Académique Documents
Professionnel Documents
Culture Documents
OF DIETARY RESTRICTIONS ON
HEMODIALYSIS PATIENTS
HEALTH OUTCOMES
BY
Problem Identification
and significance
Problem: The effects of non-compliance of dietary
restrictions on HD patients heath outcome.
The significance: To create further awareness of
the problem, highlight the prevalence, causes
and health effects of dietary non-compliance on
HD patients.
Background information
Incidence by Race
2008
Literature review
Literature review
Class reinforces
bone and
heart healthy diet.
Vascular Calcification
DIET IS IMPORTANT!!!
2.
3.
Objectives
Create awareness
1. be informed about
factors contributing to
dietary and fluid nonadherence.
2.
State at least
three effects of
dietary noncompliance on CKD,
ESRD, HD patient
Create awareness
3. use laboratory
parameters to assess
electrolytes (K+, Na+,
Ca+, Phos.) and assess
anemia, albumin
4. Use and interpret
laboratory parameters
to assess CKD bone
disorders
Normal
Normal
Screening
for CKD
risk factors
Increased
Increased
risk
risk
CKD risk
reduction;
Screening for
CKD
Damage
Damage
GFR
GFR
Kidney
Kidney
failure
failure
Diagnosis
Estimate
Replacement
& treatment; progression;
by dialysis
Treat
Treat
& transplant
comorbid complications;
conditions;
Prepare for
Slow
replacement
progression
CKD
CKD
death
death
Objectives
Create awareness
Kidney anatomy
Dialysis
10
General population
1
0.1
Male
Female
0.01
Black
White
2534 3544 4554 5564 6574 7584
Age (years)
85
Implementation process
Site: Future Care Irvington, Baltimore MD
Contact Person: Ms. J. Mitchell,
Participants: Care providers of patients with CKD,
ESRD, HD in a long term care facility
Length of presentation: 30 minutes
The participants shall receive a hand out of the
power point presentation.
Evaluation of effectiveness: Question/answer
session
Description of Topic
Causes of dietary non-adherence:
1. Lack of self-care management skills
2. Lack of self-motivation
3. Co-morbidities
4. Financial, economic and social constraints
5. Lack of self-care ability
6. Educational Level and age
7. Other factors: a)knowledge deficit
b)hectic lifestyle
c)lack of decision making
1.
2.
3.
4.
5.
6.
2.
3.
4.
Study Title
Use of pedometer to
monitor physical
Activity in older
Adults.
Study Abstract
Research Problem
Research Purpose
To determine the
reliability of
pedometer use.
To determine if there
was a significant
difference between
steps measured by
observational count
and pedometer count.
Review of Literature
Brief due to existence of only few
studies on the research problem.
Relevant previous studies
identified in the references
section.
Twenty-seven articles were cited
by the authors.
Eleven sources were current
(less than 5 years).
Some of the articles reviewed
dated as far back as 48 years
old.
Study Framework
Presented with clarity and
fit logically with study.
Linked to the research
purpose.
Coxs interaction model of
client behavior.
Four constructs:
* Personal
* Interpersonal
* Environmental factors
* Physical activity
Research Hypotheses
There is no significant
difference in steps
measured by observational
count and pedometer
count.
Pedometer counts were
significantly correlated
with self reported walking
distance and amount of
leisure physical activity,
but not with walking
energy expenditure.
Research Variables
Independent Variables
Physical activity
Questionnaire
Walking
Pedometer
Elderly
Environment/setting
Dependent Variables
Pedometer readings
Physical steps
Attributes or Demographic
Variables
Gender
Ethnicity
Age
Educational status
Blood pressure
BMI.
Research Design
Design was identified as a descriptive cross-sectional
study.
Involves observation of all of a population, or a
representative subset, at a defined time.
Used to describe some feature of a population,, or it
may support inferences of cause and effect.
Four different logs used including a 7-day PA log, a 7day step count, a self reported observational log,
and a log to record the pedometer readings.