Reference no: EM133861388

Case study

Mr. Wilson is a 64 year old male. He recently learned that he has chronic stage IV. He is visiting with you and his nephrologist for the first time today.

Dr. Philips, the nephrologist met with Mr. Wilson performed an initial intake and assessment. following the initial intake and assessment Dr. Philips recognizes that Mr. Wilson is in need of diet education and recommends that he visits with you the registered nurse, for nutritional advice.

You begin by interviewing Mr. Wilson to learn about his past medical history, Social and environmental situations. He is 64 years old. He reports that this is a new diagnosis of CKD (stage IV) and that he is very concerned about this diagnosis. you learn the following information during your visit.

Based on what you learned about Mr. Wilson in your interview, briefly explain his modifiable risk factors for Chronic Kidney Disease. What lifestyle changes could he make to protect his kidneys?

Based on your client's height and weight, how many grams of protein would you recommend that your client consume per day?

Discuss the recommendations that you would make for Mr. Wilson's sodium and potassium intake (in milligrams). What foods should be limited to restrict sodium and potassium in the diet (list 5)?

Discuss the rationale for phosphorus restriction in Mr. Wilson's diet. What foods should be limited to restrict phosphorus in the diet (list 5)?

Briefly discuss treatment options for Mr. Wilson if his CKD progresses to End Stage Renal Disease (ESRD).

Hemodialysis and Ethnicity

What is the difference between peritoneal and hemodialysis? What are the nutrition recommendations for individuals with Chronic Kidney Disease? How do these recommendations change once an individual with end stage renal disease (ESRD) begins dialysis?