Development of a Proactive Holistic Nutrition Care Service to Enhance Quality of Life in Patients with End-Stage Renal Disease

Abstract

         This project aimed to develop an integrated, proactive nutrition care service model for patients with End-Stage Renal Disease (ESRD) undergoing dialysis, with a focus on improving quality of life rather than disease control alone. The service model integrates nutrition therapy, physical rehabilitation, and multidisciplinary collaboration under a person-centered care approach, emphasizing patient and family engagement in goal setting and care planning.     

          The outcomes demonstrate that this integrated service model effectively supports adequate nutritional intake, enhances muscle mass and physical function, and improves patients’ quality of life and satisfaction. By aligning clinical care with patients’ individual goals and daily living contexts, the service fosters meaningful care experiences beyond conventional fragmented approaches.

          This proactive, holistic nutrition service represents a model of service excellence that can be embedded within routine clinical practice and has the potential to be adapted and scaled to other patient populations at risk of malnutrition and functional decline.