Promoting Excellence : Treatment Protocol for Symptoms of ESRD - Anorexia

Renal Palliative Care Initiative: Treatment Protocol for Symptoms of ESRD - Anorexia

This treatment protocol was created to address and manage anorexia as a symptom of end stage renal disease.

Clinical Care Tools - Symptom Management

Renal Palliative Care Initiative
Baystate Medical Center
759 Chestnut Street S2669
Springfield, MA 01199

Michael Germian, M.D.
[email protected]

How the grantee used this instrument:
This protocol was made available at the clinics and renal unit nursing stations.

esrd, end stage renal disease, anorexia, dialysis, kidney disease, symptom assessment

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.


  1. Vreman HF, et al. "Taste, smell and zinc metabolism in patients with chronic renal failure." Nephron, 1980; 26:163.
  2. Miller LJ, "Oral pilocarpine for radiation-induced xerostomia." The Cancer Bulletin, 1993; 45:549.
  3. Lien, YH, & Ruffenach, SJ, "Low dose megestrol increases serum albumin in malnourished dialysis patients." The International Journal of Artificial Organs, 1996; 19:147
  4. Boccanfuso JA, Hutton M, & McAllister, B, "The effects of megestrol acetate on nutritional parameters in a dialysis population." Journal of Renal Nutrition, 2000; 10:36.
  5. Bruera, E, Macmillan K, Kuehn N, Hanson,J et al. "A controlled trial of megestrol acetate on appetite, caloric intake, nutritional status, and other symptoms in patients with advanced cancer." Cancer, 1990; 66:1279.
  6. Beal Je, Olson R, Laubenstgein, L et al. "Dronabinol as a treatment for anorexia associated with weight loss in patients with AIDS." Journal of Pain Symptom Management, 1995; 10:89.

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Posted April 2004

Baystate Medical Center overview page

# BMC5, type:symptom_management

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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