Nutrition in Renal Supportive Care: Patient-driven and flexible.

2017-10

Stevenson, Jessica

Meade, Anthony

Randall, Ann-Maree

Manley, Karen J

Notaras, Stephanie

Heaney, Susan

Chan, Maria

Smyth, Alison

Josland, Elizabeth

Brennan, Frank Patrick

Brown, Mark A

Renal Supportive Care

chronic kidney disease

conservative

nutrition

palliative

renal

Journal Article

0000-0002-9925-745X

10.1111/nep.13090

Renal Supportive Care is an alternative treatment pathway in advanced chronic kidney disease that is being increasingly adopted, particularly in the elderly. Renal Supportive Care uses principles of palliative care and has been developed to enhance the care for dialysis patients with a high symptom burden and those being managed on a non-dialysis pathway. Nutrition management is often an under-recognized component of care and can play an important role in improving patients' quality of life to reduce symptom burden, support physical function and independence and provide appropriate counselling to patients and their families to ensure the goals of Renal Supportive Care are met. Nutrition interventions need to target patient and treatment goals, with frequent monitoring to ensure patient needs are being met. This review outlines available literature on this topic and suggests some practical ways in which nutrition can be enhanced for these patients.

link

Nephrology 2017; 22(10): 739-747

Nephrology