1. GUIDED BY: PROF. MRS. SUHASINEE RATHOD, VICE PRINCIPAL AND HOD OF MED-SURG DEPT D. Y. PATIL COLLEGE OF NURSING PRESENTER: MS. SONALI JOHN KAMBLE FIRST YEAR M.SC (N)

2. EFFECTIVENESS OF SELF INSTRUCTIONAL MODULE [SIM] ON THE KNOWLEDGE OF RENAL DIET AMONG CHRONIC RENAL FAILURE [CRF] PATIENTS UNDERGOING HEMODIALYSIS IN SELECTED HOSPITALS OF KOLHAPUR CITY, MAHARASHTRA. 3. INTRODUCTION Bones can break, muscles can atrophy, glands can loaf, even the brain can go to sleep without immediate danger to survival. But should kidneys fail.Neither bone, muscle, gland, nor brain could carry on. 4. This statement underlines the importance of kidney to our life, proper functioning of kidney is essential to maintain healthy body, because it filters blood, body fluids, and excretes waste products and maintains the bodys state of homeostasis. Chronic Renal Failure (CRF) and end-stage renal disease (ESRD) have become worldwide public health problems. These conditions increase patient morbidity and mortality risks. Protein-energy malnutrition and wasting are common problems among patients with end-stage renal disease (ESRD). These patients with ESRD are routinely treated with hemodialysis. Various studies show signs of malnutrition in 23-76% of hemodialysis (HD) patients and 18-50% of peritoneal dialysis (PD) patients. In addition, the quality of life for patients undergoing hemodialysis is negatively correlated with poor nutritional status. 5. NEED FOR STUDY: Food plays a vital role in kidney rehabilitation and it is equally important like the regular dialysis for a person with CKD. Since the kidney function is compromised it can no longer regulate the balance of minerals, vitamins and fluid, hence the diet needs to be low in potassium, phosphorus, sodium and fluid. Dietary manipulations not only help to ameliorate the signs and symptoms of kidney disease, but also retard the progression of kidney disease regardless of its etiology. 6. Worldwide, the number receiving renal replacement therapy (RRT) i.e. Dialysis, is estimated at more than 1.4 million, with incidence growing by approximately 8% annually. Kidney disease is the 8TH leading cause of death in the United States. As per the WHO census of 2011, death rate due to kidney diseases is 21.8 per 1,00,000 population. India ranks 66th in the world with this death rate (WHO 2011). CKD is the 12th leading cause of death and 17th cause of disability. India and Pakistan, the two most populous countries in South Asia, have a combined population of ~1.4 billion, and a predominantly young population with median age of