Workforce needs and estimated costs/savings for nutrition care in chronic kidney disease-stage 3 through maintenance dialysis.
Rosa K HandPublished in: Seminars in dialysis (2021)
The role of nutrition in chronic kidney disease (CKD) is well known. However, controversies, misconceptions, and gaps in the literature exist regarding the workforce required to provide nutrition care in CKD. This paper reviews the existing literature on this topic, focusing primarily on the United States. Topics covered in this review include the qualifications and services of the registered dietitian nutritionist (RDN), to which specific patients nutrition care should be provided in CKD and on dialysis, barriers to the utilization of nutrition services, the quantity of nutrition care needed to improve patient outcomes, and the risks of provider burnout. Controversies include whether more staffing is associated with better care and the best measures of staffing. The topics are supported with estimations for the economic impact and practicality of workforce decisions.
Keyphrases
- healthcare
- chronic kidney disease
- end stage renal disease
- physical activity
- palliative care
- quality improvement
- affordable care act
- public health
- primary care
- systematic review
- peritoneal dialysis
- mental health
- pain management
- newly diagnosed
- ejection fraction
- randomized controlled trial
- climate change
- chronic pain
- human health