Management of mineral and bone disorders in patients on dialysis: a team approach to improving outcomes.
Most patients with mineral and bone disorders do not simultaneously achieve KDOQI target goals for parathyroid hormone, calcium, phosphorus, and the calcium-phosphorus product. A multidisciplinary team composed of the patient, nephrologists, nephrology nurses, renal dietitians, social workers, patient care technicians, clinical pharmacists, and physical therapists can help improve the coordination of care for mineral and bone disorders. The roles of team members are reviewed, with emphasis on nephrology nurses.
Carver
Michelle
M
The Dialysis Center of Lincoln, Inc., Lincoln, NE, USA.
Carder
Jacqueline
J
Hartwell
Lori
L
Arjomand
Mahiyar
M
D001847:Bone Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003266:Continuity of Patient Care / Q000458:organization & administration; D003299:Cooperative Behavior; D004046:Dietetics / Q000458:organization & administration; D006801:Humans; D007400:Interprofessional Relations; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D009398:Nephrology / Q000458:organization & administration; D009720:Nurse Clinicians / Q000458:organization & administration; D009730:Nursing Assessment; D009740:Nursing Staff / Q000458:organization & administration; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration*; D010353:Patient Education as Topic; D010595:Pharmacists / Q000458:organization & administration; D026761:Physical Therapy Specialty / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D024382:Professional Role; D006435:Renal Dialysis / Q000009:adverse effects; D012947:Social Work / Q000458:organization & administration; D017749:Total Quality Management / Q000458:organization & administration*