Discuss the recommendations that you would make

Reference no: EM133594424

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

Initial Assessment

Height: 6'2 (74 inches)

Weight: 266 Ibs.

Blood Pressure: 140/90

HgbA1c: 10

Glomerular Filtration Rate (GFR): 26

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 his diagnosis. You learn the following information during your visit:

Mr. Wilson lives with his wife and they eat most of their meals from restaurants. Mr. Wilson has high blood pressure but does not watch his sodium intake. Mr. Wilson has uncontrolled diabetes. He is not physically active on a daily basis. Mr. Wilson smokes 1 pack of cigarettes per day
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).

Reference no: EM133594424

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