The Japanese Journal of Clinical Dialysis Vol.32 No.12(2-6)

Theme Nutritional care for elderly chronic kidney disease patients utilizing rehabilitation and kinestology
Title Nutritional education for weight loss from chronic renal failure -- decline in cognitive function in elderly patients
Publish Date 2016/11
Author Toshiaki Tokumaru Department of Nutrition, The University Kanazawa Hospital
[ Summary ] A 70 year old woman was referred to our hospital for treatment of chronic renal failure. She had been treated for diabetes mellitus from her thirties and had been suffering a decline in cognitive function for the past ten years. Nutritional education was started for treatment of obesity. Evaluation of dietary intake indicated she had some nutrition related problems. She had difficulty grasping tools in meal situations. She had an excessive intake of fruit and Japanese pickles. Because of her cognitive decline, basic guidance was considered. For example, proper fruit intake was prescribed specifi cally in reference to the amount which could be placed in her hand and Japanese pickles were exchanged for Western pickles. Her body mass index decreased to 29.6 from 30.1 in four months. Dietary intake for the elderly can easily be reduced. Therefore, it is important to monitor patient nutrition to produce safe diets.
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