| Theme | Care of Patients with Chronic Renal Failure under Malnutrition -- The Teamplay of Physicians, Nutritionists, and Nurses | |
|---|---|---|
| Title | Two cases of diabetic hemodialysis patients in states of severe malnutrition | |
| Publish Date | 2002/12 | |
| Author | Kazuhito Takeda | Department of Nephrology and Kidney Center, Aso-Iizuka Hospital |
| Author | Rieko Tanaka | Department of Nephrology and Kidney Center, Aso-Iizuka Hospital |
| Author | Toshiki Doi | Department of Nephrology and Kidney Center, Aso-Iizuka Hospital |
| Author | Kyoko Oda | Registered nurses of Nephrology, Aso-Iizuka Hospital |
| Author | Reiko Higuchi | Registered nurses of Nephrology,, Aso-Iizuka Hospital |
| Author | Akari Kishimoto | Renal dietician, Aso-Iizuka Hospital |
| [ Summary ] | Case 1: A 77 year old male diabetic patient with chronic renal failure, intractile ascites, and an old cerebral infarction. Hematectomy was done because of acute subdural hematoma before induction of maintenance hemodialysis. After intracranial surgery, peritoneal dialysis was gradually induced. The patient was in a state of malnutrition and had no appetite. Going on a special diet with unrestricted salt and successive rehabilitation, he recovered immediately by virtue the cooperation of the medical staff, registered nurses and renal dieticians. Case 2: A 64 year old male diabetic patient with chronic renal failure, an old myocardial infarction, having had AC-bypass surgery, an old cerebral infaction, and liver cirrhosis due to C type viral hepatitis, received maintenance hemodialysis. He was still in a severe state of malnutrition, and could not walk by himself for a great deal of time. However, he recovered through intensive rehabilitation and his cooperation with doctors, nurses, and renal dieticians over a two month period. In diabetic hemodialysis patients, sufficient education and guidance before and after the induction of dialysis therapy are very important for successful treatment. Nephrologists, registered nurses and renal dieticians should be well organized into a renal medical team in the nephrology department not only for non-diabetic patients but also for diabetic hemodialysis patients. |
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