This website uses cookies to ensure you have the best experience. Learn more

Malnutrition In Haemodialysis Patients Essay

1526 words - 7 pages

Malnutrition is common in haemodialysis patients due to specific characteristics of chronic renal insufficiency such as insufficient filtration ability and accelerated protein degradation. A deteriorated nutritional condition threats chronic dialysis patients lowered mobility and poor outcome include increased mortality (Carrero et al., 2013; Locatelli et al., 2002; Vannini, Antunes, Caramori, Martin, & Barretti, 2009). Thus there are several malnutrition indicators of haemodialysis patients were proposed such as SGA, GNRI and albumin level. Nevertheless, detection rate of each indicators seems to differ to each other (Pifer et al., 2002) and consideration of particular characteristics of haemodialysis patients is required for the practical apply. Hence, use of sensitive identifying assessment method and early intervention on malnourished patients are quite meaningful.

Malnutrition and mortality in haemodialysis patients
Characteristics of haemodialysis patients are described as they have greater survive when they had a higher serum creatinine concentration or higher BMI which stand for larger body size or greater muscle mass. An increase of dry weight with muscle mass gaining correlates to the greatest survival. On the other hand, weight loss with loss of muscle mass results the worst mortality. Additionally, gain in muscle mass with weight loss was advantaged on higher survival in comparison with loss of muscle mass with weight gain (Kalantar-Zadeh et al., 2010). Mortality risk is strongly associates to a low BMI in maintenance haemodialysis patients (Kovesdy & Kalantar-Zadeh, 2009).

Mortality risk is analysed using mSGA (modified subjective global assessment) score which contains recent weight loss, visual somatic protein wasting, loss of appetite, nausea or vomiting, energy level and disease burden that to be assessed. When patients had severely malnourished mSGA scores, their mortality risk was 33 % higher, and patients in a moderate malnutrition had a 5 % higher mortality risk in compared with patients who had normal mSGA scores (Pifer et al., 2002). The other studies which assessed with BMI resulted that a decrease in BMI was associated with a 6 % greater risk of mortality, and an assessment of malnutrition by care provider was associated with a 28% higher risk of cardiovascular mortality among end stage renal disease (Fung et al., 2002), in addition, more than 3.5 % of a decline in BMI significantly increased mortality risk in haemodialysis patients (Pifer et al., 2002). These founding suggests that mortality rises when patients are in malnourished, in other words, mortality of chronic renal failure may be decreased with better nutritional status.

Protein energy wasting in haemodialysis patients
Protein energy wasting (PEW) is common among chronic kidney patients with losing muscle mass which associates a lowered mobility and an increased mortality. Renal disease patients are vulnerable to PEW, indeed, wasting is...

Find Another Essay On Malnutrition in Haemodialysis Patients

Kidney Transplantation Essay

822 words - 3 pages financial support, not only we could save his life right now, but we could save the life of many other patients in the future.The community hospital could use Mr. Waller's financial support to buy haemodialysis equipments. Haemodialysis equipments are used as artificial kidney for thousands of people who suffer from acute renal failure. These equipments help kidney failure patients to per long their lives until they receive perfect-match kidney.On

The Breakdown of a Manuscript and the Content

932 words - 4 pages hemodialysis and peritoneal dialysis are challenging to manage. Hemodialysis patients with diabetes are more likely to have drops in their blood pressure during treatment. The patients will become syncopal without immediate intervention. The drop in the blood pressure ultimately terminates hemodialysis treatment before reaching the patients dry weight. The most effective way to treat high blood pressure in hemodialysis patients is to pull the

Caring For an Aboriginal Patient with Chronic Renal Failure

2832 words - 11 pages , protein loss into the dialysate, increase in blood glucose, aggravate hyperlipidaemia, contraindicated on patients with multiple abdominal surgeries, trauma, and unrepaired hernia, and catheter may migrate. In a haemodialysis, removal of fluid, urea and creatinine is more rapid, effective potassium removal, there is less protein loss, lowers serum triglyceride levels and temporary access can be placed at the bedside. On the other hand, it is

Vitamin Deficiencies and Psychiatric Illnesses

1508 words - 7 pages neurotransmitters i.e. serotonin, dopamine and GABA. Lower levels of pyridoxal 5- phosphate (active form) as a result of low dietary and plasma B6 are significantly correlated with higher levels of depression with increased risk and severity of depression in geriatric patients (8, 9). Deficiency is common (24% to 56%) among patients receiving haemodialysis (10). Women who take oral contraceptives are at increased risk of vitamin B6 deficiency (11

