Assignment task:
ED is a teenage male who first presented with stage 3 chronic kidney disease at age 12 years. During his initial visits to the kidney clinic, ED's anthropometric measurements along with blood work and usual dietary intake were assessed. At that time, ED was trending along the 50% for both height and weight. Routine blood work indicated metabolic control of electrolytes and minerals, and assessment of his usual dietary intake suggested that he was consuming adequate energy and protein to promote continued growth. Initial nutritional intervention included teaching ED and his parents about the dietary modifications that were required for his stage of chronic kidney disease (CKD). The family was instructed on a healthy diet with limited sodium, and they were provided with some preliminary information about the future need for potassium and phosphorus management. ED was subsequently lost to follow-up for over 2 years during which time his parents conducted their own online research on dietary restrictions for CKD. Based on their findings, ED's parents were convinced that restricting dietary protein intake would help to delay the progression of their son's kidney disease, and they adopted a diet restricted in protein, as well as in overall energy.