As a patient, you have certain rights and responsibilities. These rights and responsibilities have been framed to ensure that you receive medical care of the highest standards and to make your stay with us as comfortable as possible.
As a patient you have the following rights:
- You deserve to be treated with respect.
- You have the right to request for any information about your condition and be provided with that information.
- You are entitled to ask for, and obtain copies of the records pertaining to your medical care in the hospital by paying a copying fee. You can do this without hesitation. All medical records, whether prepared in our hospital or elsewhere, will remain the property of the hospital, once you have started your treatment here. These records will remain confidential.
- You have the right to receive medical care that is of accepted standards, as per the standards set within the country, and even as per some of the standards that have been set in the West.
- You are entitled to the same level of medical care, irrespective of the ward you are admitted to.
- You have the right to ask for and consult with any doctor or doctors in our panel of doctors, without prejudice and interference. You can do this at any point of time during the course of your medical care.
- You have the right to patient confidentiality and privacy.
- You have the right to a second opinion.
- You have the right to refuse treatment. However, this decision will have to be taken by you at your own risk. We cannot be held responsible for any consequence(s), medical or otherwise, arising due to your refusal to be treated against the advice of (a) medical professional(s).
- You have the right to receive medical treatment and hospital services for which you have paid for, irrespective of your religion, caste, creed, race or any other such discriminatory factor(s).
- You have the right to ask for any information and clarify any doubts about the particulars of your bill.
- You will be protected from physical abuse or neglect
- All medical records,whether prepared in our hospital or elsewhere, will remain the property of the hospital, once you have started your treatment However, you will be provided a copy of the same, if required
- You have right to know about risks, benefits, expected treatment outcomes and possible complications to enable you to make informed decisions, and involve in the care planning and delivery process
- Right to voice your complaint to appropriate authority in hospital
- Right to a fair and prompt hearing of his / her concern
As a patient, you also have the following responsibilities:
- Please bring with you all your medical records, lab reports, x-rays, scans, etc., that provide a record of your medicalhistory at the time of admission.
- Please keep up all your appointments and follow-up appointments. If unable to do so, please call and inform us at the earliest that you are not able to keep your appointment.
- Please provide the medical insurance card during admission if you will be paying through insurance
- Please ensure that you retain all your medical records in the correct order. Please bring them along with you every time you visit the doctor(s).
- Please ensure that you do not take up the time of the medical professionals through delays.
- Please ensure that you contact the doctors outside hospital hours only in the case of an emergency.
- Please ensure that you immediately bring to the notice of the management, any shortcoming(s) in your care at the hospital.
- Please do not withhold any information about your condition from the doctor(s) treating you or from the hospital staff.
- Please abide by the hospital’s rules and regulations
- Please pay your medical bills promptly on time.
- Please treat the hospital staff and your fellow patients with respect.
Diet Guide for Patients
Nutrition Therapy in Renal Disease
In the treatment of renal disease, nutrition therapy, in each case, is based upon the nature of the disease process. In short-term acute renal disease, which may occur due to various causes, nutrition therapy is aimed towards an optimal nutritional support for healing and normal growth. Long-term chronic renal disease involves more specific nutrient modifications. In patients with renal disease, an increasing loss of kidney function causes progressive weakness, shortness of breath, general lethargy and fatigue. Thirst, appetite loss, weight loss, diarrhoea and vomiting may occur, which can also lead to malnutrition.
Basic Objectives of Nutrition Therapy
The following are the basic objectives of nutrition therapy:,/p>
- To reduce protein breakdown
- To avoid dehydration or excess hydration
- To correct electrolyte imbalances
- To maintain appetite and a sense of well-being
- To control complications of hypertension and bone pain
- To retard the rate of renal failure, thereby postponing the ultimate need for dialysis
Principles of Nutrition
Nutrition for chronic kidney failure involves variable nutrient adjustment according to the individual needs of patients as follows:
- Protein: It is required to provide just enough protein to maintain tissue integrity while avoiding a damaging excess. Protein is generally limited to 0.6 to 0.8 gram/kilogram body weight per day, of which at least 50% should come from the high biological value group.
- Energy: Carbohydrates and fats must supply sufficient calories to reduce the need for proteins. The minimum energy needs for patients are 30-35 calories per kilogram per day.
- Water: With non-dialysed patients, fluid intake should be sufficient to maintain an adequate urine volume. Intake is usually balanced with the output.
- Sodium: The need for sodium varies. If hypertension and edema are present, sodium/salt intake is usually recommended in very low amounts. Salt intake usually ranges between 2-5 grams/day.
- Potassium: The damaged kidney/kidneys cannot clear potassium adequately and so the dietary intake is kept low or moderate. Therefore, it is important for patients to be aware of the potassium levels in various foods so that they consume cereals, pulses, fruits and vegetables that have low to moderate potassium content.
- Vitamins: A multivitamin supplement is usually added to the diet of renal patients.
When chronic renal failure advances to end-stage renal failure, the patient has two options in order to deal with the irreversible kidney damage:
- Renal Replacement Therapy (RRT): in the form of haemodialysis or peritoneal dialysis
- or Renal (Kidney) Transplant.
Usually, nutrition therapy for dialysis patients is planned with more liberal nutrient allowances and the patient is encouraged to eat a variety of foods to help maintain normal body weight and nutritional status.
Diet for Patients Who Have Had a Kidney Transplant
After transplantation of a kidney in a patient with renal failure, near-normal function is restored. The patient usually experiences the restoration of a normal appetite, a gradual increase in dry body weight, strength, stamina and a sense of well-being.
Diet for transplant patients is less limited than it is for patients on dialysis. However, there are certain limitations that you may need to follow if you are a patient who has had a kidney transplant:
- Practice safe and hygienic methods of food preparation and handling
- Eat food that is well-cooked and drink water and/or beverages that is/are boiled
- Limit the use of salt in your diet. Avoid salty snacks and savouries
- Extra care has to be taken in the washing and cleansing of green leafy vegetables before cooking. Avoid using raw coriander or curry leaves in cooked dishes
- Fresh curd that has just set, or buttermilk, can be used by the second week of the transplant period. Avoid the use of refrigerated or sour curd
- Use of fats and oils, sugar and sweets, high-fat milk, high-fat curd, etc., should be limited in order to help maintain body weight in the ideal range
- Avoid raw eggs, half-boiled eggs, under-cooked or over-cooked meat. Avoid unpasteurised milk and milk products, cheese, cottage cheese, etc
- Also avoid raw sprouted grams, raw vegetable salads, raw vegetable juices, fruit juices, fluids such as tender coconut water, soft drinks, etc
- Avoid eating food outside home such as in hotels/restaurants, social gatherings, etc