Promoting Excellence : Treatment Protocol for Symptoms of ESRD - Anorexia

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

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

Category:
Clinical Care Tools - Symptom Management

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

Contact:
Michael Germian, M.D.
Michael.germain@bhs.org

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

Keywords:
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.

References:

Vreman HF, et al. "Taste, smell and zinc metabolism in patients with chronic renal failure." Nephron, 1980; 26:163.
Miller LJ, "Oral pilocarpine for radiation-induced xerostomia." The Cancer Bulletin, 1993; 45:549.
Lien, YH, & Ruffenach, SJ, "Low dose megestrol increases serum albumin in malnourished dialysis patients." The International Journal of Artificial Organs, 1996; 19:147
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.
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.
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 PromotingExcellence.org for more resources.