Reviewer: Kathleen M. Duffy, MS Candidate(University of Wisconsin-Madison)
Description: As a resource for dietitians serving chronic kidney disease (CKD) patients, this book examines nutritional needs related to all stages and treatment modalities covering the gamut from CKD in children and adults, to patients receiving hemodialysis and peritoneal dialysis, patients with comorbidities such as diabetes mellitus or HIV/AIDS, and patients requiring kidney transplantation. This is an update of a collaboration between the Renal Dietitians Dietetic Practice Group of the Academy of Nutrition and Dietetics and the Council on Renal Nutrition of the National Kidney Foundation. The first edition was published in 2008.
Purpose: The main objectives are to: 1) provide useful information in practice with minimal theoretical information; 2) represent consensus among clinical practitioners based on current scientific literature and experience; 3) recognize unique patient characteristics in the renal population; and 4) serve as a resource for dietitians preparing for the Board Specialist in Renal Nutrition credentialing exam. By clarifying clinical practice guidelines and medical nutrition therapy protocols, this book aims to help dietitians reduce morbidity and mortality and improve the quality of life for these patients, thereby increasing cost-effectiveness of the care provided. In response to the rapidly changing field of nephrology, the book effectively meets these worthy objectives.
Audience: In addition to experienced renal dietitians, such as the ones who contributed to this book, the audience is quite broad and includes new renal dietitians, clinical dietitians in long-term care, and dietetics faculty and students. The editors chair renal departments at the National Kidney Foundation or the Academy of Nutrition and Dietetics and capably reach these audiences.
Features: This book thoroughly reviews nutrition management in all four stages of CKD as well as acute kidney injury. Nutrition management as it relates to hemodialysis and peritoneal dialysis treatments is expertly delineated with an emphasis on individualized modifications that match a patient's nutritional status, comorbid conditions, and psychosocial state. The book fleshes out special case scenarios for patients with comorbidities such as HIV/AIDS, diabetes, cardiovascular disease, bone disorders, and anemia. For each of these complex case scenarios, there is ample discussion on various treatment modalities and balancing specific key nutrients such as protein, fats, carbohydrates, sodium, calcium, potassium, phosphorus, and fluids. The book also stresses the importance of collaborating with an interdisciplinary healthcare team. Throughout the book, useful boxes display a table or graph of complex information, such as the table on recommended dietary modifications at various stages of diabetic nephropathy in chapter 9. More anatomic illustrations on hemodialysis and peritoneal dialysis, and on nephrons and other details of the kidney itself, would have been helpful. It also would be of practical help to include more meal plan examples to address specific nutritional needs at various stages of chronic kidney disease and comorbidities.
Assessment: The book is clear, detailed, and up to date, and appropriately describes the treatment choices dietitians make while serving patients with chronic kidney disease. This second edition broadens relevant content areas such as nocturnal home hemodialysis, acute kidney injury, HIV and AIDS, medical nutrition therapy reimbursement, and dietary supplements. I will definitely use this updated, evidence-based book.