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Entry ID
166
Entry Date
September 14, 2022 12:51 am
Reference Id
dOJ9t5Trx3WMh6s1
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Document Status
Published
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Language
English
Year
2019
Category
Presentation Preference
Title
A survey of Canadian in-centre hemodialysis units’ practices around oral intake during hemodialysis
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Introduction/Purpose
Hemodialysis (HD) patients are at risk for malnutrition due to restrictive diets, increased nutritional needs, and lengthy treatments resulting in missed meals. Although oral intake during HD provides opportunities to optimize patients’ nutritional status, it is often restricted due to concerns with risks of postprandial hypotension and aspiration.
Objective(s)/Process or Summary of Content
To describe practices surrounding oral intake during HD at adult in-centre HD (ICHD) units across Canada.
Method(s)/Systemic Approach Used
An online survey was sent to Canadian Association of Nephrology Dietitians for distribution to renal Registered Dietitians (RD) across Canada, targeting those working in adult ICHD units (N=119). Purposive sampling was utilized. Data was analyzed using descriptive statistics.
Results/Conclusions
Forty-one surveys were returned (34% response rate); of those, twenty-four responses were complete and analyzed. All respondents’ facilities permit oral intake. While 92% (n=22) of respondents reported their facility has no written practice guideline pertaining to patients having oral intake while on HD, 87.5% (n=21) of respondents reported their facilities consider some type of safety criteria (e.g. history of hypotension or choking/dysphagia). Fifty-eight percent (n=14) of respondents reported multi-disciplinary approaches with regards to permitting oral intake during HD. Seventy-one percent (n=17) of respondents reported patients can have oral intake any time during HD; 87.5% (n=9) of respondents do not make dietary recommendations to reduce the risk of hypotension.
Conclusions(s)/Recommendations
The results suggest oral intake is permitted at Canadian ICHD units. However, most sites do not have formal practice guidelines to support healthcare providers in decision-making processes. Practices around safety considerations, timing of oral intake, and dietary recommendations vary amongst units. Future research is needed to standardize oral intake practices during HD.
Significance to Dietetics
Understanding practices and considerations around oral intake during HD at ICHD units across Canada may guide, standardize, and optimize nutrition care and safety for patients.
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