What is the optimal length of weight management therapy for ...

[CBme]

What is the optimal length of weight management therapy for Jamey?
 
  What will be an ideal response?

Question 2

Outline the stages of CKD, including the distinguishing signs and symptoms.
 
  What will be an ideal response?

[gcook]

Answer to Question 1

 Nutrition counseling should include goal-setting, self-monitoring, stimulus control, problem-solving, contingency management, cognitive restricting, use of incentives and rewards, and social supports
 MNT should last at least 3 months or until initial weight-management goals are achieved
 Weight control is often a life-long condition and it is critical that a weight management plan be implemented after the intensive phase of treatment
 More contact between the patient and RD may lead to more successful weight loss and maintenance

Answer to Question 2

The general course of progress kidney failure is now divided into five stages.
Stage Description GFR (mL/min/1.73 m2)
-- At increased risk 60 (with CKD risk factors)
1 Kidney damage with normal or increased GFR 90
2 Kidney damage with mild decrease in GFR 60-89
3 Moderate decrease in GFR 30-59
4 Severe decrease in GFR 15-29
5 Kidney failure <15 (or dialysis)
 CKD is defined as either kidney damage or GFR <60 ml> Kidney damage is defined as pathologic abnormalities or markers of damage, including abnormalities in blood or urine tests or imaging studies.
Signs, symptoms, and laboratory abnormalities distinguish disease pathophysiology.
 Elevated BUN and creatinine
 Nocturia
 Lassitude
 Fatigue
 Decreased mental acuity
 Neuromuscular: coarse muscular twitches, peripheral neuropathies with sensory and motor phenomena, muscle cramps, and convulsions
 Anorexia, nausea, vomiting
 Stomatitis
 Unpleasant taste in mouth
 Malnutrition leading to generalized wasting
 Hypertension
 Cardiomyopathy
 Possibly congestive heart failure or dependent edema (renal retention of Na and water)
 Yellow-brown cast to skin
 Pruritus
 Renal osteodystrophy
 Osteomalacia
 Abnormal lipid metabolism (hypertriglyceridemi a)

[CBme]

Excellent

[bimper21]

Gracias!