Management of mineral and bone disorders in patients on dialysis: a team approach to improving outcomes.

Michelle Carver, Jacqueline Carder, Lori Hartwell, Mahiyar Arjomand

Journal: Nephrology nursing journal : journal of the American Nephrology Nurses' Association 2008;35(3):265-70

PMID: 18649587

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Abstract

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.

Address: The Dialysis Center of Lincoln, Inc., Lincoln, NE, USA.

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MeSH Terms: Bone Diseases, Continuity of Patient Care, Cooperative Behavior, Dietetics, Humans, Interprofessional Relations, Kidney Failure, Chronic, Nephrology, Nurse Clinicians, Nursing Assessment, Nursing Staff, Organizational Objectives, Outcome Assessment, Health Care, Patient Care Planning, Patient Care Team, Patient Education as Topic, Pharmacists, Physical Therapy Specialty, Practice Guidelines as Topic, Professional Role, Renal Dialysis, Social Work, Total Quality Management