Malnutrition Among Elderly People

2224 words - 9 pages country. In fact, hospitalized patients consume less than 50% of their calculated energy that required for daily needs on average (Sullivan,1999). As a result, hospitalized patients with the history of malnutrition will continue to be malnourish in both developed and developing countries.Another significant factor that contributes to malnutrition of elderly people in both developed and developing countries is people's income of 150% below the

An Effective Treatment of Kidney Failure

900 words - 4 pages An Effective Treatment of Kidney Failure The kidney can fail for many reasons, when it does it leaves the sufferer with an inability to filter out harmful substances in the blood. This leads to a number of symptoms. The first treatment for kidney failure would normally be dialysis, there are two techniques. Haemodialysis cleans blood outside the body by using a pump to pump out the blood and through a dialyser

Prevention of Hypotension During Dialysis

1913 words - 8 pages Hypotension during dialysis is a common complication in haemodialysis patients,which typically occurs during the later stages of dialysis. It is estimated thathypotension occurs 25 to 50% of dialysis treatments (Victor and Henrich 1994 pg196-208). Many factors involve in hypotension during dialysis including volumedepletion, high ultrafiltration rate, autonomic dysfunction, antihypertensivemedications, bioincompatible dialyser membrane, low

Discharge Planning: Patients with Haemodialysis

1832 words - 7 pages P, Murray D, Pargrey P, (1995). Congestive heart failure in dialysis patients: prevalence, incidence, prognosis, and risk factors. Kidney International. 47 (3), pp.884-890 Levey J ,Morgan J, Brown E, (2009). 'Haemodialysis' In: (ed), Oxford Handbook of Dialysis. 3rd ed. 2009: Great Britain pp.71. NHS Code of Practice (2010) [ONLINE] Available at:

The comparison of quality of life in Hemodialysis and peritoneal patients with a socioeconomics and demographic evidence in Iran

2072 words - 8 pages Introduction Chronic diseases have lots of negative impacts on people’s quality of life.[1] These diseases not only cause a lot of physical and mental problems for patients [2], but also costs on patient’s family So their impacts will be shown in both patient and society [3]. The treatment of kidney patients as chronic disease is one of the most important issues for world’s health [4]because this disease has high rates of prevalence and

Plasma Amino Acids

704 words - 3 pages non-diabetic CP patients, in comparison with controls (table 12.1-D). In addition, glycine to branched chain amino acid ratio was significantly elevated in tropical CP patients when compared to alcoholic CP patients (table 12.1-D). Glycine to valine ratio, an indicator of protein malnutrition was significantly elevated in CP patients, diabetic and non-diabetic CP patients and tropical CP patients in comparison with controls. Relation between


4034 words - 16 pages differently from ATRA. ATRA does not kill APL cells. Instead, ATRA keeps the cell from dividing unchecked. Arsenic trioxide, according to the journal Blood, stimulates cell death in an APL cell line. Arsenic trioxide, though it does not get rid of all leukemic cells, does allow patients to benefit from remissions lasting for 18 months or more. Some have been cancer free for 20 years. Complete remission from APL has been accomplished for

Similar Essays

Adiponectin: A Novel Indicator Of Malnutrition And Inflammation In Hemodialysis Patients

2384 words - 10 pages Objective Protein-Energy malnutrition (PEM) and inflammation are common and overlapping conditions in hemodialysis patients which are associated with increased risk of morbidity and mortality. Adiponectin is an adipocytokine which is exclusively produced by adipose tissue. Few studies in hemodialysis patients have demonstrated that serum levels of adiponectin were significantly higher in malnourished patients compared to well-nourished ones. The

Nutritional Assessment: Subjective Global Assessment Essay

1412 words - 6 pages assessment methods were examined since protein energy wasting has a great impact on the outcome among haemodialysis patients. However, most of measurement scheme are yet controversial or limitations such as radio exposure, applicability are remained. Cost effectiveness is also important to apply in daily practice. To sum up, when a patient severely felled into malnutrition status, both the patient and care provider needs to put great effort to

Trial Protocol Essay

1836 words - 8 pages vitamins and dietary fibre shortages. Dietary fibre is suggested as it supports regular execrations. Furthermore, diabete which is one of the biggest cause of renal failure, is also a risk of constipation, hence dialysis patients are often fall into constipation. In addition, fluid intake restriction is one of the biggest concerns of haemodialysis patients since excessive fluid intake can cause cardiovascular events. Although it is strongly

Case Study Haemodialysis Patient

9447 words - 38 pages IntroductionThe focus of this assignment is to analyse the care given to a patient on haemodialysis. It will attempt to explore the physical, psychological and social needs and to identify whether the care delivered met the individual needs of the patient.The Nursing Midwifery Council (NMC) Code of Conduct cites that nurses should "protect all confidential information concerning patients obtained in the course of professional practices and make