence of kidney stones in the United States has increased from 3.8% to 8.8% from the year 1970 to the year 2000. (National Kidney Foundation 2015) Kidney stones can be related to various complications such as high blood pressure, diabetes mellitus, and obesity but a majority of the cases seen in the United States, and especially more recently, can be caused and prevented with simple diet changes. (Nutrition MD 2015)
One the outside people can seem to be heathy, but we never know what may be going on with them internally. I spoke with a 45 year old man who is married with a full family of 7. He is a detective with the local police department. As he is a man of faith he works in his church. His friends and family can always depend on him. On a normal week, he can been seen going to work, the gym, church, cutting grass for family and friends, taking care of his widowed mother and playing with his 2 year old grandson. From the outside looking in, people would say he has a very blessed life. What many people do not know is that he is battling a very deadly disorder. He is in stage 3 renal failure, also known as CKD Chronic Kidney Disease. There is no cure for this disorder, all that can be done is to take measures to slow the progression.
The following are examples of self-management strategies that should be discussed with patients to empower them to promote healthcare in their own home environment. Diet and fluid intake is important for CKD patients because the regular balance of minerals and nutrients is disturbed due to the inefficiencies of the diseased kidney (Jackson, Cassidy & James, 2006). Strategies to manage diet and fluid intake include; education regarding what kinds of food are appropriate for a person with CKD to eat, for example, food with high potassium in them or low sodium foods as well as foods with high fluid levels like rice. Referring patients to a dietician can be helpful to patients who are having trouble with fluid or high potassium readings. These dieticians may be able to provide detailed meal plans or spark ideas of what to eat. Many people with CKD are required to restrict their fluid intake, one way to keep track of this is to have one measuring jug with graduations, this enables people to know exactly how much fluid they are drinking throughout the day, if they have a separate drink they can remove that amount from their main measuring jug.
According to Bilous (2013), unmanaged diabetes over time can cause an accumulation of matrix material on the glomerular capillary basement membrane and in the area between the capillaries known as the glomerular mesangium. This thickening of matrix will eventually obliterate the capillaries leading to a decrease in glomerular filtration rate and eventual organ failure. The pathological course that leads to diabetic nephropathy has several warning signs that can be used to detect and slow down the progression of the disease. One of the earliest clinical findings is the increased concentration of albuminuria protein in the urine. This protein is indicative of leaky capillaries that have been damaged due to increased concentration of glucose in the
Diabetic neuropathy is the most common factor in almost 90% of diabetic foot ulcers [9, 10]. Nerve damage in diabetes affects the motor, sensory, and autonomic fibers. In patients with peripheral diabetic neuropathy, loss of sensation in the feet can cause further damage such as repetitive minor injuries that are undetected at the time and may subsequently prompt foot ulceration. In addition, structural deformities and abnormalities of the foot further increase the risk of ulceration. Other risk factors include a previous history of foot ulceration or amputation, visual impairment, diabetic nephropathy, poor glycemic control, and cigarette smoking. This may increases the chance of infection to the ulcer. Lack of wound healing, systemic sepsis,
Serum creatinine is the most broadly used parameter to evaluate renal function. Creatinine is a product of the degradation of creatine, which is an organic nitrogenous compound playing an important role in cellular energy metabolism. Creatine is derived from dietary sources and de novo synthesis. As illustrated in Figure 3, the biosynthesis of creatine in humans accounts for ~50% of the daily requirement and is a two-step process: first guanidinoacetate is formed from arginine and glycine precursors, under the control of L-arginine-glycine amidinotransferase (AGAT), followed by the Guanidinoacetate methyltransferase (GAMT) catalyzed transfer of a methyl group from S-adenosyl-methionine to produce creatine. Once synthesized, creatine is released
Metabolic memory applies in nephropathy. In nephropathy, significant persistent benefits were noted in those who had received intensive therapy compared with those who received conventional therapy during the DCCT.
I was intrigued by the theme of your Thread Discussion this week since I am the Outpatient Diabetes Educator and come across numerous patients with renal disease who stare at the face of the only life-saving option - dialysis. As you indicated, it is imperative to educate these patients on continuous self -care to avoid this dreadful treatment and prevent further complications related to lack of taking timely interventions. Because diabetes-related nephropathy is on many occasions a sad repercussion of a person's non-compliance resulting in a poor glycemic control which creates a devastating recipe for renal disease, the healthcare providers must focus on early prevention and self-care education. However, in my current position, I am exposed