Global Renal Nutrition Course for Dietitians: Module 2

Global Renal Nutrition Course for Dietitians: Module 2 is organized by National Kidney Foundation (NKF).

Available From: 11/15/2023
Available Until: 11/15/2025

Course Description:
The curriculum for Module 2 continues the objective of advancing knowledge in renal nutrition for dietitians and other interested healthcare workers across the Globe. With Module 2, the GRID program takes learners through the ADIME (Assessment, Diagnosis, Intervention, and Monitoring/Evaluation) steps related to patient-centered nutritional management of kidney disease while not neglecting such management issues as interdisciplinary care, patient education, and patient empowerment.  Furthermore, other topics for discussion that broaden the scope and depth of dietetic practice such as research translation are addressed.

Learning Objectives:
Upon completion of this activity, learners should be able to:

• Describe the KDOQI guideline development process.
• Interpret the guideline recommendations and supporting evidence related to nutrition assessment methods, protein and energy intake, nutrition supplementation, electrolytes, micronutrients, and medical nutrition therapy in patients with CKD.
• Compare the differences between the 2000 and 2020 nutrition guidelines.
• Discuss implementation strategies for best clinical practices.
• Explore professional and practice competencies in nephrology nutrition at the competent, proficient, and expert levels.
• Develop an individualized professional development plan using the nephrology nutrition SOP/SOPP.
• Understand the Nutrition Care Process (NCP) and how Medical Nutrition Therapy fits into the process.
• Discuss the 4 steps of the NCP - ADIME [Assessment, Diagnosis, Implementation, Monitoring, and Evaluation].
• Understand the misconceptions of nutritional screening tools (NST) in low-to-middle-income countries.
• Distinguish the concept of various NSTs.
• Comprehend the importance of NSTs.
• Review the role of anthropometric measurements in the nutritional assessment of adults with Chronic Kidney Disease (CKD) in relation to practice.
• Identify the techniques of body composition measurement in adults with CKD and their value in nutrition assessment.
• Understand considerations in choosing measurement methods in this population.
• Describe the mechanics of tracking the progress of growth and development goals by age and gender.
• Review the importance of assessment in pediatric CKD and unique aspects related to pediatrics.
• Provide a framework to assess the pediatric CKD patient.
• Discuss anthropometric, dietary, and assessment parameters.
• Review practical applications of patient assessment.
• Topic 7
• Apply nutrition-focused physical findings to identify signs of malaise, muscle and fat stores, and physical function in patients with chronic kidney disease.
• Describe the four types of drug-nutrient interactions.
• Identify common drug nutrient interactions.
• Outline electrolyte considerations with various drugs.
• Identify the steps involved in the nutrition assessment of patients with chronic kidney disease.
• Connect dietary intake to uremic symptoms in a patient with chronic kidney disease.
• Understand the rationale for conducting different types of physical function assessments for CKD patients.
• Understand the methodology needed to conduct physical function assessments.
• Topic 12
• Review PES (Problem, Etiology, Symptom) statements typical to kidney disease.
• Provide case examples from Nutrition Diagnosis domains: Intake, Clinical, Behavioral-environmental.
• Assess and analyze dietary intake (collecting information)
• Construct evidence-based dietary prescriptions (intervention/providing care/diet plan).
• Understand roles in the care team.
• Identify ways to collaborate with other disciplines to carry out nutrition care.
• Describe a quality improvement process.
• State key steps in the continuous improvement process.
• Describe the importance of time management.
• Identify essential skills for managing and prioritizing time.
• Identify and measure links between time and patient outcomes.
• Set priorities and take charge of the time utilization.
• Manage time more effectively with the use of technology.
• Identify and avoid time wasters.
• Topic 19
• Expand the perspective on psychosocial factors that affect nutritional status in CKD patients.
• Explore the realms of health literacy.
• Discuss food insecurity and the key dimensions of the food environment.
• Understand the benefits of physical activity and exercise in improving fitness, physical function, and quality of life in individuals with chronic kidney disease (CKD).
• Understand how to provide individuals with CKD recommendations on how to incorporate more physical activity and exercise into their lives.
• Describe the key elements of best practice for designing diet sheets & patient education materials (PEMs).
• List three tools that can be used to help evaluate PEMs.
• Identify problematic areas in diet sheets & PEMs.
• Review research opportunities for dietitians in practice.
• Perform research in dietetic practice Quality Improvement (QI) approach.
• Perform research in low-resource settings.