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Is rice good for kidney patients?

Rice is a great choice for the kidney diet—it provides energy and is low in minerals of concern for people with kidney disease or those on dialysis.

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Rice is a great choice for the kidney diet—it provides energy and is low in minerals of concern for people with kidney disease or those on dialysis.

Rice on a kidney diet

White rice is by far the most popular rice because it's more tender than brown or wild rice, and the subtle flavor complements other ingredients in a dish. Most people in the early stages of chronic kidney disease (CKD) don't have problems with mineral balance, and can include all types of rice. For people who are limiting phosphorus and potassium in their diet, white or wild rice is recommended over brown rice, because brown rice is rich in these minerals. However, brown rice can be eaten on a dialysis diet with attention to portion, and balanced with other foods to avoid an excessive intake of potassium or phosphorus. Your dietitian can advise you on the best rice to eat for your needs.

Here are 4 easy ways to cook rice:

Electric rice cookers: Simply add one-part rice to two-parts water and push the timer to start the cooking process. The cooker is self-timed and will turn off once the rice is cooked. Stovetop: To boil rice, use a heavy pot, and add two cups of water for each cup of rice unless the package instructs otherwise. Bring the rice and water to a boil, cover it with a lid and reduce to a simmer for 12 minutes. Once your rice is cooked tender and water is absorbed, fluff it with a fork and let it sit for five minutes before serving. Do not remove the lid or stir rice during cooking. Oven: Heat the oven to 350º F. In a Dutch oven or oven-proof dish, heat rice and a tablespoon of cooking oil over stovetop and stir for 1-2 minutes. Add two cups of water for each cup of rice in the dish and bring to a boil. Cover the dish and place it in the oven for 20-25 minutes until rice is tender and the liquid is absorbed. Fluff rice and let it stand for five minutes before serving. Microwave: Place two-parts water to one-part rice in a microwave-safe bowl. Cover loosely with a microwave-safe plastic cover or vented plastic wrap. Microwave on high for 12 minutes, then let it sit for 5 minutes before fluffing with a fork. Microwave rice cookers are also available. If your cooked rice is too soggy, try using less water next time. If it's too dry, add 1/4-1/2 cup more water and cook a little longer. Experiment until you get it right. If you live at altitude, you may need to cook rice for a longer period of time than directed on the packaging. Rice cooked in broth or with added seasonings may be preferred, but keep it kidney-friendly by choosing low-or reduced-sodium broth or bouillon without potassium chloride. Choose fresh or dried herbs and spices or salt-free seasoning blends. Seasoned rice mixes are quite popular, but for anyone with high blood pressure or kidney disease, the sodium content is too high. Food safety is important when storing leftover rice. Dry rice may contain spores produced by toxin-producing bacteria called Bacillus cereus. It can cause food poisoning if contaminated rice sits at room temperature too long. Once cooked rice cools, store unused portion in a shallow, covered container in the refrigerator.

Try these kidney-friendly recipes from DaVita dietitians:

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Delirium is common during the final days of life. Most patients have a lower level of consciousness. They may be withdrawn, be less alert, and have less energy. Some patients may be agitated or restless, and have hallucinations (see or hear things not really there).

The end of life may be months, weeks, days, or hours. It is a time when many decisions about treatment and care are made for patients with cancer. It is important for families and healthcare providers to know the patient's wishes ahead of time and to talk with the patient openly about end-of-life plans. This will help make it easier for family members to make major decisions for the patient at the end of life. When treatment choices and plans are discussed before the end of life, it can lower the stress on both the patient and the family. It is most helpful if end-of life planning and decision-making begin soon after the cancer is diagnosed and continue during the course of the disease. Having these decisions in writing can make the patient's wishes clear to both the family and the healthcare team. When a child is terminally ill, end-of-life discussions with the child's doctor may reduce the time the child spends in the hospital and help the parents feel more prepared. This summary is about end of life in adults with cancer and where noted, children with cancer. It discusses care during the last days and last hours of life, including treatment of common symptoms and ethical questions that may come up. It may help patients and their families prepare for decisions that they need to make during this time. For more information on end-of-life planning, including palliative and hospice care, see Planning the Transition to End-of-Life Care in Advanced Cancer.

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