ORAL INTERVENTION
The frequent occurrence of malnutrition in patients with renal failure, and the consistent association between markers of malnutrition and poor outcome in patients emphasize the need for appropriate and timely nutrition intervention.
Nutrition assessment and counseling with patient and family is advisable; but it is the consistent follow-up, with modification of the nutrition plan as clinical status changes, that is essential.
Modifying the diet consistency to match dentition, adjusting traditional recipes and foods to fit the current plan, or providing oral liquid supplements can all improve nutrition intake.
Strategies to Enhance Oral Intake:
- Avoid diet restrictions in patients with poor intake
- Offer oral liquid supplements and snacks
- Treat gastroparesis and other GI maladies
- Achieve glycaemic control
- Correct electrolyte abnormalities
- Provide foods appropriate for patient's dentition
- Evaluate for, and address depression
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