The Japanese Journal of Clinical Dialysis Vol.34 No.5(6)

Theme Practical approach to improve physical and cognitive function of patients on chronic dialysis: Points of satisfaction for patients and their families
Title Diet improving quality of life
Publish Date 2018/05
Author Yohei Ito Department of Nutrition, Kanagawa Cancer Center
Author Rieka Fujii Department of Nutrition, Kanagawa Cancer Center
Author Toshio Hasegawa Adachi Gotanno Kidney Clinic
[ Summary ] Diet therapy in patients undergoing dialysis frequently exposes patients to stress due to its complexity. The nutritional requirements of patients ought to be determined based on the stages of chronic kidney disease (CKD), the dialysis modality used in a particular patient, as well as the patient's background to provide continuous and concrete guidance.
Positive use of special nutritional supplements helps to easily adjust the nutritional intake in these patients. However, the patient's economic burden requires close attention because patients frequently face problems with purchasing these items, their prices and contents. Dietary restrictions/modifications alone may not successfully maintain an optimal nutritional status in these patients. Additionally, adherence to the adequate intake of phosphorus and potassium adsorbents needs monitoring, and cooperation with professionals with other expertise.Attention to the above-mentioned factors would help to improve the quality of life in these patients.
back