■ Provide positive messages about what to eat rather than emphasizing food
restrictions.
■ Encourage social support from family and friends.
■ Foster the client’s perception as successfully adhering to the plan. People who are
more confi dent in their ability to adhere to the eating plan make better choices.
■ Provide feedback on self-monitoring and laboratory data. Correlation of records with
laboratory data enables the client to see cause and effect, reinforces the importance
of nutrition therapy, and opens the door for problem solving.
■ For clients who must restrict their intake of protein, encourage the use of low-protein
breads, cereals, cookies, and pastas. Acceptability varies greatly among low-protein
products, so if a client does not like one brand, it does not mean he or she will not
like another.
STRATEGIES THAT MAY HELP PROMOTE DIETARY ADHERENCE
TO CKD DIET Box 21.3
Dudek_CH21.indd 579 3/29/13 12:43 AM
66485457-664854