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Nutritional Management of Renal Disease
Book Reviewed in This Issue:
Nutritional Management of Renal Disease
Second Edition, September 2003
Joel D. Kopple and Shaul G. Massary (Editors)
Lippincott Williams & Wilkins
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Nutritional Management of Renal Disease
Second Edition, September 2003
Joel D. Kopple and Shaul G. Massary (Editors)
Lippincott Williams & Wilkins
530 Walnut St.
Philadelphia, PA 19106
www.LWW.com
ISBN 0-7817-3594-7
Hard cover, 682 pages, $110
Nutritional Management of Renal Disease
is a long awaited textbook. It offers an in depth description of
metabolic and nutritional disorders that are prevalent in patients with
renal disease and that can rob them of their quality of life.
The
collection of contemporary information by outstanding experts provides
the textbook immense credibility. The book is written for advanced
level professionals, such as physicians, dietitians, and advanced
practice nurses specializing in the multifaceted care demanded by
nephrology patients.
Several chapters elegantly portray the relationship between nutrition
and kidney disease, and nutrient interactions, metabolic aberrations,
and their critical management. Attention has also been given to the
pediatric population with kidney disease. They demand a different set
of criteria in their nutritional management, and sound ways to address
these issues are provided.
In
the current environment, where management dictates evidence-based
practice, this textbook provides clinicians a comprehensive and
applicable tool. I would add that one has to have a very strong
physiology and biochemistry background to be able to digest some of the
information in several of the chapters. Chapters on protein energy
malnutrition (PEM) and the nutritional treatment of chronic renal
diseases are most applicable to dietitians who provide in-hospital care
or who practice in outpatient dialysis settings. In my experience, I
have often found it to be extremely frustrating to accurately assess
and provide a plan of care for hospitalized, chronic renal patients
who, by the nature of their disease, are undernourished. Although there
is no “gold standard” for assessing PEM, the textbook does offer a
compendium of characteristics of an ideal nutritional marker. The much
ignored Subjective Global Assessment is emphasized in the book. When
applied to practice it can be the most ideal tool for a practicing
dietitian and perhaps be more cost efficient than the laboratory
markers!
This
book is probably not for a general practice dietitian and is certainly
not meant for the lay kidney patient. As a practicing clinician whose
population includes a large number of kidney patients, I am impressed
that the specialized metabolic problems that frequently occur in the
renal patient, the clinical manifestations of nutritional disorders,
and the importance of nutritional management to improve the quality of
life are aptly discussed.
I
strongly recommend this textbook as an excellent resource for
nutritional management of patients with renal disease and as a great
addition to any hospital library.
Barati P. Sarathy, MS, RD
Clinical Dietitian, Critical Care & Nephrology
Roper St. Francis Health Services
Charleston, SC
Member, ANNA Palmetto Chapter
| Book and Media Reviews are
published in each issue of the Nephrology Nursing Journal. If you are
interested in reviewing materials for this column, contact Deborah
Brooks, department editor, through the ANNA National Office; East Holly
Avenue/Box 56; Pitman, NJ 08071-0056; (856) 256-2320. You may also log
onto this column at nephrologynursingjournal.net (click on Department
link) and email your comments to the Department Editor (see Discussion
Area).The opinions and assertions contained herein are the private
views of the contributors and do not necessarily reflect the views of
the American Nephrology Nurses’ Association. |
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