Your patient, Mr. PEE, a 60-year-old black male, 32 years since diagnosed with diabetes, 6’ tall and 72 kg, has been referred for dietary counseling after his diagnosis of CRF 2 weeks ago. He has not yet been scheduled for dialysis since he is waiting for his AV fistula to be placed.
(a) What points will you cover in counseling him now (pre-dialysis diet) and once hemodialysis begins, i.e. what specific macro and micronutrients will you emphasize? (You don’t need to give specific amounts of nutrients/kg, but what needs to be limited or supplemented)
(b) What other nutrition-related advice would you provide?
(c) Write a PES statement. (Problem, etiology, signs & symptoms) Describe the problem, its root cause, and assessment data that provide evidence for the nutrition diagnosis.