Compliance, illiteracy and low-protein diet: multiple challenges in CKD and a case of self-empowerment

BMC Nephrology

Case Report

Gianfranca Cabiddu¹  Stefania Maxia¹  Valentina Loi¹  Antonello Pani¹  Irene Capizzi²  Giorgina Barbara Piccoli³ 

[1] SC Nephrology and Dialysis, Brotzu Hospital, Piazzale Alessandro Ricchi 1, 09134, Cagliari, Italy;SS Nephrology, SCDU Urologia, Department of Clinical and Biological Sciences, University of Torino, San Luigi Gonzaga Hospital, Regione Gonzole 10, 10043, Orbassano, Italy;SS Nephrology, SCDU Urologia, Department of Clinical and Biological Sciences, University of Torino, San Luigi Gonzaga Hospital, Regione Gonzole 10, 10043, Orbassano, Italy;Nephrologie, Centre Hospitalier Le Mans, 194 av. Rubillard, 72037, Le Mans, France;

关键词: Case report;    Illiteracy;    Low protein diet;    Chronic kidney disease;    Compliance;   

DOI  :  10.1186/s12882-016-0353-0

 received in 2016-04-08, accepted in 2016-09-22,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundLow-protein diets (LPD) are an important means of delaying the need for dialysis and attaining a stable metabolic balance in chronic kidney disease (CKD). Many authors consider a low educational level and illiteracy to be adverse features for a good dietary compliance.Case presentationWe report the case of a 77-year old woman, illiterate, affected by advanced CKD (stage 4 according to KDIGO guidelines). She was initially ashamed of her problem and did not declare it, leading to an overzealous reduction in protein intake. However, with her daughter’s help, who translated the dietary prescription into images, she overcame the barrier represented by illiteracy and was able to correctly follow the prescriptions, attaining good kidney function stability and preserving an adequate nutritional status.ConclusionsThe case underlines the importance of a personalized approach to dietary prescriptions and suggests that it is possible to achieve a good compliance to the dietary treatment of CKD also in patients with relevant cultural barriers.

【 授权许可】

CC BY   
© The Author(s). 2016