Human and Clinical Nutrition Commons^™

Hemodialysis Care Staff Perceptions On Barriers To Optimal Health: Results From A Qualitative Study And National Survey, Daniela A. Gutierrez More

Graduate Theses

Chronic Kidney Disease (CKD) is currently the ninth leading cause of death in the United States, and despite the favorable outcomes reported in previous studies, mortality rates for CKD have yet to show improvement. The purpose of this study was distinguish between the different strategies used to treat CKD as perceived by renal practitioners. It is hypothesized that the lack of improvement in mortality rates may be attributed to the lack of cardiovascular protection.

Fiber Intake In Hemodialysis Patients And Its Effects On Symptoms, Jennifer Langner

Theses and Dissertations

On average 30 million adults are diagnosed with chronic kidney disease (CKD) in the United States (National Kidney Foundation, 2017). Patients in late stage kidney disease and on dialysis are placed on a restrictive diet to aid in the treatment of their disease. There are adverse symptoms associated with dialysis including nausea, constipation, diarrhea and fatigue. Fiber has been shown to decrease gastrointestinal symptoms such as reducing constipation and inflammation in the body in healthy populations. This study examined 19 hemodialysis dialysis patients and their fiber intake in relation to a variety of symptoms such as constipation, nausea, vomiting, diarrhea, …

Dietary Sodium And Blood Pressure Changes In Hemodialysis Patients Undergoing A Liberalized Renal Diet Intervention, Lauren Eve Chan

Theses and Dissertations

Objective: Investigate the impacts of individual liberalized renal diet counseling in conjunction with a volume reduction hemodialysis (HD) protocol.

Design & Methods: Twenty-three maintenance HD patients (age = 55.7 ± 13.3y, 47.8% female), consented and completed this pilot intervention. Across the six-month intervention, participants received thrice weekly dietary counseling about a liberalized renal diet. Liberalized renal dietary guidelines promoted a low sodium diet with greater unprocessed food consumption, decreasing foods eaten outside the home, and increased food label reading. Participant HD sessions were conducted per a volume reduction protocol, gradually decreasing patient post-dialysis weight by removing an additional 200-300 mL/session. …

The Relationship Between Self-Efficacy And Fluid,And Dietary Compliance In Hemodialysis Patients, Ansy Paul John

UNLV Theses, Dissertations, Professional Papers, and Capstones

Patients with end-stage renal disease (ESRD) who receive hemodialysis often fail to follow a prescribed diet and fluid regimen, which undermines the effectiveness of care and leads to unpredictable disease progression and greater likelihood of complications. Non-adherence to dietary and fluid limitations compromises the outcomes of patients receiving hemodialysis. Noncompliance can lead to detrimental long-term outcomes including deterioration of the cardiovascular system, heart failure, hypertension, and pulmonary edema as well as short-term problems such as edema, itching, bone pain, and breathlessness.

Many studies have demonstrated that self-efficacy strategies are associated with improved dietary and fluid compliance among individuals receiving hemodialysis. …