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Nutrition-Focused Physical Examination and Assessment in Chronic Kidney Disease

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Nutrition in Kidney Disease

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Abstract

The initial Medicare Conditions for Coverage for end-stage renal disease (ESRD) were available in 1976 directing registered dietitian/nutritionists (RDN) to perform a nutrition-focused physical examination (NFPE) as part of their assessment. However, most NFPE practices by the RDN began with the introduction of the subjective global assessment (SGA) in the 1980s. It was not until the 1990s that the NFPE became more widely used in assessment practices and was introduced into the nutrition care process in 2003. Components of the NFPE were first included in the Academy of Nutrition and Dietetics’ (Academy) 2012 Revised Standards of Practice in Nutrition Care and Standards of Practice/Standards of Professional Performance (SOP/SOPP) for RDNs that are now part of the SOP/SOPP for RDNs in both adult and pediatric populations. The revised 2014 SOP/SOPP for RDNs in Nephrology Nutrition also contain the required NFPE core standards of practice indicators for NFPE.

The editors acknowledge Mary Pat Kelly’s contribution to this chapter in Nutrition in Kidney Disease, Second Edition, Nutrition and Health, DOI https://doi.org/10.1007/978-1-62703-685-6_1, © Springer Science+Business Media New York 2014.

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Ziegler, J. (2020). Nutrition-Focused Physical Examination and Assessment in Chronic Kidney Disease. In: Burrowes, J., Kovesdy, C., Byham-Gray, L. (eds) Nutrition in Kidney Disease. Nutrition and Health. Humana, Cham. https://doi.org/10.1007/978-3-030-44858-5_6

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