Academy of Nutrition and Dietetics and National Kidney Foundation: Revised 2014 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Nephrology Nutrition

Kent, Pamela; McCarthy, Molly; Burrowes, Jerrilynn D.; McCann, Linda; Pavlinac, Jessie M.; Goeddeke-Merickel, Catherine M.; Wiesen, Karen; Kruger, Sarah; Byham‐Gray, Laura; Pace, Rory C.; Hannahs, Valarie; Benner, Debbie

doi:10.1016/j.jand.2014.05.006

Cited by 29 publications

(24 citation statements)

References 18 publications

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“…22 Standards of practice and standards of professional performance for registered dietitians (generalist, specialty, and advanced) in the care of chronic kidney patients are updated regularly. 23 An advanced renal specialist credential is available after passing a certification examination from the Commission on Dietetic Registration.…”

Section: Nutritional Requirements In Ckdmentioning

confidence: 99%

Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary

Beto¹,

Schury²,

Bansal³

2016

IJNRD

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Chronic kidney disease (CKD) requires extensive changes to food and lifestyle. Poor adherence to diet, medications, and treatments has been estimated to vary between 20% and 70%, which in turn can contribute to increased mortality and morbidity. Delivering effective nutritional advice in patients with CKD coordinates multiple diet components including calories, protein, sodium, potassium, calcium, phosphorus, and fluid. Dietary intake studies have shown difficulty in adhering to the scope and complexity of the CKD diet parameters. No single educational or clinical strategy has been shown to be consistently effective across CKD populations. Highest adherence has been observed when both diet and education efforts are individualized to each patient and adapted over time to changing lifestyle and CKD variables. This narrative review and commentary summarizes nutrition education literature and published strategies for providing nutritional advice in CKD. A cohort of practical and effective strategies for increasing dietary adherence to nutritional advice are provided that include communicating with "talking control" principles, integrating patient-owned technology, acknowledging the typical food pattern may be snacking rather than formal meals, focusing on a single goal rather than multiple goals, creating active learning and coping strategies (frozen sandwiches, visual hands-on activities, planting herb gardens), and involving the total patient food environment.

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Section: Nutritional Requirements In Ckdmentioning

confidence: 99%

Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary

Beto¹,

Schury²,

Bansal³

2016

IJNRD

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“…For each group of responsibilities, respondents were asked to rank them from 1 to 10, with 1 representing most important or time-consuming and 10 representing least important or time-consuming. The survey was set to allow the respondents to select only 1 responsibility at each rank of importance (1-10) or time consumed (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). In addition, information on respondent's profession (e.g., dietitian, nephrologist, nurse, social worker), years of experience in their general profession and specializing in nephrology, and number of patients responsible for was obtained.…”

Section: Methodsmentioning

confidence: 99%

Renal Dietitians' Perceptions of Roles and Responsibilities in Outpatient Dialysis Facilities

Hand

Burrowes²

2015

Journal of Renal Nutrition

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It appears that the renal dietitian's role of providing nutrition assessments and counseling in outpatient dialysis facilities is being expanded to include administrative and coordination responsibilities. The impact of these changes on patient outcomes is unclear; however, previous research has indicated that administrative responsibilities take away from patient care time and decrease dietitian job satisfaction.

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“…Towards this end, the Academy of Nutrition and Dietetics in the USA proposed the Nutrition Care Process (NCP). This systematic approach provides high-quality nutrition care through the following four steps: (1) nutrition assessment and reassessment, (2) nutrition diagnosis, (3) nutrition intervention, and (4) nutrition monitoring and evaluation [40,41]; Fig. 3.…”

Section: Nutritional Counselingmentioning

confidence: 99%

The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

Kawate

Miyata

2017

Ren Replace Ther

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Hyperphosphatemia is a risk factor for cardiovascular disease and mortality in individuals with end-stage kidney disease (ESKD). Thus, it represents a potential target for interventions to improve clinical outcomes in ESKD. Phosphorus reduction therapy for maintained hemodialysis (MHD) patients encompasses phosphate binder medication, adequate dialysis, and also dietary phosphorus control. The main strategy in achieving dietary phosphorus reduction involves intensive education by a dietitian. The purposes of this patient education process are: (a) to obtain patient background information, (b) to assess patient knowledge, (c) to evaluate patient nutritional status, (d) to educate the patient using various approaches, and (e) to optimize the patient's nutritional state. Here, we review the management of dietary phosphorus by dietitians and summarize our strategy and the activities we use in diet counseling for MHD patients.

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Academy of Nutrition and Dietetics and National Kidney Foundation: Revised 2014 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Nephrology Nutrition

Cited by 29 publications

References 18 publications

Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary

Strategies to promote adherence to nutritional advice in patients with chronic kidney disease: a narrative review and commentary

Renal Dietitians' Perceptions of Roles and Responsibilities in Outpatient Dialysis Facilities

The importance of nutritional intervention by dietitians for hyperphosphatemia in maintained hemodialysis patients

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