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This Concept Map, created with IHMC CmapTools, has information related to: renal chloe_adonia.cmap.cmap, diet Intervention Motivational Interviewing (based on stages of change) (Paradis, 2010), Descriptor relationship Negative Outcome, decrease in social interaction leading to isolation, diet Evaluate knowledge of Renal Diet & Importance, more negative outcomes such as decreased energy, excessive fluid intake Evaluate challenges and adpatations to fluid restrictions, Discuss Stratgies Manage Thirst Monitor H20 intake, and foods liquid at room temp, Discuss Stratgies Manage Thirst methods decrease osmotic thirst, nephrology consult (2011) due to poorly managed BP, 3xdialysis treatment/week (2012) initially led to decreased pruritis, Barbados culture diet, BMI=32 Considered Obese (2011), more negative outcomes leading to reports of loneliness & depression symptoms, decreased pruritis contributed to increased QOL, more negative outcomes should consider 4.5 year prognosis for pts 60-64 (Sarnak,2003), more negative outcomes such as Hypotension at the end of dialysis treatment, 4.5 year prognosis for pts 60-64 (Sarnak,2003) potential involvement of 3 children, development of exercise intolerance adds to increased risk of depression, development of exercise intolerance adds to negative medical outcomes, 3 children involved in psychological /social support