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National Repository of Grey Literature 2 records found  Search took 0.01 seconds. 
Specifics of diet in patients with chronic kidney disease
 Holakovská, Lucie ; Vachek, Jan (advisor) ; Oulehle, Kateřina (referee)
Approximately 10 % of local population is affected by chronic kidney disease. CKD is not only a major health issue but it does have socio-economic impact on society. Early diagnosis and adequate therapy helps to delay the necessity of dialysis treatment, leads to a better quality of life of patients and can lower the economic costs of the therapy. Adequate therapy and regime intervention may positively influence wide range of risk factors of CKD progression. Patients with CKD have to comply with strict dietary restrictions including reduction of proteins. When starting dialysis, proteins intake increase is necessary, because of amino acids dialysate losses. Registered dietitian (RD) aims to maintain an optimal nutritional status of the patients and to minimize complications of CKD. Patients should be educated about nutrition principles during predialysis and diet changes after initiation of dialysis treatment. This bachelor thesis aims to establish an awareness of the dialyzed patients about nutrition measures. Questionary survey was used in set of 86 patients treated on dialysis in Klatovská nemocnice. Results are presented in the form of graphs. Results of the survey says, only 19 % of patients were educated by RD and 52 % of respondents were not informed at all about the need of increased...
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Nutritional status of dialysis patients during the hospitalization
 Jiráčková, Marie ; Vachek, Jan (advisor) ; Oulehle, Kateřina (referee)
The kidneys are a paired organ that has many functions in the body. They are responsible for the regulation of the internal surroundings, the excretion of metabolic products (nitrogen metabolites and foreign substances) and the secretion of certain hormones. In the theoretical part of the diploma thesis I give a brief description of the anatomy and physiology of the kidneys and a description of some renal diseases, with emphasis on acute kidney injury and chronic kidney disease. I also discuss the possibilities of kidney function replacement and the adjustment of eating habits if a patient develops any of the kidney diseases. The practical part of the diploma thesis deals with the issue of nutritional status of hospitalized patients who are indicated for dialysis therapy. The research took place at the Faculty Hospital in Královské Vinohrady, mainly at the 1st internal clinic. The research group consisted of 17 patients who completed a questionnaire and kept a prospective record of the food portions eaten. Based on the calculation of the meals list, it was found that most of the patients do not receive enough energy or basic components of nutrition. The intake of minerals, with the exception of calcium, averaged the recommended values. Blood levels of serum albumin and minerals correspond on...
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