Like Carolyn, I'm currently at the hemodialysis unit. I've been working with HD patients for the last 3 days, giving them their lab values for the month. I am really enjoying the diversity of people that come to the VA, especially in this part of the country. I've had to see patients with all kinds of ethnicity, and food habits. Although sometimes I don't know what they're talking about, when they're talking about specific dishes, I like it.
Something that I see often with HD patients is that they get thirsty, and compensate with drinking water, but they end up going over their fluid limit (usually 4cups of fluid/day depending on uop). So, a tip for them would be to freeze grapes or other low-potassium fruit, and pop some frozen fruits into their mouth instead of drinking water when they get thirsty.
Most of the HD patients have been receptive and grateful for the dietitian, except this one guy who was in a bad mood and did not want to hear anything from me. I've also been covering the acute care floor. That has been more unpredictable than HDU, because you never know what you're gonna get. Diseases present themselves together. That's it from me for now. On to note-writing for the rest of the day.
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