Lifestyle and general measures
Lifestyle adjustment is as important for kidney
health as it is for the heart, control of diabetes and overall well being.
Indeed, virtually all of the care objectives for the management of CKD are
shared with the other vascular conditions of diabetes and cardiovascular
disease. Consequently, practices and health care communities might give thought
to 'Vascular Disease' management groups with clinical leads.
Here is a link to a PDF of an information leaflet
for patients, produced by the Royal College of General Practitioners:
Variable |
Objective |
Target |
| Smoking |
Encourage patient to stop, document status
at each consultation
|
Complete cessation |
| Weight and nutrition |
Record weight and BMI 6 monthly minimum
Offer general dietetic information on healthy eating
|
Near ideal BMI (18.5-24.9) |
Exercise
|
Encourage sensible exercise |
Achieve recommended exercise levels |
Diabetic control
|
Follow local diabetic guidelines
|
HbA1c < 7.0% |
Cardiovascular disease risk
assessment |
Measure lipids and target control as per
local guidelines |
|
Blood pressure
|
Measure and record BP at every visit |
BP as per
guidelines |
Hepatitis B
(for CKD stage 3-5) |
Identify seronegative patients and offer
vaccination |
Seroconversion as early as possible |
Influenza vaccine
(for CKD stage 3-5) |
Immunize annually |
|
Pneumococcal vaccine
(for CKD stage 3-5) |
Immunize every 10 years |
|
Limit exposure to nephrotoxins |
Reduce risk of drug induced deterioration
in kidney function |
Guidance
here |
Pyschosocial health
|
Offer patient education and self
management (e.g. blood pressure monitoring) |
Provide patient guidance leaflets |
